Scientific Data Documentation
National Nursing Home Survey, 1985
*SEE NNHS85 DATASET NAMES FOR DSN
ABSTRACT
This material provides documentation for users of the Micro-Data Tape of
the 1985 National Nursing Home Survey (NNHS) conducted by the National
Center for Health Statistics. Section I "Description of the NNHS"
includes information on the history of the NNHS, the scope of the
survey, the sample, data collection procedures, estimation procedures
and reliability of estimates. Section II provides technical details of
the tape (number of tracks, record length, etc.). Section III provides
a detailed description of the contents of each data record, by location.
BACKGROUND
As part of its continuing program to provide information on the health of
the Nation and the utilization of its health resources, the National Center
for Health Statistics periodically conducts a nationwide survey of nursing
facilities. The 1985 National Nursing Home Survey (NNHS), the third in a
series, is authorized under Section 306 (42 USC 242k) of the Public Health
Service Act. FaciIities covered in the survey are those providing some
level of nursing or personal care without regard to licensure status or to
certification status under Medicare or Medicaid. Participation is
voluntary.
Purpose
The purpose of the NNHS is to collect baseline and trend statistics about
nursing facilities, their services, residents, discharges, and staff. The
resulting published statistics will describe the Nation's nursing facilities
and the health status of their residents. These data are used for studying
the utilization of nursing facilities, for supporting research directed at
finding effective means for treatment of long-term health problems, and for
setting national policies and priorities.
Confidentiality
Confidentiality is provided to all respondents in the NNHS as assured by
Section 308(d) of the Public Health Service Act (42 USC 242m) which states
that: "Information...which would permit identification of any individual or
establishment...will be held in strict confidence, will be used only for the
purposes stated for this study, and will not be disclosed or released to
others without the consent of the individual or establishment."
Procedures For Data Collection
Data were collected from a nationally representative sample of 1,220 nursing
and related care homes using a combination of personal interview and self-
enumeration techniques. Information about the facility (e.g., number of
beds, certification status, number and kinds of staff) was collected through a
personal interview with the administrator or designee. With the
administrator's permission, a questionnaire was sent to the facility's
accountant to obtain basic expense and revenue information and to a maximum
of four registered nurses to obtain information related to job retention.
Through interviews with appropriate nursing staff, information was collected
on maximum samples of five current residents and six recent discharges. In
addition to basic demographic information, data were collected about the
sample patients' medical conditions, impairments, functional limitations,
services received and sources of payment. A family member of the patient
was contacted by telephone to obtain data on socioeconomic status and prior
episodes of health care - information which generally is not available at
the facility.
Plans For Data Release
The results of the 1985 NNHS will be released in publications and public use
computer tapes. As noted in the above section on confidentiality, no
information will be released which identifies individuals or establishments.
Publication plans include pamphlets presenting preliminary data, a summary
volume presenting detailed tabulations, and individual analytical reports on
special topics such as utilization measures and resident characteristics.
Release of data will begin in 1987.
National Center for Health Statistics
March 1987
DESCRIPTION OF NNHS
Introduction
The micro-data tape comprises data collected in the
1985 National Nursing Home Survey (NNHS). This nationwide sample survey
of nursing and related care homes, their residents, and their staff was
conducted by the National Center for Health Statistics (NCHS) from
August 1985 to January 1986. The survey was conducted via a combination
of personal interviews and self-enumerated forms. Data on nursing home
operating and utilization characteristics were obtained by personal
interview with the administrator, data on the financial characteristics
of the facility were self-enumerated by the nursing home's accountant or
bookkeeper. In some cases, a financial statement was submitted in lieu
of the questionnaire. Data on a sample of patients currently residing
in the facility as well as a sample of discharges that occurred during
the year prior to the day of the survey, were obtained by interviewing
the staff person most familiar with the medical records of the resident.
Additional information about the residents was obtained in a telephone
interview with a family member or other acquaintant. A sample of
registered nurses were asked to complete a self-administered
questionnaire. There were 5,243 current residents, 6,023 discharges,
and 2,763 registered nurses responding from the 1,079 nursing homes that
participated in the survey. For a description of the survey design and
data collection procedures, see below.
History
The National Nursing Home Survey was designed as an ongoing
series of surveys to satisfy the diverse data needs of those who
establish standards for, plan, provide, and assess long-term care
services. The first NNHS was conducted between August 1973 and April
1974; the second from May through December 1977.
The third and most recent survey was conducted from August 1985 through
January 1986.
Prior to the creation of this continuing data collection system,
NCHS conducted a series of three ad hoc sample surveys of nursing and
personal care homes called the Resident Places Surveys (RPS 1, 2, 3).
These surveys provided much of the background information and experience
used to develop the first NNHS. These surveys were conducted during
April-June 1963, May-June 1964, and June-August 1069, respectively.
RPS-1, the first of these surveys, collected data on nursing homes,
chronic disease and geriatric hospitals, and nursing home units and
chronic disease wards of general and mental hospitals. RPS-3, the last
ad hoc survey, sampled nursing and personal care homes in the
conterminous United States.
Scope Of Survey
1985 NNHS covered all types of nursing homes which
provided some level of nursing care in the conterminous U.S. as defined
by the National Master Facility Inventory (NMFI). Added to the list of
homes collected through the NMFI were homes identified in the (1) 1982
Complement Survey of the NMFI as "missing" from the 1982 NMFI , (2)
nursing homes opened for business from 1982 through June 1984, and (3)
hospital-based nursing homes identified in records of the Health Care
Financing Administration. In addition, residential facilities in
California and Michigan were excluded from the universe because there was
a large number of them and because it could not be determined if they
were primarily facilities for the mentally retarded. The NMFI is a
census of all inpatient health facilities conducted periodically by mail
by NCHS. A detailed description of how the NMFI was developed, its
contents, and procedures for updating and assessing its coverage has
been published.2-5/
Sampling Frame And Size Of Sample
The 1982 National Master Facility
Inventory (NMFI) constituted the base for the sampling frame (universe)
for the 1985 NNHS. The universe consisted of 20,479 nursing homes.
Table I shows the distribution of facilities in the sampling frame and
the disposition with regard to response and in-scope status.
The sample consisted of 1,220 nursing and related care homes. Of
these facilities, 84 refused to participate and 57 were out-of-scope for
one or more of the following reasons: the nursing home had gone out of
business, it failed to meet the definition of a nursing home as used in
records. A total of 1,079 nursing homes participated in the survey.
Sampling Design
The sampling was basically a stratified two-stage
probability design. The first-stage was the selection of facilities and
the second-stage was a selection of residents, discharges, and
registered nurses from the sample facilities. In preparation for the
first-stage sample selection, facilities listed in the universe were
sorted into two strata based on Medicare and Medicaid certification:
(1) Certified by either Medicare or Medicaid and (2) Not certified by
either Medicare and Medicaid. Facilities in each of these two strata
were further sorted by frame source: (1) 1982 Complement Survey and (2)
all other sources (i .e., 1982 NMFI, HCFA hospital-based nursing homes,
and newly opened nursing homes between 1982 and 1984). Facilities in
the Non-Complement Survey strata were further sorted into bed size
groups, producing the 20 primary strata as shown in table I.
Table I. Number of Facilities in the 1985 National Nursing Home
Survey Universe and Sample, by Disposition and
Sampling Strata: Conterminous United States, 1985
Universe Out of Scope
(Sampling All or out of
Sampling Strata frame)1/ Facilities Business
--------------- -------- ---------- --------
All types of certification 20,479 1,220 57
Certified
---------
Complenent survey homes 24 19 1
3-14 beds 112 5 2
15-24 beds 394 9 1
25-49 beds 1,876 43 4
50-99 beds 5,000 269 9
100-199 beds 4,604 479 9
200-399 beds 861 196 1
400-599 beds 77 17 1
600 beds or more 26 10 1
Unknown bedsize 20 10 1
Not Certified
-------------
Complement survey homes 336 14 3
3-14 beds 2,346 8 3
15-24 beds 1,087 10 3
25-49 beds 1,185 15 2
50-99 beds 1,029 35 1
100-199 beds 727 39 2
200-399 beds 132 14 1
400-599 beds 19 5 1
600 beds or more 7 4 1
Unknown bedsize 627 20 10
Sample
In Scope and in Business
Sampling Strata Non-Responding Responding
--------------- -------------- ----------
All types of certification 84 1,079
Certified
---------
Complenent survey homes 2 16
3-14 beds O 3
15-24 beds O 8
25-49 beds 3 36
50-99 beds 21 239
100-199 beds 28 441
200-399 beds 13 182
400-599 beds 3 13
600 beds or more 0 9
Unknown bedsize 3 6
Not Certified
-------------
Complement survey homes 0 11
3-14 beds
15-24 beds 1 6
25-49 beds 1 12
50-99 beds 3 31
100-199 beds 3 34
200-399 beds 1 12
400-599 beds 0 4
600 beds or more 0 3
Unknown bedsize 1 9
The universe consisted of homes in the 1982 National Master Facility
Inventory (NMFI), the 1982 Complement Survey of the NMFI, the Health Care
Financing Administration file, hospital-based nursing homes, and homes
opened for business from 1982 to 1984.
The nursing homes in the universe were ordered by ownership, geographic
region, metropolitan status, State, county, and Metropolitan Statistical
Area, and zip code. The sample was then selected systematically after a
random start within each primary stratum.
The number of nursing homes estimated by the survey is less than the
universe figure (20,479) for several reasons. Some facilities went out
of business or became ineligible for the scope of the survey between the
time the universe was frozen and the survey was conducted. A facility
was considered out-o-fscope if it did not provide nursing, personal or
domiciliary care services (e.g., facilities providing only room and
board) or if it were a nursing care unit or wing of a hospital,
retirement center, or similar institution without separate financial and
employee records for that unit.
The second-stage sampling of residents, discharges and registered
nurses was carried out by the interviewers at the time of their visits
to the facilities in accordance with specific instructions given for
each sample facility. The sample frame for residents was the total
number of residents on the register of the facility on the evening prior
to the day of the survey. Residents who were physically absent from the
facility due to overnight leave or a hospital visit but had a bed
maintained for them at the facility were included in the sample frame.
A sample of five or fewer residents per facility was selected.
The sample frame for discharges was the total number of persons
discharged alive or dead during the 12 months prior to the survey date.
Persons who were discharged more than once during this 12 month period
were listed for each discharge. It is also possible that a current
resident was included in the discharge sampling frame if he or she were
discharged during the 12 months prior to the survey and then re-admitted
to a nursing home. A sample of six or fewer discharges per facility was
selected.
The sampling frame for nursing staff was all registered nurses who
were employed by the facility on the day of the survey. In addition,
through a temporary service were included if they were scheduled to work
during the 24 hours which comprised the survey day. A maximum sample of
four registered nurses per facility was selected.
Data Collection Procedures
The 1985 NNHS utilized nine questionnaires:
Facility Questionnaire, Expense Questionnaire and
Definition Booklet, Nursing Staff Sampling List, Nursing Staff
Questionnaire, Current Resident Sampling List, Current Resident
Questionnaire, Discharged Resident Sampling List, Discharged Resident
Questionnaire, and Next-of-Kin Questionnaire.
Data were collected according to the following procedures: (1) A
letter was sent to the administrators of sample facilities informing
them of the survey and the fact that interviewers would contact them for
appointments. Letters of endorsement by the American College of Health
Care Administrators, American Association of Homes for the Aging, and
American Health Care Association were sent with the introductory letter
to urge the administrator of the facility to participate in the survey.
Also included with this introductory letter was one of the reports from
the last survey to illustrate how the data would be displayed. (2)
After the mailing of the letters, the interviewer telephoned the sample
facility and made an appointment with the administrator. (3) At the
time of the appointment, the following procedures were followed: The
Facility Questionnaire was completed by the interviewer who interviewed
the administrator or designee. After completing this form, the
interviewer secured the administrator's permission to send the Expense
Questionnaire to the facility's accountant. Administrators and
accountants were given the option of submitting a recent financial
statement in lieu of completing the questionnaire. The interviewer
completed the Nursing Staff Sampling List, selected the sample of RNs
from it, and prepared the questionnaires, which were left for each
sample RN to complete, seal in addressed and franked envelopes, and
return either to the interviewer or by mail The interviewer then
completed the Current Resident Sampling List (a list of all residents in
the facility on the night before the day of the survey), selected the
sample of residents from it, and completed a Current Resident
Questionnaire for each sample person by interviewing the member of the
nursing staff familiar with care provided to the resident. The nurse
referred to the resident's medical records. No resident was interviewed
directly. The interviewer then completed the Discharged Resident
Sampling List (residents discharged alive or dead during the 12 months
preceding the day of the survey), selected the sample of discharges from
it, and completed a Discharged Resident Questionnaire for each sample
person by interviewing a member of the nursing staff that was familiar
with the medical records of the resident. The nurse referred to the
resident's medical records. A family member of the patient (both
current and discharged) was contacted by telephone to obtain data on
socioeconomic status and prior episodes of health care.
Estimation Procedures
The statistics contained on the micro-data
tape reflect data concerning only a sample of nursing homes, their
residents, discharges, and registered nurses. Because these data are a
sample and not a complete count, an inflation factor or "record weight"
is assigned to each record. By aggregating the "record weight", an
estimated complete count for National data can be obtained for nursing
homes, residents, discharges, registered nurses, and related
characteristics.
In general, each data file has only one record weight. The facility
file, however, has two different weights: facility home weight
(positions 0650-0657), and facility bed Might (positions 0658-0665).
The facility home weight is used to estimate the number of nursing
homes. The facility bed weight is used to estimate all characteristics
related to bedsize such as beds, admissions, and resident days of care.
The major reason for these different weights is that the best estimator
for facility characteristics related to size included a bed ratio
adjustment, while the best estimator for number of facilities does not.
A discussion of the estimation procedures follows:
The weights used to inflate sample data on these data files are
estimation is to take into account all relevant information in
the estimation process, thereby reducing the variability of the
estimate. The estimation of number of facilities and facility
data not related to size are inflated by the reciprocal of the
probability of selecting the sample facilities and adjusted for
the nonresponding facilities within primary strata. Two ratio
adjustments, one at each stage of sample selection, were also
used in the estimation process. The first-stage ratio
adjustment (along with the preceding inflation factors) was
included in the estimation of facility data related to size, and
of all resident, discharge, and RN data for all primary types of
strata. The numerator was the total beds according to data in
the universe for all facilities in each stratum. The
denominator was the estimate of the total beds obtained through
a simple inflation of the data in the universe for the sample
facilities in each stratum. The effect of the first-stage ratio
adjustment was to bring the sample in closer agreement with the
known universe of beds. The second-stage ratio adjustment was
included in the estimation of all resident, discharge, and RN
data. It is the product of two fractions: The first is the
inverse of the sampling fraction for residents (discharges or
RN) upon which the selection is based; the second is the ratio
of the number of sample residents (discharges or RN) in the
facility to the number of residents (discharges or RN) for whom
questionnaires were completed within the facility.
Reliability Of Estimates
As in any sample survey, the results are subject
to both sampling and non-sampling errors. Non-sampling errors
include errors due to response bias, questionnaire and item nonresponse,
recording and processing errors. To the extent possible, the latter
types of errors were kept to a minimum by methods built into survey
procedures such as standardized interviewer training, observation of
interviewers, manual and computer editing, verification of keypunching,
and other quality checks. Because survey results are subject to both
sampling and non-sampling errors, the total error is larger than errors
due to sampling variability alone.
The standard error is primarily a measure of the variability that
occurs by chance because only a sample, rather than the entire universe,
is surveyed. The standard error also reflects part of the measurement
error, but it does not measure any systematic biases in the data. It is
inversely proportional to the square root of the number of observations
in the sample. Thus, as the sample size increases, the standard error
generally decreases.
The chances are about 68 out of 100 that an estimate from the sample
differs from the value that would be obtained from a complete census by
less than the standard error. The chances are about 95 out of 100 that
the difference is less than twice the standard error and about 99 out of
100 that it is less than 2 and 1/2, times as large.
The standard errors used for this survey were approximated using the
balanced repeated-replication procedure. This method yields overall
variability through observation of variability among random subsamples
of the total sample. A description of the development and evaluation of
the replication technique for error estimation has been published.6'7/
To derive error estimates that would be applicable to a wide variety
of statistics and could be prepared at moderate cost, several
approximations were required.
Rather than calculate standard errors for particular estimates Sx,
the calculated variances for a wide variety of estimates presented in
this document were fitted into curves using the empirically determined
relationship between the size of an estimate X and its relative variance
(rel var x). This relationship is expressed as
2 2
rel var X = Sx/X = a + b/X
where a and b are regression estimates determined by an iterative
procedure.
The relative standard error is then derived by taking the square
root of the relative variance curve. The relative standard error
estimates for estimated number of admissions; beds; total full-time
equivalent staff and nurse's aides; full-time equivalent administrative,
medical, and therapeutic staff; and facilities are shown in figure I.
Figures II and III show the relative standard errors for estimated
number of resident days of care; and discharges, residents, and
registered nurses, respectively.
The relative standard error (RSE(X)) of an estimate X may be read
directly from the curves in figures I and II, or alternatively may be
calculated by the formula:
RSE(X) = \/A + B/X
where the appropriate constants A and B for the estimate X are defined
on Table II. Thus, for example, the relative standard error for
estimates of admissions may be calculated by the formula:
RSE(X) = \/-O.OO1O11 + 1918.609/X
where x is the number of admissions of interest.
In this report, estimates that have a relative standard error of 30
percent or more are considered "unreliable" and are indicated with an
asterisk. Because of the relationship between the relative standard
error and the estimate, the standard error of an estimate can be
obtained by multiplying the estimate by its relative standard error.
Thus, for example, in curve 8 of figure I, an estimate of 4,500
discharges has a relative standard error of 30 percent. Its standard
error is 0.30 x 4500 = 1350.
To approximate the relative standard error (RSE(p)) and the standard
error (SE(p)) of a percent p, the appropriate values of B from table II
are used in the following equations:
RSE(p) = \/(B (1O0-p))/ p . Y
SE(p) = p RSE(p)
where p = 100 x /y = the estimated percent.
The approximation of the relative standard error or the standard
error of a percent is valid when only one of the following conditions is
satisfied: (a) the relative standard error of the denominator is 5
percent or less8/ or (b) the relative standard errors of the numerator
and the denominators are both 1O percent or less. 9/
The approximate standard error of ratios such as FTE employees per
100 beds can be calculated as in the following example: Suppose the
standard error R' ) for the ratio of total FTE employees per 100 beds
is desired for nursing homes with less than 50 beds. Suppose the total
FTE employees per 100 beds for homes with less than 50 beds is 61.1, and
that this is equal to a total of 92,400 FTE employees divided by 151,100
beds times 100. The relative standard error of 92,400 total FTE
employees in homes with less than 50 beds is (from figure I, curve B)
approximately 8.6 percent, and the relative standard error of 151,100
beds (from figure I, curve A) is approximately 10 percent. The square
root of the sum of the squares of these two relative standard errors
minus their covariance provides an approximation for the relative
standard error of the ratio. In other words, if Vx' is the relative
standard error of number of total FTE employees, Vy' is the relative
standard error of number of beds, r is the sample correlation
coefficient between total FTE employees and beds (conservatively
estimated to be 0.5), and Vr' is the relative standard error of the
ratio r' = x'/y' , then
2 2
Vr' = Vxt + Vy' - 2rVx'Vy'
2
=(0.086)2 + (0.1) -1.00(0.086 x 0.1)
=0.0074 + 0.01 - 0.0086
VR' =\/0.0088
=0.0930
The approximate standard error of the ratio of total FTE employees
per 100 beds may now be obtained by multiplying the relative standard
error by the ratio as done below:
GR'= R' x VR'
= 61.1 x 0.0938
= 5.73
The sample correlation coefficient r for calculating the standard
error estimates of the ratios presented in this report may be assumed to
be zero except in the cases of FTE employees per 100 beds and the
occupancy rate estimates where the correlation coefficient used was 0.5.
Questions
Questions concerning data on this tape should be directed
to the Long-Term Care Statistics Branch, Division of Health Care
Statistics, National Center for Health Statistics, Center Building, 3700
East-West Highway, Hyattsville, MD 20782.
REFERENCES
NCHS publishes statistics from the NNHS in Advancedata and Series 13 of
VITAL AND HEALTH STATISTICS, Public Health Service, Washington, U.S.
Government Printing Office.
1. National Center for Health Statistics: Selected Operating and
Financial Characteristics of Nursing Homes, United States: 1973-74
National Nursing Home Survey. VITAL AND HEALTH STATISTICS. DHEW Pub.
No. (PHS) 76-1773-Series 13-No.22. Public Health Service, Washington,
U.S. Government Printing Office, Dec. 1975.
2. National Center for Health Statistics: Development and Maintenance of
a National Inventory of Hospitals and Institutions. VITAL AND HEALTH
STATISTICS. PHS. Pub. No. 1000-Series 1-No. 3. Public Health Service.
Washington, U.S. Government Printing Office, Feb. 1965.
3. National Center for Health Statistics: Design and Methodology of the
1967 Master Facility Inventory Survey. VITAL AND HEALTH STATISTICS.
PHS. Pub. No. 1000-Series 1-No. 9. Public Health Service. Washington,
U.S. Government Printing Office, Jan. 1971.
4. National Center for Health Statistics: The Agency Reporting System
for Maintaining the National Inventory of Hospital and institutions.
VITAL AND HEALTH STATISTICS. PHS. No. 1000-Series 1-
No. 6. Public Health Service. Washington, U.S. Government printing
Office, Apr. 1968.
5. National Center for Health Statistics: Nursing and Related Care Homes
as reported from the 1982 National Master Facility Inventory Survey.
VITAL AND HEALTH STATISTICS. DHHS Pub. No. (PHS) 86-1827-Series 14-
No.32. Public Health Service. Washington, U.S. Government Printing
Office, Sept. 1986.
6. National Center for Health Statistics, P. J. McCarthy: Replication,
an approach to the analysis of data from complex surveys. VITAL AND
HEALTH STATISTICS. Series 2, No. 14. PHS Pub. No. 1000. Public Health
Service. Washington. U.S. Government Printing Office, Apr. 1966
7. National Center for Health Statistics, P. J. McCarthy:
pseudoreplication, further evaluation and application of the balanced
half-sample technique. VITAL AND HEALTH STATISTICS. Series 2, No. 31.
DHEW Pub. No. (HSM) 73-1270. Health Services and Mental Health
Administration. Washington. U.S. Government Printing Office, Jan.
1969.
8. M. H. Hansen, W. N. Hurwitz, and W. G. Madow: Sample Survey Methods
and Theory, Vol . 1, New York. Johr Wiley and Sons, 1953.
9. W. G. Cochran: Sampling Techniques. New York. John Wiley and Sons,
1953.
TECHNICAL DESCRIPTION OF TAPES
All tapes are labeled and are suitable for IBM Computers. The data are
in 9-track codes in EBCDIC. Tapes are 6250 or 1600 bpi. The dataset
name, label, record length, blocksize, and number of cases for each file
are indicated below:
FILE DSN LABEL
---- --- _____
Nursing Staff Questionnaire NNHS1985.FACILITY
Facility Questionnaire (1,SL)
NNHS1985. NURSSTAF (2,SL)
Current Resident Questionnaire NNH51985.CURRENT (3,SL)
Discharged Resident Questionnaire NNHS1985.DISCHARG (4,SL)
Expense Questionnaire
NNHS1985.NSSL (5,SL)
Nursing Staff Sampling List NNHS1985.EXPENSE
Current Resident Sampling List NNHS1985.CRSL (6,SL)
Discharged Resident Sampling List NNHS1985.DRSL (7,SL)
(8,SL)
Next-of-Kin Questionnaire
NUMBER OF
FILE RECORD LENGTH BL0CKSIZE CASES
---- ------ ------ --------- -----
Nursing Staff Questionnaire
Facility Questionnaire 665 19950 1078
307
Current Resident Questionnaire 873 17460 5238
Discharged Resident Questionnaire 544 21760 6017
Expense Questionnaire 366 18300 731
Nursing Staff Sampling List 18000 999
Current Resident Sampling List 18 18000 1059
Discharged Resident Sampling List 18 15000 1030
30
Next-of-Kin Questionnaire 666
TAPE RECORD FORMAT
This section consists of a detailed breakdown of each file,
providing a brief description of each item of data. The data are
arranged sequentially according to their physical location on the tape
record. The variables are referenced by a field name (usually the
question number from which the data were gathered), the tape positions
and format. Some computer generated data items are included on each of
the files (for example, length of stay since admission for the resident
file).
The tape record formats for the nine files are presented in the
following order:
File
----
Facility Questionnaire
Nursing Staff Questionnaire
Current Resident Questionnaire
Discharged Resident Questionnaire
Expense Questionnaire
Nursing Staff Sampling List
Current Resident Sampling List
Discharged Resident Sampling List
Next-of-kin Questionnaire
NEXT-OF-KIN QUESTIONNAIRE
Positions 1-33
LABEL BC EC LEN DESCRIPTION
NOTE: * INDICATES FACILITY RESPONDENTS INCLUDED
** INDICATES FACILITY RESPONDENTS ONLY
NOK ID 0001 0007 7 SUBJECT'S ID
1001213-7186364
DATE OF NOK INTERVIEW
NOKLDT M 0008 0009 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
NOKLDT_D 0010 0011 2 DAY
BLANK = LEGITIMATE NONRESPONSE
01-31
NOKLDT_Y 0012 0013 2 YEAR
BLANK = L.EGITIMATE NONRESPONSE
84-86
NOKRPTYP 0014 0014 1 TYPE OF PRIMARY RESPONDENT
BLANK = LEGITIMATE NONRESPONSE
1 = SUBJECT
2 = PROXY
3 = FACILITY
LABEL BC EC LEN DESCRIPTION
NOKBD YR 0020 0023 4 YEAR
BLANK = LEGITIMATE NONREPON5E
1876-1982
9998 = DON'T KNOW
NOKAGE 0024 0026 3 AGE IN YEARS AT NDK INTERVIEW
BLANK = LEGITIMATE NONRESPON5E (DECEASED)
AGE = 003-106
NOTE: THE "AGE" VARIABLE WAS COMPUTED FOR ALL CASES
THAT HAD AN ALIVE VITAL STATUS (NOK1A=1).
THE METHOD USED TO COMPUTE AGE DEPENDED ON
WHETHER DR NOT THE CASE HAD A KNOWN DATE DE
BIRTH OR A KNOWN AGE AT THE TIME DE CRQ/DR0.
IF THE CASE HAD A DATE OF BIRTH, TIlE
BIRTHDATE WAS SUBTRACTED FROM THE DATE OF THE
LAST CATI SESSION.
IF THE CASE HAD NO KNOWN DATE OF BIRTH BUT AN
IMPUTED AGE (FROM THE CRQ/DRQ FILES), AN
IMPUTED AGE WAS CALCULATED BASED ON THE
DURATION OF TIME BETWEEN THE DRQ/CRQ
INTERVIEWS AND THE DATE OF THE LAST CATI
SESSION.
NOKSTATS 0027 0027 1 SAMPLE STATUS OF SUBJECT AT FIELD INTERVIEW
BLANK = LEGITIMATE NONRE5PDN5E
1 = CURRENT RESIDENT
2 = DISCHARGED-FINAL STATUS DEAD
3 = DISCHARGED-FINAL STATUS ALIVE
4 = OVERLAP
NOTE: A CURRENT RESIDENT IS A PERSON WHO WAS A RESIDENT
OF THE SAMPLE FACILITY ON THE DAY OF THE FIELD
INTERVIEW AND FOR WHOM A CURRENT RESIDENT
QUESTIONNAIRE (CRQ) WAS COMPLETED.
A DISCHARGED RESIDENT-FINAL STATUS DEAD IS A PERSON WHO
HAD BEEN DISCHARGED FROM THE SAMPLE FACILITY
DURING THE YEAR PRIOR TO THE FIELD INTERVIEW
AND FOR WHOM A DISCHARGED RESIDENT
QUESTIONNAIRE (DRQ) WAS COMPLETED; THIS PERSON
WAS KNOWN TO BE DECEASED PRIOR TO THE NOK.
LABEL BC EC LEN DESCRIPTION
- - - ----------------
DISCHARGED RESIDENT-FINAL STATUS ALIVE IS A PERSON WHO
HAD BEEN DISCHARGED FROM THE SAMPLE FACILITY
DURING THE YEAR PRIOR TO TIlE FIELD INTERVIEW
AND FOR WHOM A DISCHARGED RESIDENT
QUESTIONNAIRE (DRQ) WAS COMPLETED; THIS PERSON
WAS NOT KNOWN TO BE DECEASED.
AN OVERLAP CASE IS EITHER A PERSON WHO WAS BOTH A
DISCHARGED RESIDENT AND A CURRENT RESIDENT
DE THE SAMPLE FACILITY ON TIlE DAY OF THE FIELD
INTERVIEW AND FOR WHOM BOTH A CRQ AND DR0 WERE
COMPLETED; OR A PERSON FOR WHOM MORE THAN ONE
DRQ WAS COMPLETED.
DATE OF 1985 FIELD INTERVIEW
NOKINTMO 0028 0029 2 MONTH
BLANK = LEGITIMATE NONRESPDNSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
NOKINTDA 0030 0031 2 DAY
BLANK = LEGITIMATE NDNRESPONSE
01-31
NOKINTYR 0032 0033 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
84-86
Positions 32-81
LABEL BC EC LEN DESCRIPTION
DRQ DISCHARGE DATE
NDKDRQMO 0034 0035 2 MONTH
BLANK = LEGITIMATE NDNRESPDNSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
NOKDRQDY 0036 0037 2 DAY
BLANK = LEGITIMATE NONRESPONSE
01-31
NOKDRQYR 0038 0039 2 YEAR
BLANK = LEGITIMATE NDNRESPDNSE
84-86
DRQ ADMISSION DATE
NOKDRQAM 0040 0041 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
NOKDRQAD 0042 0043 2 DAY
BLANK = LEGITIMATE NONRESPDN5E
01-31
NOKDRQAY 0044 0045 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
32-86
LABEL BC EC LEN DESCRIPTION
- - - - - - - - - - - - - - -
CRQ ADMISSION DATE
NOKCRQAM 0046 0047 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
NOKCRQAD 0046 0049 2 DAY
BLANK = LEGITIMATE NDNRE5PONSE
01-31
NOKCRQAY 0050 0051 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
44-86
NOKFSTAT 0052 0052 1 FINAL STATUS OF SUBJECT CRQ/DRQ
BLANK = LEGITIMATE NONRESPDNSE
1 = ALIVE
2 = DEAD
NOKDRQO1 0053 0059 7 FIRST OVERLAP DRQ ID#
1068352-7098353
NOKDRQ02 0060 0066 7 SECOND OVERLAP DRQ ID#
1172352
NOKCRQ0 0067 0073 7 OVERLAP CRQ ID#
1150226-7184237
CORRECT ADMISSION DATE
NOTE: THE FOLLOWING 9 VARIABLES (COLS. 0074-0088),
PROVIDE INFORMATION ON THE ADMISSION DATE TO
THE SAMPLE NURSING HOME FOR THE SAMPLE STAY.
THE RESPONDENT IS ASKEO II TI-lf AOMISSION DATE
OBTAINED BY THE CURRENT RESIDENT OR DISCHARGE
RESIDENT QUESTIONNAlRE IS THE CORRECT
ADMISSION DATE. IF THE RESPONDENT SAYS NO,
THE CORRECT MONTH AND YEAR THE SUBJECT WAS
ADMITTED TO THE SAMPLE FACILITY FOR THE
SAMPLE ADMISSION WAS OBTAINED. ALL
QUESTIONS REFERRING TO THE DAY OF ADMISSION
USE THE DATE PROVIDED BY THE RESPONDENT.
THE FIRST THREE VARIABLES (COLS. 0074-0078)
REFER TO CASES IN THE CURRENT RESIDENT
SAMPLE, THE SECOND THREE VARIABLES (CDLS.
0079-0083) REFER TO CASES IN THE DISCHARGE
RESIDENT SAMPLE, AND THE LAST THREE VARIABLES
(COLS. 0084-0088) REFER TO THE OVERLAP CASES.
NOKRITD1 0074 0074 1 CORRECT ADMISSION DATE/SUBJECT IN CURRENT RESIDENT
SAMPLE
AT THE TIME OF OUR CONTACT WITH (SAMPLE
FACILITY) ON (DATE OF VISIT), (SUBJECT) WAS
LISTED AS A RESIDENT OF THAT FACILITY. OUR
RECORDS INDICATE THAT ______ BEGAN THAT STAY
ON (ADMISSION DATE). DO WE HAVE THE CORRECT
DATE ______ WAS ADMITTED TO (SAMPLE
FACILITY)?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
NOKDRQCM 0080 0081 2 MONTH
IN WHAT MONTH WAS (SUBJECT) ADMITTED TO (SAMPLE FACILITY)?
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
13 = WINTER
14 = SPRING
15 = SUMMER
16 = FALL
98 = DON'T KNOW
Positions 82-101
LABEL BC EC LEN DESCRIPTION
NOKDRQCY 0082 0083 2 YEAR
IN WHAT YEAR WAS (SUBJECT) ADMITTED TO (SAMPLE FACILITY)?
BLANK = LEGITIMATE NONRESPONSE
58-s5
98 = DON'T KNOW
NOKRITD3 0084 0084 1 CORRECT ADMISSION DATE/OVERLAP CASE
OUR RECORDS INDICATE THAT ______ WAS ADMITTED
TO (SAMPLE FACILITY) ON (ADMISSION DATE), IS
THAT CORRECT?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
LABEL BC EC LEN DESCRIPTION
CORRECTED DATE/OVERLAP CASE
NOKOVDRM 0085 0086 2 MONTH
IN WHAT MONTH WAS (SUBJECT) ADMITTED TO (SAMPLE FACILITY)?
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
13 = WINTER
14 = SPRING
15 = SUMMER
16 = FALL
98 = DON'T KNOW
NOKOVDRY 0087 0088 2 YEAR
IN WHAT YEAR WAS (SUBJECT) ADMITTED TO (SAMPLE FACILITY)?
BLANK LEGITIMATE NONRESPONSE
75-85
LABEL BC EC LEN DESCRIPTION
REFERENCE DATE
NOTE: THE FOLLOWING 5 VARIABLES ARE ASKED OF
FACILITY RESPONDENTS ONLY, IF THE SUBJECT
WAS A DISCHARGED RESIDENT AT THE TIME OF THE
FIELD INTERVIEW, THE DATE REIERENCED IN
QUESTION NOKINT7A, (COL. 0089) IS THE DATE OF
DISCHARGE FROM THE SAMPLE FACILITY. IF TIlE
SUBJECT WAS A CURRENT RESIDENT AT THE TIME OF
THE FIELD INTERVIEW, THE DATE REFERENCED IS THE
SUBJECT'S ADMISSION DATE GIVEN AT THE
TIME OF THE FIELD INTERVIEW, IF THE
RESPONDENT SAID "NO" TO QUESTION NOKINT7A
THE CORRECT DATE WAS OBTAINED IN VARIABLES
NOK7C_MO, NOK7C_DA, AND NOK7C_YR (COLS. 0091-
0096). II THE FACILITY RESPONDENT SAID "YES"
TO QUESTION NOKINT7A, TIlE COMPUTER
AUTOMATICALLY FILLED IN THE DATE FOR
COLUMNS 0091-0096 WITH THE DATE REFERENCED IN
NOKINT7A,
NOKINT7A 0089 0089 1 **ACCORDING TO RECORDS WAS SUBJECT ADMITTED ON _____?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
NOKINT7B 0090 0090 1 **HAS SUBJECT BEEN A RESIDENT SINCE ______?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
LABEL BC EC LEN DESCRIPTION
**WHEN WAS SUBJECT ADMITTED TO FACILITY?
NDK7C_MD 0091 0092 2 MONTH
BLANK = LEGITIMATE NDNRESPDNSE
01 = JANUARY
02 = FEBRUARY
03 MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
If = NOVEMBER
12 = DECEMBER
NDK7C_DA 0093 0094 2 DAY
BLANK = LEGITIMATE NONRESPONSE
01-31
98 = DON'T KNOW
NOK7C_YR 0095 0096 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
71-85
98 = DON'T KNOW
NOK1A 0097 0097 1 *IS SUBJECT ALIVE?
BLANK = LEGITIMATE NONRESPDNSE
1 = YES
2 = NO
LABEL BC EC LEN DESCRIPTION
*WHAT DATE DID SUBJECT DIE?
NOK18_MO 0098 0099 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
98 = DON'T KNOW
NOK1B_DA 0100 0101 2 DAY
BLANK = LEGITIMATE NONRESPONSE
01-31
98 = DON'T KNOW
Positions 102-117
LABEL BC EC LEN DESCRIPTION
NOK1B_YR 0102 0103 2 YEAR
BLANK = LEGITIMATE NDNRESPONSE
84-86
98 = DON'T KNOW
NOK1D 0104 0104 1 -BEFORE DEATH, DID SUBJECT RECEIVE HOSPICE CARE?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
9 = REFUSAL
NOK2A_ 1 0105 0106 2 SUBJECT'S LIVING ARRANGEMENTS, BEFORE ADMISSIDN
BLANK = LEGITIMATE NONRESPDNSE
0I = OWN HOME OR APARTMENT
02 = RELATIVE'S HOME OR APT
03 = OTHER PRIVATE HOME OR APT
04 = RETIREMENT HOME
05 = BOARDING HDUSE,ROOMING HOUSE,RENTED ROOM
06 = ANOTHER NURSING HOME
07 = GENERAL OR SHORT-TERM HOSPITAL
08 = MENTAL HOSPITAL
09 = CHRONIC DISEASE OR LONG-TERM CARE HOSPITAL
10 = SOME OTHER PLACE
98 = DON' T KNOW
99 = REFUSAL
LABEL BC EC LEN DESCRIPTION
N0DK2C 0107 0107 1 WAS HOME OR APARTMENT OWNED BY SUBJECT?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = ND
8 = DON'T KNOW
9 REFUSAL
NOK2D 0108 0108 1 WAS HOME OR APARTMENT FULLY PAID FOR?
BLANK = LEGITIMATE NONRESPDNSE
1 = FULLY PAID FOR
2 = MORTGAGE BEING PAID
8 = DON'T KNOW
9 = REFUSAL
N0K3A 0109 0110 2 HOW MANY PEOPLE USUALLY LIVED IN HOUSE WITH SUBJECT?
00 = ALONE
01-11
30 = GROUP QUARTERS
98 = DON'T KNOW
99 = REFUSAL
NDK3B 0111 0111 1 WHO WAS HEAD OF HOUSEHOLD,SUBJECT OR ANOTHER PERSON?
BLANK = LEGITIMATE NDNRESPONSE
1 = THE SUBJECT
2 = ANOTHER PERSON
8 = DON'T KNOW
9 = REFUSAL
NDK3CI 0112 0112 1 WHAT IS THE RELATIONSHIP OF THE
(PEOPLE/PERSON) WHO USUALLY LIVED IN THE SAME
HOUSEHOLD WITH (SUBJECT) JUST BEFORE____
ENTERED THE NURSING HOME?
NOTE: MORE THAN ONE RESPONSE WAS APPLICABLE
FOR THIS QUESTION, THE FOLLOWING FOUR
VARIABLES (CDLS, 0112-0115) DESCRIBE THE
RELATIONSHIPS OF UP TO 4 HOUSEHOLD MEMBERS,
BLANK = LEGITIMATE NONRESPDNSE
1 = SPOUSE
2 = CHILDREN
3 = PARENT(S)
4 = BRUTHERS(S)/SISTER(S)
5 = GRANDCHILD( REN)
6 = OTHER RELATIVE(S)
7 = UNRELATED PERSON(S)
8 = DON'T KNOW
9 = REFUSAL
LABEL BC EC LEN DESCRIPTION
NDK3C_2 0113 0113 1 WHO ELSE USUALLY LIVED WITH SUBJECT?
BLANK = LEGITIMATE NDNRESPONSE
0 = NO SECOND RESPONSE
1 = SPOUSE
2 = CHILDREN
3 = PARENT(S)
4 = BRDTHERS(S)/SISTER(S)
5 = GRANDCHILD(REN)
6 = OTHER RELATIVE(S)
7 = UNRELATED PERSON(S)
NDK3C_3 0114 0114 1 WHO ELSE USUALLY LIVED WITH SUBJECT?
BLANK = LEGITIMATE NDNRESPDNSE
0 = NO THIRD RESPONSE
I = SPOUSE
2 = CHILDREN
3 = PARENT(S)
4 = BROTHERS(S)/SISTER(S)
5 = GRANDCHILD(REN)
6 = OTHER RELATIVE(S)
7 = UNRELATED PERSON(S)
NDK3C_4 0115 0115 1 WHO ELSE USUALLY LIVED WITH SUBJECT?
BLANK = LEGITIMATE NDNRESPDNSE
0 = ND FOURTH RESPONSE
1 = SPOUSE
2 = CHILDREN
3 = PARENT(S)
4 = BROTHERS(S)/SISTER(S)
5 = GRANDCHILD(REN)
6 = OTHER RELATIVE(S)
7 = UNRELATED PERSON(S)
NOK3D_ 1 0116 0116 1 DID SUBJECT RECEIVE INCOME FROM-SALARY DR WAGES?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = ND
3 = OK TO ENTIRE QUESTION
4 = RE TO ENTIRE QUESTION
8 = DON'T KNOW
9 = REFUSAL
LABEL BC EC LEN DESCRIPTION
NOK3O_2 0117 0117 1 DID SUBJECT RECEIVE INCOME FROM-SOCIAL SECURITY?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
3 = DK TO ENTIRE QUESTION
4 = RE TO ENTIRE QUESTION
8 = DON'T KNOW
9 = REFUSAL
Positions 118-138
LABEL BC EC LEN DESCRIPTION
NOK3D_3 0118 0118 1 DID SUBJECT RECEIVE INCOME FROM-VA PENSION OR
COMPENSATION?
BLANK = LEGITIMATE NONRESPDNSE
1 = YES
2 = NO
3 = DK TO ENTIRE QUESTION
4 = RE TO ENTIRE QUESTION
B = DON'T KNOW
9 = REFUSAL
NOK3D_4 0119 0119 1 DID SUBJECT RECEIVE INCOME FROM-OTHER PENSION OR
RETIREMENT?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
3 = DK TO ENTIRE QUESTION
4 = RE TO ENTIRE QUESTION
8 = DON'T KNOW
9 = REFUSAL
NOK3D_5 0120 0120 1 DID SUBJECT RECEIVE INCOME FROM-INCOME FROM INVESTMENT?
BLANK = LEGITIMATE NDNRESPONSE
1 = YES
2 = NO
3 = DK TO ENTIRE QUESTION
4 = RE TO ENTIRE QUESTION
8 = DON'T KNOW
9 = REFUSAL
NOK3O_6 0121 0121 1 DID SUBJECT RECEIVE INCOME FROM-GOV ASSIS OR WELFARE?
BLANK = LEGITIMATE N0NRESPON5E
1 = YES
2 = NO
3 = DK TO ENTIRE QUESTION
4 = RE TO ENTIRE QUESTION
8 = DON'T KNOW
9 = REFUSAL
LABEL BC EC LEN DESCRIPTION
NOK3O_7 0122 0122 1 DID SUBJECT RECEIVE INCOME FROM-SOME OTHER SOURCE?
BLANK = LEGITIMATE NDNRESPONSE
1 = YES
2 = NO
3 = DK TO ENTIRE QUESTION
4 = RE TO ENTIRE QUESTION
8 = DON'T KNOW
9 = REFUSAL
NOK4A 0123 0123 1 WAS SUBJECT ADMITTED TO FACILITY FROM A GENERAL,
SHORT-TERM HOSPITAL?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
WHEN DID SUBJECT LAST LIVE IN HOUSE OR APT?
NOK4B_MO 0124 0125 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
20 = NEVER
98 = DON'T KNOW
NOK4B_YR 0126 0127 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
03-86
98 = DON'T KNOW
LABEL BC EC LEN DESCRIPTION
NOK4C_ I 0128 0129 2 SUBJECT'S STATE OF HEALTH BEFORE ADMISSION
BLANK = LEGITIMATE NDNRESPDNSE
01 = SUDDENLY ILL DR INJURED
02 = GRADUALLY WORSENING
03 = IN POOR CONDITION MOST OF YEAR
05 = MENTAL RETARDATION
06 = MENTAL ILLNESS
07 = GOOD HEALTH
08 = FAIR HEALTH
09 = OLD AGE, SENILITY
10 = STABLE, SAME CONDITION
11 = OTHER
98 = DON'T KNOW
99 = REFUSAL
NOK4D 0130 0130 1 HAD SUBJECT BEEN IN HOSPITAL 12 MONTHS PRIOR
TO ADMISSION?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
NOK4E 0131 0133 3 # OF NIGHTS SUBJECT SPENT IN HOSPITAL, PRIOR TO
ADMISSION
NIGHTS = 001-365
998 = DON'T KNOW
999 = REFUSAL
NOK4F 0134 0135 2 # OF TIMES SUBJECT WAS IN HOSPITAL, PRIOR TO
ADMISSION
TIMES = 01-38
98 = DON'T KNOW
99 = REFUSAL
NOK5 0136 0136 1 WHEN ADMITTED DID SUBJECT RECEIVE ASSISTANCE
WALKING INSIDE?
BLANK = LEGITIMATE NDNRESPDNSE
1 = YES
2 = NO
3 = DIDN'T PERFORM THIS ACTIVITY
8 = DON'T KNOW
9 = REFUSAL
LABEL BC EC LEN DESCRIPTION
NOK6 0137 0137 1 WHEN ADMITTED DID SUBJECT RECEIVE ASSISTANCE
WALKING OUTSIDE?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
3 = DIDN'T PERFORM THIS ACTIVITY
8 = DON'T KNOW
9 = REFUSAL
NOK7 0138 0138 1 WHEN ADMITTED DID SUBJECT RECEIVE ASSISTANCE
USING THE TOILET?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
3 = DIDN'T PERFORM THIS ACTIVITY
8 = DON'T KNOW
9 = REFUSAL
Positions 139-153
LABEL BC EC LEN DESCRIPTION
NOK8 0139 0139 1 WHEN ADMITTED DID SUBJECT RECEIVE ASSISTANCE
BATHING?
BLANK = LEGITIMATE NDNRESPONSE
1 = YES
2 = NO
3 = DIDN'T PERFORM THIS ACTIVITY
8 = DON'T KNOW
9 = REFUSAL
NOK9 0140 0140 1 WHEN ADMITTED DID SUBJECT RECEIVE ASSISTANCE
IN DRESSING?
BLANK = LEGITIMATE NDNRESPONSE
1 = YES
2 = NO
3 = DIDN'T PERFORM THIS ACTIVITY
8 = DON'T KNOW
NOK10 0141 0141 1 WHEN ADMITTED DID SUBJECT RECEIVE ASSISTANCE
IN EATING?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
3 = DIDN'T PERFORM THIS ACTIVITY
8 = DON'T KNOW
NOK11 0142 0142 1 WHEN ADMITTED DID SUBJECT RECEIVE ASSISTANCE GETTING
OUT OF BED?
BLANK = LEGITIMATE NDNRESPONSE
1 = YES
2 = NO
3 = DIDN'T PERFORM TlIIS ACTIVITY
8 = DON'T KNOW
9 = REFUSAL
LABEL BC EC LEN DESCRIPTION
NOK12A 0143 0143 1 WHEN ADMITTED DID SUBJECT STAY IN BED ALL,
MOST OF TIME?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
9 = REFUSAL
NOK12B 0144 0144 1 WHEN ADMITTED DID SUBJECT STAY IN CHAIR ALL,
MOST OF TIME?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
9 = REFUSAL
N0K13A 0145 0145 1 WHEN ADMITTED DID SUBJECT HAVE OSTOMY OR SIMILAR
DEVICE?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = ND
8 = DON'T KNOW
9 = REFUSAL
NOK13B 0146 0146 1 DID SUBJECT RECEIVE ASSISTANCE TAKING CARE OF
THIS DEVICE?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
NOK13C 0147 0147 1 WHEN ADMITTED DID SUBJECT HAVE TROUBLE
CONTROLLING BOWELS?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
9 = REFUSAL
NOK14A 0145 0148 I WHEN ADMITTED DID SUBJECT HAVE A URINARY
CATHETER?
BLANK = LEGITIMATE NDNRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
9 = REFUSAL
LABEL BC EC LEN DESCRIPTION
NOK14B 0149 0149 1 DID SUBJECT RECEIVE ASSISTANCE TAKING CARE OF THIS DEVICE?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
B = DON'T KNOW
NOK14C 0150 0150 1 WHEN ADMITTED DID SUBJECT HAVE TROUBLE
CONTROLLING URINATION?
BLANK = LEGITIMATE NDNRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
9 = REFUSAL
NOK15_1 0151 0151 1 REASON FOR ENTERING-RECUPERATION FROM SURGERY
BLANK = LEGITIMATE NDNRESPONSE
1 = YES
2 = N0
3 = DK TO ENTIRE QUESTION
4 = RE TO ENTIRE QUESTION
8 = DON'T KNOW
9 = REFUSAL
NOK15_2 0152 0152 1 REASON FOR ENTERING-ND ONE TO PROVIDE CARE AT HOME
BLANK = LEGITIMATE NDNRESPONSE
1 = YES
2 = NO
3 = DK TO ENTIRE QUESTION
4 = RE TO ENTIRE QUESTION
8 = DON'T KNOW
9 = REFUSAL
NOK15_3 0153 0153 1 REASON FOR ENTERING-NOT ENOUGH MDNEY TO BUY NURSING CARE
BLANK = LEGITIMATE NONRESPDNSE
1 = YES
2 = NO
3 = DK TO ENTIRE QUESTION
4 = RE TO ENTIRE QUESTION
8 = DON'T KNOW
9 = REFUSAL
Positions 154-162
LABEL BC EC LEN DESCRIPTION
NOK15_4 0154 0154 1 REASON FOR ENTERING-REQUIRED MORE CARE THAN COULD GIVE
BLANK = LEGITIMATE NONRESPDNSE
1 = YES
2 = NO
3 = DK TO ENTIRE QUESTION
4 = RE TO ENTIRE QUESTION
8 = DON'T KNOW
9 = REFUSAL
NDK15_5 0155 0155 1 REASON FOR ENTERING-PROBLEMS IN DOING EVERYDAY ACTIVITY
BLANK = LEGITIMATE NDNRESPONSE
1 = YES
2 = NO
3 = DK TO ENTIRE QUESTION
4 = RE TO ENTIRE QUESTION
8 = DON'T KNOW
9 = REFUSAL
NOK15_6 0156 0156 1 REASON FOR ENTERING-BECAUSE SPOUSE ENTERED
BLANK = LEGITIMATE NDNRESPONSE
1 = YES
2 = NO
3 = DK TO ENTIRE QUESTION
4 = RE TO ENTIRE QUESTION
8 = DON'T KNOW
9 = REFUSAL
LABEL BC EC LEN DESCRIPTION
NOK16A_1 0157 0158 2 DISEASE/CONDITION THAT CAUSED SUBJECTS ADMISSION- 1ST
BLANK = LEGITIMATE NDNRESPONSE
11 = HIP FRACTURE
12 = OTHER FRACTURE
13 = ARTHRITIS
14 = OSTEOPOROSIS
15 = OTHER CONDITION DE BDNES,MUSCLES,DR JOINTS
16 = AMPUTATION
21 = MI (HEART ATTACK)
22 = STROKE
23 = HARDENING OF ARTERIES(ARTERIDCLEROSIS)
24 = OTHER HEART OR CIRCULATORY CONDITION
31 = CANCER,ALL TYPES
32 = TUMORS,NDNMALIGNANT,MALIGNANCY NOT SPECIFIED
40 = MENTAL DISORDERS
41 = ALZHEIMER'S DISEASE
42 = CONFUSED DR FORGETFUL
43 = SENILITY
44 = DISRUPTIVE BEHAVIOR
45 = OTHER EMOTIONAL, MENTAL, DR NERVOUS CONDITION
46 = ALCOHOLISM, DRUG ABUSE
47 = DIZZINESS, FAINTING
48 = PARKINSON'S DISEASE
49 = CENTRAL NERVOUS SYSTEM DISEASES, INJURIES
50 = MENTAL RETARDATION
51 = OTHER DISEASE/CONDITIDN
52 = BURNS, SKIN DISEASES, INFECTIONS
53 = FALLS
61 = LOSS OF VISION
62 = LOSS OF HEARING
71 = EMPHYSEMA
72 = PNEUMONIA
73 = OTHER RESPIRATORY CONDITIONS
81 = DIABETES
83 = DISEASES OF DIGESTIVE, ENDOCRINE SYSTEMS
84 = KIDNEY DISEASES
85 = INCDNTINENCE
86 = GENITDURINARY DISEASES
87 = BLOOD AND NUTRITION DISORDERS
90 = ND MEDICAL REASON FOR ADMISSION
91 = OLD AGE, GENERAL DEBILITATIDN
98 = DON'T KNOW
99 = REFUSAL
LABEL BC EC LEN DESCRIPTION
NOKI6A_2 0159 0160 2 DISEASE/CONDITION THAT CAUSED SUBJECTS ADMISSION-2ND
BLANK = LEGITIMATE NONRESPONSE
00 = ND SECOND DISEASE/CDNDITIDN
11 = HIP FRACTURE
12 = OTHER FRACTURE
13 = ARTHRITIS
14 = OSTEOPOROSIS
15 = OTIlER CONDITION OF BONES,MUSCLES,OR JOINTS
16 = AMPUTATION
21 = MI (HEART ATTACK)
22 = STROKE
23 = HARDENING OF ARTERIES(ARTERIOCLEROSIS)
24 = OTHER HEART OR CIRCULATORY CONDITION
31 = CANCER,ALL TYPES
32 = TUMDRS NDNMALIGNANT,MALIGNANCY NOT SPECIFII:D
40 = MENTAL DISORDERS
41 = ALZHEIMER'S DISEASE
42 = CONFUSED DR FORGETFUL
43 = SENILITY
44 = DISRUPTIVE BEHAVIOR
45 = OTHER EMOTIONAL, MENTAL, OR NERVOll5 CONDITION
46 = ALCOHOLISM, DRUG ABUSE
47 = DIZZINESS, FAINTING
48 = PARKINSON'S DISEASE
49 = CENTRAL NERVOUS SYSTEM DISEASES, INJURIES
50 = MENTAL RETARDATION
51 = OTHER DISEASE/CDNDITION
52 = BURNS, SKIN DISEASES, INFECTIONS
53 = FALLS
61 = LOSS OF VISION
62 = LOSS OF HEARING
71 = EMPHYSEMA
72 = PNEUMONIA
73 = OTHER RESPIRATORY CONDITIONS
81 = DIABETES
83 = DISEASES OF DIGESTIVE, ENDOCRINE SYSTEMS
84 = KIDNEY DISEASES
85 = INCONTINENCE
86 = GENITOURINARY DISEASES
87 = BLOOD AND NUTRITION DISORDERS
91 = OLD AGE, GENERAL DEBILITATIDN
98 = DON'T KNOW
LABEL BC EC LEN DESCRIPTION
NOK16A_3 0161 0162 2 DISEASE/CDNDITIDN THAT CAUSED SUBJECTS AOMISSION-3RD
BLANK = LEGITIMATE NONRESPDNSE
00 = ND THIRD DISEASE/CONDITION
11 = HIP FRACTURE
12 = OTHER IRACTURE
13 = ARTHRITIS
14 = OSTEOPOROSIS
15 = OTHER CONDITION OF BDNES,MUSCLES,OR JOINTS
16 = AMPUTATION
21 = MI (HEART ATTACK)
22 = STROKE
23 = HARDENING OF ARTERIESlARTERIDCLERDSIS)
24 = OTHER HEART OR CIRCULATORY CONDITION
31 = CANCER,ALL TYPES
32 = TUMDRS,NONMALIGNANT,MALIGNANCY NOT SPECIFIED
40 = MENTAL DISORDERS
41 = ALZHEIMER'S DISEASE
42 = CONFUSED OR FORGETFUL
43 = SENILITY
44 = DISRUPTIVE BEHAVIOR
45 = OTHER EMOTIONAL, MENTAL, OR NERVOUS CONDITION
46 = ALCOHOLISM, DRUG ABUSE
47 = DIZZINESS, FAINTING
48 = PARKINSON'S DISEASE
49 = CENTRAL NERVOUS SYSTEM DISEASES, INJURIES
50 = MENTAL RETARDATION
51 = OTHER DISEASE/CONDITION
52 = BURNS, SKIN DISEASES, INFECTIONS
53 = FALLS
61 = LOSS OF VISION
62 = LOSS OF HEARING
71 = EMPHYSEMA
72 = PNEUMONIA
73 = OTHER RESPIRATORY CONDITIONS
51 = DIABETES
83 = DISEASES OF DIGESTIVE, ENDOCRINE SYSTEMS
84 = KIDNEY DISEASES
85 = INCONTINENCE
86 = GENITOURINARY DISEASES
87 = BLOOD AND NUTRITION DISORDERS
91 = OLD AGE, GENERAL DEBILITATION
98 = DON'T KNOW
Positions 163-169
LABEL BC EC LEN DESCRIPTION
NOK16A_4 0163 0164 2 DISEASE/CDNDITIDN THAT CAUSED SUBJECTS ADMISSION-4TH
BLANK = LEGITIMATE NONRESPONSE
00 = NO FOURTH DISEASE/CONDITION
11 = HIP FRACTURE
12 = OTHER FRACTURE
13 = ARTHRITIS
14 = OSTEOPOROSI5
15 = OTHER CONDITION OF BDNES,MUSCLES,OR JOINTS
16 = AMPUTATION
21 = MI (HEART ATTACK)
22 = STROKE
23 = HARDENING OF ARTERIES(ARTERIOCLERDSIS)
24 = OTHER HEART OR CIRCULATORY CONDITION
31 = CANCER,ALL TYPES
32 = TUMDRS,NONMALIGNANT,MALIGNANCY NOT SPECIFIED
40 MENTAL DISORDERS
41 = ALZHEIMERS DISEASE
42 = CONFUSED OR FORGETFUL
43 = SENILITY
44 = DISRUPTIVE BEHAVIOR
45 = OTHER EMOTIONAL, MENTAL, OR NERVOUS CONDITION
46 = ALCOHOLISM, DRUG ABUSE
47 = DIZZINESS, FAINTING
48 = PARKINSON'S DISEASE
49 = CENTRAL NERVOUS SYSTEM DISEASES, INJURIES
50 = MENTAL RETARDATION
51 = OTHER DISEASE/CONDITION
52 = BURNS, SKIN DISEASES, INFECTIONS
53 = FALLS
61 = LOSS OF VISION
62 = LOSS OF HEARING
71 = EMPHYSEMA
72 = PNEUMONIA
73 = OTHER RESPIRATORY CONDITIONS
81 = DIABETES
83 = DISEASES OF DIGESTIVE, ENDOCRINE SYSTEMS
84 = KIDNEY DISEASES
85 = INCONTINENCE
86 = GENITDURINARY DISEASES
87 = BLOOD AND NUTRITION DISORDERS
91 = OLD AGE, GENERAL DEBILITATION
LABEL BC EC LEN DESCRIPTION
NOK16A_5 0165 0166 2 DISEASE/CDNDITIDN THAT CAUSED SUBJECTS ADMISSION-STH
BLANK = LEGITIMATE NONRESPONSE
00 = NO FIFTH DISEASE/CONDITION
11 = HIP FRACTURE
12 = OTHER FRACTURE
13 = ARTHRITIS
14 = OSTEOPOROSIS
15 = OTHER CONDITION OF BONES,MUSCLES,OR JOINTS
16 = AMPUTATION
21 = MI (HEART ATTACK)
22 = STROKE
23 = HARDENING OF ARTERlES(ARTERIOCLEROSIS)
24 = OTHER HEART OR ClRCULATORY CONDITION
31 = CANCER, ALL TYPES
32 = TUMORS,NONMALIGNANT,MALIGNANCY NOT SP{CIFIED
40 = MENTAL DISORDERS
41 = ALZHEIMER'S DISEASE
42 = CONFUSED OR FORGETFUL
43 = SENILITY
44 = DISRUPTIVE BEHAVIOR
45 = OTHER EMOTIONAL, MENTAL, OR NERVOUS CONDITION
46 = ALCOHOLISM, DRUG ABUSE
47 = DIZZINESS, FAINTING
48 = PARKINSON'S DISEASE
49 = CENTRAL NERVOUS SYSTEM DISEASES, INJURIES
50 = MENTAL RETARDATION
51 = OTHER DISEASE/CONDITIDN
52 = BURNS, SKIN DISEASES, INFECTIONS
53 = FALLS
61 = LOSS OF VISION
62 = LOSS DE HEARING
71 = EMPIIYSEMA
72 = PNEUMONIA
73 = OTHER RESPIRATORY CONDITIONS
81 = DIABETES
83 = DISEASES OF DIGESTIVE, ENDOCRINE SYSTEMS
84 = KIDNEY DISEASES
85 = INCONTINENCE
86 = GENITOURINARY DISEASES
87 = BLOOD AND NUTRITION DISORDERS
91 = OLD AGE, GENERAL DEBILITATION
LABEL BC EC LEN DESCRIPTION
NOK17 0167 0168 2 MAIN CONDITION THAT CAUSED SUBJECT'S ADMISSION
BLANK = LEGITIMATE NONRESPONSE
11 = HIP FRACTURE
12 = OTHER FRACTURE
13 = ARTHRITIS
14 = OSTEOPOROSIS
15 = OTHER CONDITION OF BONES,MUSCLES,OR JOINTS
16 = AMPUTATION
21 = MI (HEART ATTACK)
22 = STROKE
23 = HARDENING OF ARTERIES(ARTERIOCLEROSIS)
24 = OTHER HEART OR CIRCULATORY CONDITION
31 = CANCER,ALL TYPES
32 = TUMORS,NDNMALIGNANT,MALIGNANCY NOT SPECIFIED
40 = MENTAL DISORDERS
41 = ALZHEIMER'S DISEASE
42 = CONFUSED DR FORGETFUL
43 = SENILITY
44 = DISRUPTIVE BEHAVIOR
45 = OTHER EMOTIONAL, MENTAL, OR NERVOUS CONDITION
46 = ALCOHOLISM, DRUG ABUSE
47 = DIZZINESS, FAINTING
48 = PARKINSON'S DISEASE
49 = CENTRAL NERVOUS SYSTEM DISEASES, INJURIES
50 = MENTAL RETARDATION
51 = OTHER DISEASE/CONDITION
52 = BURNS, SKIN DISEASES, INFECTIONS
53 = FALLS
61 = LOSS OF VISION
62 = LOSS OF HEARING
71 = EMPHYSEMA
72 = PNEUMONIA
73 = OTHER RESPIRATORY CONDITIONS
81 = DIABETES
83 = DISEASES OF DIGESTIVE, ENDOCRINE SYSTEMS
84 = KIDNEY DISEASES
85 = INCDNTINENCE
86 = GENITOURINARY DISEASES
87 = BLOOD AND NUTRITION DISORDERS
90 = ND MAIN MEDICAL REASON
91 = OLD AGE, GENERAL DEBILITATION
98 = DON'T KNOW
99 = REFUSAL
NOK18A 0169 0169 1 DID SUBJECT ENTER FACILITY FOR REASON NOT MENTIONED?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
Il= DON'T KNOW
9 = REFUSAL
Positions 170-194
LABEL BC EC LEN DESCRIPTION
NOK18B 0170 0171 2 WHAT WAS THAT OTHER REASON?
BLANK = LEGITIMATE NONRESPONSE
21 REQUIRED SUPERVISION
22 = SOCIAL, PERSONAL REASON
23 = NO WHERE ELSE TO GO, PLACED BY FAMILY
31 = THERAPY, REHABILITATION
62 = CHARACTERISTICS OF FACILITY, EG, LOCATION,
TYPE OF CARE
71 = RECOMMENDED BY MEDICAL PERSONNEL, PLACED BY
GOVERNMENT AGENCY, OR OTHER FACILITY
72 = TRANSFER FROM ANDTIIER NURSING HOME, HOME
CARE NOT ADEQUATE
74 = TRANSFER FROM HOSPITAL
75 = HAS BEEN A RESIDENT OF FACILITY - INCLUDING
READMISSIDN AFTER HOSPITALIZATION
80 = ENTRIES NOT COVERED ABOVE
NOK20CM1 0179 0180 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
If = NOVEMBER
12 = DECEMBER
98 = DON'T KNOW
99 = REFUSAL
NOK20CY1 0181 0182 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
08-85
98 = DON'T KNOW
99 = REFUSAL
NOK20E1 0183 0184 2 WHAT SOURCE FIRST PAID FOR MOST OF SUBJECT'S
CARE?
BLANK = LEGITIMATE NONRESPONSE
01 = OWN INCOME,FAMILY SUPPORT,RETIREMENT,SOCIAL
SECURITY
02 = MEDICARE
03 = MEDICAID
04 = OTHER GOVERNMENT FUNDS/WELFARE
05 = RELIGIOUS OR VOLUNTARY AGENCY
06 = INITIAL PAYMENT, LIFE CARE FUNDS
07 = VA CONTRACT
08 = NO CHARGE FACILITY ASSUMED COSTS
98 = DON'T KNOW
99 = REFUSAL
NOK20F1 0185 0185 1 DID THIS SOURCE CONTlNl)E TO PAY FOR MOST OF THIS STAY?
BlANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
NOK20G1 0186 0187 2 WHAT SOURCE NEXT PAID FOR MOST OF SUBJECT'S
CARE?
BLANK = LEGITIMATE NONRESPONSE
01 = OWN INCOME, FAMILY SUPPORT,RETIREMENT,SOCIAL
SECURITY
02 = MEDICARE
03 = MEDICAID
04 = OTHER GOVERNMENT FUNDS/WELFARE
05 = RELIGIOUS OR VOLUNTARY AGENCY
06 = INITIAL PAYMENT,lIFE CARE FUNDS
07 = VA CONTRACT
08 = NO CHARGE, FACILITY ASSUMED COSTS
98 = DON'T KNOW
NOK20H1 0188 0108 1 AFTER THAT, ANY CHANGE IN MAIN SOURCE OF PAYMENT?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
0 = DON'T KNOW
NOK20I 1 0189 0190 2 WHAT SOURCE NEXT PAID FOR SllBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
01 = OWN INCOME,FAMILY SUPPORT,RETIREMENT,SOCIAL
SECURITY
02 = MEDICARE
03 = MEDICAID
04 = OTHER GOVERNMENT FUNDS/WELFARE
05 = RELIGIOUS OR VOLUNTARY AGENCY
06 = INITIAL PAYMENT, LIFE CARE FUNDS
07 = VA CONTRACT
08 = NO CHARGE, FACILITY ASSUMED COSTS
98 = DON'T KNOW
NOK20J1 0191 0191 1 AFTER THAT, ANY CHANGE IN MAIN SOURCE OF PAYMENT?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
NOK20K1 0192 0192 1 WHAT SOURCE NEXT PAID FOR SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPDNSE
1 = OWN INCOME,FAMILY SUPPORT,RETIREMENT,SOCIAL
SECURITY
2 = MEDICARE
3 = MEDICAID
4 = OTlfER GOVERNMENT FUNDS/WELFARE
5 = RELIGIOUS OR VOLUNTARY AGENCY
6 = INITIAL PAYMENT, LIFE CARE FUNDS
7 = VA CONTRACT
0 = NO CHARGE, FACILITY, ASSUMED COST
NOK20L1 0193 0193 1 AFTER THAT, ANY CHANGE IN SOURCE OF PAYMENT?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
NOK20M1 0194 0194 1 WHAT SOURCE NEXT PAID FOR SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
1 = OWN INCOME,FAMILY SUPPORT,RETIREMENT,SOCIAL
SECURITY
2 = MEDICARE
3 = MEDICAID
4 = OTHER GOVERNMENT FUNDS/WELFARE
5 = RELIGIOUS OR VOLUNTARY AGENCY
6 = INITIAL PAYMENT, LIFE CARE FUNDS
7 = VA CONTRACT
8 = NO CHARGE,FACILITY ASSUMED COSTS
Positions 195-213
LABEL BC EC LEN DESCRIPTION
NOK20N1 0195 0195 1 DID SUBJECT HAVE ANY OTHER STAYS?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
9 = REFUSAL
PREVIOUS NURSING HOME STAY 2
WHEN WAS SUBJECT NEXT ADMITTED?
NOK20BM2 0196 0197 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
00 = ALlGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
98 = DON'T KNOW
NOK20BY2 0198 0199 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
41-85
98 = DON'T KNOW
WHEN WAS SUBJECT DISCHARGED?
NOK20CM2 0200 0201 2 MONTH
BLANK LEGITIMATE NONRESPONSE
Of = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
0? = JULY
08 = AUGUST
09 SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
98 = DON'T KNOW
NOK20CY2 0202 0203 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
53-86
98 DON'T KNOW
NOK20E2 0204 0205 2 WHAT SOURCE FIRST PAID FOR MOST OF SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
01 = OWN INCOME,FAMILY SUPPORT,RETIREMENT,SOCIAL
SECURITY
02 = MEDICARE
03 = MEDICAID
04 = OTHER GOVERNMENT FUNDS/WELFARE
05 = RELIGIOUS OR VOLUNTARY AGENCY
06 = INITIAL PAYMENT, LIFE CARE FUNDS
07 = VA CONTRACT
08 = NO CHARGE,FACILITY ASSUMED COSTS
09 = SAME AS LAST STAY
98 = DON'T KNOW
NOK20F2 0206 0206 1 DID THAT SOURCE CONTINUE TO PAY FOR MOST OF 11-115 STAY?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
NOK20G2 0207 0207 1 WHAT SOURCE NEXT PAID FOR SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
1 = OWN INCOME, FAMILY SUPPORT,RETIREMENT,SOCIAL
SECURITY
2 = MEDICARE
3 = MEDICAID
4 = OTHER GOVERNMENT FUNDS/WELFARE
5 = RELIGIOUS OR VOLUNTARY AGENCY
6 = INITIAL PAYMENT, LIFE CARE FUNDS
7 = VA CONTRACT
8 = NO CHARGE,FACILITY ASSUMED COSTS
9 = REFUSAL
NOK2OH2 0208 0208 1 AFTER THAT,ANY CHANGE IN MAIN SOURCE OF PAYMENT?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
NOK2OI2 0209 0209 1 WHAT SOURCE NEXT PAID FOR SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
1 = OWN INCOME,FAMILY SUPPORT,RETIREMENT,SOCIAL
SECURITY
2 = MEDICARE
3 = MEDICAID
4 = OTHER GOVERNMENT FUNDS/WELFARE
5 = RELIGIOUS OR VOLUNTARY AGENCY
6 = INITIAL PAYMENT.LIFE CARE FUNDS
7 = VA CONTRACT
8 = NO CHARGE,FACILITY ASSUMED COSTS
NOK2OJ2 0210 0210 1 AFTER THAT,ANY CHANGE IN MAIN SOURCE OF PAYMENT?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
NOK20N2 0211 0211 1 DID SUBJECT HAVE ANY OTHER STAYS?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
9 = REFUSAL
PREVIOUS NURSING HOME STAY 3
WHEN WAS SUBJECT NEXT ADMITTED?
NOK20BM3 0212 0213 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
00 = AUGUST
09 = SEPTEMBER
f0 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
98 = DON'T KNOW
Positions 214-235
LABEL BC EC LEN DESCRIPTION
NOK20BY3 0214 0215 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
53-85
98 = DON'T KNOW
WHEN WAS SUBJECT DISCHARGED?
NOK20CM3 0216 0217 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
0? = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
98 = DON'T KNOW
NOK20CY3 0218 0219 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
55-85
90 = DON'T KNOW
NOK20E3 0220 0221 2 WHAT SOURCE FIRST PAID FOR MOST OF SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
01 OWN INCOME,FAMILY SUPPORT,RETIREMENT,SOCIAL
SECURITY
02 = MEDICARE
03 = MEDICAID
04 = OTHER GOVERNMENT FUNDS/WELFARE
05 = RELIGIOUS OR VOLUNTARY AGENCY
06 = INITIAL PAYMENT, LIFE CARE FUNDS
07 = VA CONTRACT
08 = NO CHARGE,FACILITY ASSUMED COSTS
09 = SAME AS LAST STAY
98 = DON'T KNOW
NOK20F3 0222 0222 1 DID THIS SOURCE CONrINDE TO PAY FOIl MOST OF THIS STAY?
BLANK = LEGITIMATE NONRESPONSE
I = YES
2 = NO
8 = DON'T KNOW
NOK20G3 0223 0223 1 WHAT SOURCE NEXT PAID FOR MOST OF SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
1 = OWN INCOME FAMILY SUPPORT,RETIREMENT,SDCIAL
SECURITY
2 = MEDICARE
3 = MEDICAID
4 = OTHER GOVERNMENT FUNDS/WELFARE
5 = RELIGIOUS OR VOLUNTARY AGENCY
6 = INITIAL PAYMENT, LIFE CARE FUNDS
7 = VA CONTRACT
8 = NO CHARGE, FACILITY ASSUMED COSTS
N0K20H3 0224 0224 1 AFTER THAT ANY CHANGE IN MAIN SOURCE OF PAYMENT?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
NOK20N3 0225 0225 1 DID SUBJECT HAVE ANY OTHER STAYS?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = HO
8 = DON'T KNOW
PREVIOUS NURSING HOME STAY 4
WHEN WAS SUBJECT NEXT ADMITTED?
NOK20BM4 0226 0227 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
98 = DON'T KNOW
NOK20BY4 0228 0229 2 YEAR
BLANK = LEGITIMATE NONRESPDNSE
55-85
98 = DON'T KNOW
WHEN WAS SUBJECT DISCHARGED?
NOK20CM4 0230 0231 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
ff = NOVEMBER
12 = DECEMBER
90 = DON'T KNOW
NOK20CY4 0232 0233 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
50-85
98 = DON'T KNOW
NOK20E4 0234 0235 2 WHAT SOURCE FIRST PAID FOR MOST OF SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
01 = OWN INCOME FAMILY SUPPORT,RETIREMENT,SOCIAL
SECURITY
02 = MEDICARE
03 = MEDICAID
04 = OTHER GOVERNMENT FUNDS/WELFARE
05 = RELIGIOUS OR VOLUNTARY AGENCY
06 = INITIAL PAYMENT,LIFE CARE FUNDS
07 = VA CONTRACT
08 = NO CHARGE FACILITY ASSUMED COSTS
09 = SAME AS LAST STAY
98 = DON'T KNOW
Positions 236-253
LABEL BC EC LEN DESCRIPTION
NOK20F4 0236 0236 1 DID THIS SOURCE CONTINUE TO PAY FOR MOST OF THIS STAY?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
NOK20G4 0237 0237 1 WHAT SOURCE NEXT PAID FOR MOST OF SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
1 = OWN INCOME,FAMILY SUPPORT,RETIREMENT,SOCIAL
SECURITY
2 = MEDICARE
3 = MEDICAID
4 = OTHER GOVERNMENT FUNDS/WELFARE
5 = RELIGIOUS OR VOLUNTARY AGENCY
6 = INITIAL PAYMENT, LIFE CARE FUNDS
7 = VA CONTRACT
8 = NO CHARGE,FACILITY ASSUMED COSTS
NOK2OH4 0238 0238 I AFTER THAT,ANY CHANGE IN MAIN SOURCE OF PAYMENT?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
NOK20N4 0239 0239 1 DID SUBJECT HAVE ANY OTHER STAYS?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
NOK20O 0240 0241 2 HOW MANY MORE STAYS IN NURSING FiOME?
STAYS = 01-20
98 = DON'T KNOW
NOK21A 0242 0242 1 BETWEEN DISCHARGE & ADMISSION WAS SUBJECT
ADMITTED? (OVERLAP CASES ONLY)
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
3 = NOT DISCHARGED DURING THAT PERIOD
NOK22AA 0243 0243 1 *IS SUBJECT STILL A RESIDENT AT FACILITY?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
NOK22AD 0244 0244 1 = *WAS SUBJECT STILL A RESIDENT AT TIME OF DEATH?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
*ON WHAT DATE WAS SUBJECT DISCHARGED FROM FACILITY?
NOK22BM 0245 0246 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
98 = DON'T KNOW
NOK22BY 0247 0248 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
84-86
98 DON'T KNOW
NOK22C1 0249 0250 2 *WHERE WAS SUBJECT DISCHARGED TO?
BLANK = LEGITIMATE NONRESPONSE
O1 = OWN HOME OR APARTMENT
02 = RELATIVE'S HOME OR APARTMENT
03 = OTHER PRIVATE HOME OR APARTMENT
04 = RETIREMENT HOME
05 = BOARDING HOUSE, ROOMING HOUSE OR RENTED ROOM
06 = ANOTHER NURSING HOME
07 = GENERAL OR SHORT-TERM HOSPITAL
08 = MENTAL HOSPITAL
09 = CHRONIC DISEASE/OTHER LONG-TERM HOSPITAL
10 = HOSPICE
11 = SOME OTHER PLACE
98 = DON'T KNOW
NOK33A 0251 0251 1 HAS SUBJECT BEEN A RESIDENT CONTINUOUSLY?
BLANK = LEGITIMATE NONRESPDNSE
1 = YES
2 = NO
**WHEN WAS SUBJECT 1ST DISCHARGED?
NOK33B_M 0252 0253 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
Positions 254-283
LABEL BC EC LEN DESCRIPTION
NOK33B_Y 0254 0255 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
85
NOK33C 0256 0256 1 **WAS SUBJECT READMITTED TO FACILITY?
BLANK LEGITIMATE NONRESPONSE
I = YES
2 = NO
N0K33D 0257 0257 1 **TIMES ADMITTED
TIMES = 1-3
**WHEN WAS SUBJECT LAST ADMITTED?
NOK33EM 0258 0259 2 MONTH
BLANK LEGITIMATE NONRESPONSE
01 JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
NOK33EY 0260 0261 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
05-86
**WHEN WAS SUBJECT LAST DISCHARGED?
NOK33FM 0262 0263 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
98 = DON'T KNOW
NOK33F_Y 0264 0265 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
98 = DON'T KNOW
NURSING HOME STAY I
WHEN WAS SUBJECT 1ST ADMITTED?
NOK24BM1 0272 0273 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
20 = NOT ADMITTED AFTER DATE
98 = DON'T KNOW
99 = REFUSAL
NOK24BY1 0274 0275 2 YEAR
BLANK = LEGITIMATE NONRESPOHSE
84-86
20 = NOT ADMITTED AFTER DATE
98 = DON'T KNOW
99 = REFUSAL
WHEN WAS SUBJECT DISCHARGED?
NOK24CM1 0276 0277 2 MONTH
BLANK = LEGITIMATE NONRE5PON5E
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
20 = STILL THERE
98 = DON'T KNOW
99 = REFUSAL
NOK24CY1 0278 0279 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
84-86
98 = DON'T KNOW
99 = REFUSAL
NOK24D1 0280 0280 1 IS THIS THE SAMPLE NURSING HOME?
BLANK = LEGITIMATE NONRE5PONSE
1 = YES
2 = NO
0 = DON'T KNOW
NOK24E1 0201 0282 2 WHAT SOURCE FIRST PAID FOR MOST OF SUBJECT'S
CARE?
BLANK = LEGITIMATE NONRESPOHSE
01 = OWN INCOME, FAMILY SUPPDRT,RETIREMENT,S0CIAL
SECURITY
02 = MEDICARE
03 = MEDICAID
04 = OTHER GOVERNMENT FL)NDS/WELFARE
05 = RELIGIOUS OR VOL(/NTARY AGENCY
06 = INITIAL PAYMENT, LIFE CARE FUNDS
0? = VA CONTRACT
08 = NO CHARGE FACILITY ASSUMED COSTS
90 = DON'T KNOW
99 = REFUSAL
NOK24F1 0283 0283 1 DID THIS SOURCE CONTINUE TO PAY FOR MOST OF THIS STAY?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
9 = REFUSAL
Positions 284-300
LABEL BC EC LEN DESCRIPTION
N0K24G1 0284 0285 2 WHAT SOURCE NEXT PAID FOR SUBJECT'S CARE?
BLANK = LEGITIMATE NDNRFSPONSE
Of = OWN INCOME, FAMILY SUPPORT,RETIREMENT,SOCIAL
SECURITY
02 = MEDICARE
03 = MEDICAID
04 = OTHER GOVERNMENT FUNDS/WELFARE
05 = RELIGIOUS OR VOLUNTARY AGENCY
06 = INITIAL PAYMENT, LIFE CARE FUNDS
07 = VA CONTRACT
08 = NO CHARGE,FACLITY ASSLlMED COSTS
98 = DON'T KNOW
NOK24H1 0286 0286 1 AFTER THAT,ANY CHANGE IN MAIN SOURCE OF PAYMENT?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
N0K24I1 0287 0287 I WHAT SOURCE NEXT PAID FOR MOST OF SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
I = OWN INCOME FAMILY SUPPORT,RETIREMENT,SOCIAL
SECURITY
2 = MEDICARE
3 = MEDICAID
4 = OTHER GOVERNMENT FUNDS/WELFARE
5 = RELIGIOUS OR VOLUNTARY AGENCY
6 = INITIAL PAYMENT, LIFE CARE FUNDS
7 = VA CONTRACT
8 = NO CHARGE FACILITY ASSUMED COSTS
NOK24J1 0288 0288 1 AFTER THAT,ANY CHANGE IN MAIN SOURCE OF PAYMENT?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
NOK24NI 0289 0289 1 DID SUBJECT HAVE ANY OTHER STAYS?
BLANK = LEGITIMATE NONRESPONSE
I = YES
2 = NO
8 = DON'T KNOW
NURSING HOME STAY 2
WHEN WAS SUBJECT NEXT ADMITTED?
NOK210M2 0290 029f 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
98 = DON'T KNOW
NOK24BY2 0292 0293 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
85-86
98 = DON'T KNOW
WHEN WAS SUBJECT DISCHARGED?
NOK24CM2 0294 0295 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
20 = STILL THERE
98 = DON'T KNOW
NOK24CY2 0296 0297 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
85-86
98 = DON'T KNOW
NOK24D2 0290 0298 I IS THIS THE SAMPLE NURSING HOME?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
NOK24E2 0299 0300 2 WltAT SOURCE FIRST PAID FOR MOST OF SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
01 = OWN INCOME FAMILY SUPPDRT,RETIREMENT,SOCIAL
SECURITY
02 = MEDICARE
03 = MEDICAID
04 = OTHER GOVERNMENT FUNDS/WELFARE
05 = RELIGIOUS OR VOLUNTARY AGENCY
06 = INITIAL PAYMFNT,LIFE CARE FUNDS
07 = VA CONTRACT
08 = NO CLIARGF,FACILITY ASSUMED COSTS
09 = SAME AS LAST STAY
98 = DON'T KNOW
99 = REF1/SAL
Positions 301-319
LABEL BC EC LEN DESCRIPTION
NOK24F2 030f 0301 1 DID THIS SOURCE CONTINUE TO PAY FOR MOST OF THIS STAY?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
0 = DON'T KNOW
NOK24G2 0302 0302 1 WHAT SOURCE NEXT PAID FOR MOST OF SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
1 = OWN INCOME,FAMILY SUPPORT,RETIREMENT,SDCIAL
SECURITY
2 = MEDICARE
3 = MEDICAID
4 = OTHER GOVERNMENT FUNDS/WELFARE
5 = RELIGIOUS OR VOLUNTARY AGENCY
6 = INITIAL PAYMENT, LIFE CARE FUNDS
7 = VA CONTRACT
8 = NO CHARGE,FACILITY ASSUMED COSTS
NOK24H2 0303 0303 1 AFTER THAT,ANY CHANGE IN MAIN SOURCE OF PAYMENT?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
N0K24N2 0304 0304 1 DID SUBJECT HAVE ANY OTHER STAYS?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
NURSING HOME STAY 3
WHEN WAS SUBJECT NEXT ADMITTED?
NOK~4BM3 0305 0306 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
NOK24BY3 0307 0300 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
85-86
WHEN WAS SUBJECT DISCHARGED?
NOK24CM3 0309 0310 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
20 = STILL THERE
NOK24CY3 0311 0312 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
85-86
NOK24D3 0313 0313 1 IS THIS THE SAMPLE NURSING HOME?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
NOK24E3 0314 0315 2 WHAT SOURCE FIRST PAID FOR MOST OF SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
01 = OWN INCOME,FAMILY SUPPORT,RETIREMFNT,SOCIAL
SECURITY
02 = MEDICARE
03 = MEDICAID
04 = OTHER GOVERNMENT FUNDS/WELFARE
05 = RELIGIOUS OR VOLUNTARY AGENCY
06 = INITIAL PAYMENT.LIFE CARE FUNDS
07 = VA CONTRACT
08 = NO CHARGE,FACILITY ASSUMED COSTS
09 = SAME AS LAST STAY
98 = DON'T KNOW
NOK21E3 0316 0316 1 DID THIS SOURCE CONTINUE TO PAY FOR MOST OF THIS STAY?
BLANK = LEGITIMATE NONRESPONSE
I = YES
2 = ND
NOK24G3 0317 0317 I WHAT SOURCE HEXT PAID FOR MOST OF SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
1 = OWN INCOME, FAMILY SUPPDRT,RETIREMENT,SOCIAL
SECURITY
2 = MEDICARE
3 = MEDICAID
1 = OTHER GOVERNMENT FUNDS/WELFARE
5 = RELIGIOUS DR VOLUNTARY AGENCY
6 = INITIAL PAYMENT, LIFE CARE FUNDS
7 = VA CONTRACT
8 = ND CHARGE,FACILITY ASSUMED COSTS
NOK21H3 0318 0318 1 AFTER THAT ANY CHANGE IN MAIN SOURCE OF PAYMENT?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
NOK21N3 0319 0319 1 DID SUBJECT HAVE OTHER STAYS IN HOME?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
NURSING HOME STAY 1
WHEN WAS SUBJECT NEXT ADMITTED?
Positions 320-349
LABEL BC EC LEN DESCRIPTION
NOK24BM4 0320 0321 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
NOK24BY4 0322 0323 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
85-86
WHEN WAS SUBJECT DISCHARGED?
NOK24CM4 0324 0325 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
20 = STILL THERE
NOK24CY4 0326 0327 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
85-86
NOK24O4 0328 0328 I IS THIS THE SAMPLE NURSING HOME?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
NOK21E4 0329 0330 2 WHAT SOURCE FIRST PAID FOR MOST OF SUBJECT'S CARE?
BLANK = LEGITIMATE NONRESPONSE
01 = OWN INCOME, FAMILY SUPPORT,RETIREMENT,SOCIAL
SECURITY
02 = MEDICARE
03 = MEDICAID
01 = OTl-IER GOVERNMENT FUNDS/WELFARE
05 = RELIGIOUS OR VOLUNTARY AGENCY
06 = INITIAL PAYMENT, LIFE CARE FUNDS
07 = VA CONTRACT
08 = NO CHARGE,FACILITY ASSUMED COSTS
09 = SAME AS LAST STAY
98 = DON'T KNOW
NOK25C1 0339 0339 1 DID SUBJECT DIE DURlNG THAT STAY?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
WHEN WAS SUBJECT DISCHARGED?
NOK25DM1 0340 0341 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
20 = STILL THERE
98 = DON'T KNOW
NOK25DY1 0342 0343 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
84-86
98 = DON'T KNOW
NOK25E1 0344 0344 1 DID SUBJECT HAVE ANY OTHER STAYS?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
HOSPITAL STAY 2
WHEN WAS SUBJECT NEXT ADMITTED?
NOK25BM2 0345 0346 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
98 = DON'T KNOW
NOK25BY2 0347 0348 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
84-86
98 = DON'T KNOW
NOK25C2 0319 0349 I DID SUBJECT DIE DURING THAT STAY?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
WHEN WAS SUBJECT DISCHARGED?
Positions 350-368
LABEL BC EC LEN DESCRIPTION
NOK25OM2 0350 0351 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
20 = STILL THERE
98 = DON'T KNOW
NOK25DY2 0352 0353 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
84-86
98 = DON'T KNOW
NOK25E2 0354 0354 I DID SUBJECT HAVE ANY OTHER STAYS?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
HOSPITAL STAY 3
WHEN WAS SUBJECT NEXT ADMITTED?
NOK25BM3 0755 03116 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
00 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
98 = DON'T KNOW
NOK25BY3 0357 0358 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
81-86
98 = DON'T KNOW
NOK25C3 0359 0359 1 DID SUBJECT DIE DURING THAT STAY?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
WHEN WAS SUBJECT DISCHARGED?
NOK25DM3 0360 0361 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
20 = STILL TlIERE
98 = DON'T KNOW
NOK25DY3 0362 0363 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
84-86
98 = DON'T KNOW
NOK25E3 0364 0364 I DID SUBJECT HAVE ANY OTHER STAYS?
BLANK = LEGITIMATE NONRESPONSE
I = YES
2 = NO
8 = DON'T KNOW
HOSPITAL STAY 4
WHEN WAS SUBJECT NEXT ADMITTED?
NOK25BM1 0365 0366 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
98 = DON'T KNOW
NOK25BY4 0367 0368 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
85-86
98 = DON'T KNOW
Positions 369-395
LABEL BC EC LEN DESCRIPTION
NOK25C1 0369 0369 I DID SUBJECT DIE DURING THAT STAY?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
WHEN WAS SUBJECT DISCHARGED?
NOK25DM1 0370 0371 2 MONTH
BLANK = LEGITIMATE NONRESPONSE
01 = JANUARY
02 = FEBRUARY
03 = MARCH
04 = APRIL
05 = MAY
06 = JUNE
07 = JULY
08 = AUGUST
09 = SEPTEMBER
10 = OCTOBER
11 = NOVEMBER
12 = DECEMBER
20 = STILL THERE
98 = DON'T KNOW
NOK25DY4 0372 0373 2 YEAR
BLANK = LEGITIMATE NONRESPONSE
85-86
98 = DON' KNOW
NOK25E4 0374 0371 1 DID SUBJECT HAVE ANY OTHER STAYS?
BLANK = LEGITIMATE NONRESPONSE
I = YES
2 = NO
8 = DON'T KNOW
NOK25F 0375 0376 2 *HDW MANY MORE STAYS IN HOSPITAL?
01-04
98 = DON'T KNOW
NOK26 0377 0377 I DID ANY FAMILY MEMBER TAKE LOANS OR SELL ASSETS TO PAY
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
9 = REFUSAL
NOK2 0378 0378 1 DID ANY FAMILY MEMBER START WORKING TO PAY FOR CARE?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
9 = REFUSAL
NOK28A 0379 0379 1 DID SUBJECT EVER SERVER WITH ARMED FORCES?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
8 = DON'T KNOW
9 = REFUSAL
NDK28B 0380 0380 I WHEN DID SUBJECT SERVE?
BLANK = LEGITIMATE NONRESPONSE
1 = VIETNAM ERA(AUG 1964-APRIL 1975)
2 = KOREAN WAR(JUNE 1950-JAN 1955)
3 = WORLD WAR II(SEPT 1940-JTlLY 191?)
4 = WORLD WAR I(APRIL 1917-NOV 1918)
5 = OTHER SERVICE (OTHER DATES)
8 = DON'T KNOW
9 = REFUSAL
NOK30 0381 0381 I WHAT IS SUBJECT'S MARITAL STATUS?
BLANK = LEGITIMATE NONRESPONSE
I = MARRIED
2 = NEVER MARRIED
3 = WIDOWED
4 = DIVORCED/SEPARATED
8 = DON'T KNOW
9 = REFUSAL
NOK31 0382 0382 1 DOES SUBJECT LIVE WITH YOU?
BLANK = LEGITIMATE NONRESPONSE
1 = YES
2 = NO
NOK32A 0383 0383 1 FAMILY INCOME-MORE THAN $10,000-LESS THAN
$15,000?
BLANK = LEGITIMATE NONRESPONSE
1 = MORE THAN $15,000
2 = LESS THAN $15,000
3 = EXACTLY
8 = DON'T KNOW
9 = REFUSAL
NOK32B 0384 0384 1 WAS IT MORE THAN $20,000 OR LESS THAN $20,000?
BLANK = LEGITIMATE NONRESPONSE
1 = MORE THAN $20,000
2 = LESS THAN $20.000
3 = EXACTLY
8 = DON'T KNOW
9 = REFUSAL
NOK32C 0385 0385 1 WAS IT MORE THAN $25,000 OR LESS THAN $25,000?
BLANK = LEGITIMATE NONRESPONSE
1 = MORE THAN $25,000
2 = LESS THAN $25,ooo
3 = EXACTLY
8 = DON'T KNOW
9 = REFUSAL
NOK32D 0386 0386 1 WAS IT MORE THAN $10,000 DR LESS THAN $10,000?
BLANK = LEGITIMATE NONRESPONSE
1 = MORE THAN $10,000
2 = LESS THAN $10,000
3 = EXACTLY
8 = DON'T KNOW
9 = REFUSAL
NOK32E 0387 0387 1 WAS IT MORE THAN $5,000 OR LESS THAN $5,000?
BLANK = LEGITIMATE NONRESPDNSE
1 = MORE THAN $5,000
2 = LESS THAN $5,000
3 = EXACTLY
8 = DON'T KNOW
9 = RFFUSAL
NOKWGT 0388 0395 8 NEXT WEIGHT-SECOND STAGE INFLATION FACTOR
USED TO PRODUCE NATIONAL ESTIMATES OF CURRENT &
DISCHARGED RESIDENTS W/ NOK (4 DECIMAL PLACES
IMPLIED)
FACILITY QUESTIONNAIRE
Tape Positions 1-56
LABEL BC EC LEN DESCRIPTION
FQ_FORM 0001 0002 2 FORM NUMBER (01)
RANGE = 01 - 01
FQ_DOC 0003 009 7 DOCUMENT ID (CKDIG10)
RANGE = 1001007 - 7187008
NOTE: USE FIRST FOUR DIGITS OF DOCUMENT ID ON FQ FILE TO
MATCH TO FIRST FOUR DIGITS OF DOCUMENT ID ON OTHER NNHS
FILES.
NOTE: ONE FACILITY ALONG WITH ALL OF ITS RECORDS HAS
BEEN REMOVED FROM THE FILE BECAUSE OF ITS SPECIAL RISK
OF DISCLOSURE.
FQD_MO 0010 0011 2 DATE OF INTERVIEW (MONTH)
RANGE = 01 - 12
FQD_DA 0012 0013 2 DATE OF INTERVIEW (DAY)
RANGE = 01 - 31
FQD_YR 0014 0015 2 DATE OF INTERVIEW (YEAR)
RANGE = 83 - 86
FQ1 0016 0016 1 ARE PERSONAL/NURSING SERVICES PROVIDED
1 = YES
2 = NO
FQ2A 0017 0017 1 TYPE OF OWNERSHIP
1 = PROPRIETARY
2 = ALL OTHER TYPES OF OWNERSHIP
FQ1B 0018 0018 1 IS FACILITY OWNED/OPERATED BY A HOSPITAL
1 = YES
2 = NO
FQ1C 0019 0019 1 IS FACILITY A MEMBER OF A GROUP OF FACILITIES
1 = YES
2 = NO
3 = LEGITIMATE SKIP
FQ2D 0020 0024 5 HOW MANY FACILITIES BELONG TO THIS ORGANIZATION
FQ3 0025 0028 4 HOW MANY BEDS ARE LICENSED BY THE HEALTH DEPT.
(ALL CASES WITH 300 BEDS OR MORE ARE CODED `300')
9999 = NOT APPLICABLE
FQ4 0029 0032 4 HOW MANY BEDS ARE CURR AVAILABLE FOR RESIDENTS
(ALL CASES WITH 300 BEDS OR MORE ARE CODED `3OO')
FQ5A 0033 0033 1 CHANGE IN NO. OF BEDS REG. MAINTAINED DURING 1984
1 = YES
2 = NO
FQ5B1 0034 0035 2 IN WHICH MONTH WAS THE NUMBER OF BEDS CHANGED
RANGE = 01 - 12
FQ5C1 0036 0036 1 INCREASE OR DECREASE
1 = INCREASE
2 = DECREASE
3 = NONRESPONSE
4 = LEGITIMATE SKIP
FQ5D1 0037 0040 4 NUMBER OF BEDS (ADDED OR ELIMINATED)
FQ5B2 0041 0042 2 IN WHICH MONTH WAS THE NUMBER OF BEDS CHANGED
FQ5C2 0043 0043 1 INCREASE OR DECREASE
1 = INCREASE
2 = DECREASE
3 = NONRESPONSE
4 = LEGITIMATE SKIP
FQ5D2 0044 0047 4 NUMBER OF BEDS (ADDED OR ELIMINATED)
FQ5B3 0048 0049 2 IN WHICH MONTH WAS THE NUMBER OF BEDS CHANGED
FQ5C3 0050 0050 1 INCREASE OR DECREASE
1 = INCREASE
2 = DECREASE
3 = NONRESPONSE
4 = LEGITIMATE SKIP
FQ5D3 0051 0054 4 NUMBER OF BEDS (ADDED OR ELIMINATED)
FQ6 0055 0055 1 IS FACILITY CERTIFIED BY MEDICARE AND/OR MEDICAID
1 = BOTH MEDICARE AND MEDICAID
2 = MEDICARE ONLY
3 = MEDICAID ONLY
4 = NEITHER
5 = MULTIPLE RESPONSE
6 = NONRESPONSE
FQ7A 0056 0059 4 HOW MANY BEDS ARE CERTIFIED UNDER MEDICARE
(ALL CASES WITH 300 BEDS OR MORE ARE CODED `300')
Tape Positions 60-139
LABEL BC EC LEN DESCRIPTION
FQ7B 0060 0061 2 MEDICARE PER DIEM RATE
< 40................O1
40-44.99.............02
45-49.99.............03
50-54.99.............04
55-59.99.............05
60-64.99.............06
65-69.99.............07
70-74.99.............08
75-79.99.............09
80-89.99.............10
90-99.99.............11
100+. . .............12
NOT APPLICABLE.......99
FQ8 0062 0062 1 IS FACILITY CERTIFIED AS SNF BY MEDICAID PGM
1 = YES
2 = NO
3 = NONRESPONSE
4 = LEGITIMATE SKIP
FQ9A 0063 0066 4 HOW MANY BEDS ARE CERT UNDER MEDICAID AS SNF
(ALL CASES WITH 300 BEDS OR MORE ARE CODED `300')
FQ9B 0067 0068 2 PER DIEM FROM MEDICAID ROUTINE SNF
< 30................01
30-34.99.............02
35-39.99.............03
40-44.99.............04
45-49.99.............05
50-54.99.............06
55-59.99.............07
60-64.99.............08
65-69.99.............09
70-79.99.............10
80+..................11
NOT APPLICABLE.......99
FQ10 0069 0069 1 IS FACILITY CERT. ICF BY THE MEDICAID PROGRAM
1 = YES
2 = NO
3 = NONRESPONSE
4 = LEGITIMATE SKIP
FQ11A 0070 0073 4 HOW MANY BEDS ARE CERT. UNDER MEDICAID AS ICF
(ALL CASES WITH 300 BEDS OR MORE ARE CODED `300')
FQ11B 0074 0075 2 PER DIEM FROM MEDICAID ROUTINE ICF
< 30................01
30-34.99.............02
35-39.99.............03
40-44.99
04
45-49.99.............05
50-54.99.............06
55-59.99.............07
60+..................08
NOT APPLICABLE.......99
FQ12A 0076 0076 1 ANY BEDS NOT CERT. BY EITHER MEDICAID/MEDICARE
1 = YES
2 = NO
3 = NONRESPONSE
4 = LEGITIMATE SKIP
FQ12B 0077 0080 4 HOW MANY NON-CERTIFIED BEDS DOES FACILITY HAVE
(ALL CASES WITH 300 BEDS OR MORE ARE CODED `300')
FQ13 0081 0085 5 HOW MANY ADMISSIONS TO FAC. DURING YEAR 1984
RANGE = 00000 - 04152
FQ14A 0086 0090 5 HOW MANY DISCHARGES FROM FAC. DURING YEAR 1984
RANGE = 00000 - 03440
FQ148 0091 0095 5 HOW MANY RESIDENT/PATIENTS DIED DURING 1984
RANGE = 00000 - 00245
FQ15_1 0096 0102 7 TOTAL INPATIENT DAYS SNF - MEDICARE FOR 1984
(ALL CASES WITH 100,000 DAYS OR MORE APE CODED `100,000')
FQ15_2 0103 0109 7 TOTAL INPATIENT DAYS SNF - MEDICAID FOR 1984
(ALL CASES WITH 100,000 DAYS OR MORE ARE CODED `100,000')
FQ15_3 0110 0116 7 TOTAL INPATIENT DAYS ICF - MEDICAID FOR 1984
(ALL CASES WITH 100,000 DAYS OR MORE ARE CODED `100,000')
FQ15_4 0117 0123 7 TOTAL INPATIENT DAYS - ALL OTHER DAYS FOR 1984
(ALL CASES WITH 100,000 DAYS OR MORE ARE CODED `100,000')
FQ15_5 0124 0130 7 TOTAL DAYS
(ALL CASES WITH 100,000 DAYS OR MORE ARE CODED `100,000')
FQ16A 0131 0131 1 RESIDENT SERVICES - MEDICAL SERVICES
1 = YES
2 = NO
FQ16B 0132 0132 1 RESIDENT SERVICES - OTHER MEDICAL SERVICES
1 = YES
2 = NO
FQ16C 0133 0133 1 RESIDENT SERVICES - NURSING SERVICES
1 = YES
2 = NO
FQ16D 0134 0134 1 RESIDENT SERVICES - MENTAL HEALTH SERVICES
1 = YES
2 = NO
FQ16E 0135 0135 1 RESIDENT SERVICES - PHYSICAL THERAPY
1 = YES
2 = NO
FQ16F 0136 0136 1 RESIDENT SERVICES - SPEECH OR HEARING THERAPY
1 = YES
2 = NO
FQ16G 0137 0137 1 RESIDENT SERVICES - OCCUPATIONAL THERAPY
1 = YES
2 = NO
FQ16H 0138 0138 1 RESIDENT SERVICES - SPECIAL EDUCATION
1 = YES
2 = NO
FQ16I 0139 0139 1 RESIDENT SERVICES - PERSONAL CARE
1 = YES
2 = NO
Tape Positions 140-305
LABEL BC EC LEN DESCRIPTION
FQ16J 0140 0140 1 RESIDENT SERVICES - SOCIAL SERVICES
1 = YES
2 = NO
FQ16K 0141 0141 1 RESIDENT SERVICES - NUTRITION SERVICES
1 = YES
2 = NO
FQ16L 0142 0142 1 RESIDENT SERVICES - HOSPICE SERVICES
1 = YES
2 = NO
FQ16M 0143 0143 1 RESIDENT SERVICES - SHELTERED EMPLOYMENT
1 = YES
2 = NO
FQ16N 0144 0144 1 RESIDENT SERVICES - VOCATIONAL REHABILITATION
1 = YES
2 = NO
FQ16O 0145 0145 1 RESIDENT SERVICES - TRANSPORTATION
1 = YES
2 = NO
FQ16P 0146 0146 1 RESIDENT SERVICES - PRESCRIBED/NONPRES. MEDICINES
1 = YES
2 = NO
FQ16Q 0147 0147 1 RESIDENT SERVICES - EQUIPMENT OR DEVICES
1 = YES
2 = NO
FQ16R 0148 0148 1 RESIDENT SERVICES - OTHER
1 = YES
2 = NO
FQ16R_SP 0149 0173 25 OTHER SPECIFY
FQ17 0174 0174 1 DOES FAC. PROVIDE ANY SERVICES TO NON-RESIDENT
1 = YES
2 = NO
FQ18_1 0175 0175 1 NON-RESIDENT SERVICES - DAY CARE
1 = APPLICABLE
3 = NONRESPONSE
4 = LEGITIMATE SKIP
FQ18_1 0176 0176 1 NON-RESIDENT SERVICES - PHYSICAL THERAPY
1 = APPLICABLE
2 = NONRESPONSE
3 = LEGITIMATE SKIP
FQ18_3 0177 0177 1 NON-RESIDENT SER.-HOME HEALTH CARE SERVICES
1 = APPLICABLE
2 = NONRESPONSE
3 = LEGITIMATE SKIP
FQ18_4 0178 0178 1 NON-RESIDENT SERVICES - SOCIAL SERVICES
1 = APPLICABLE
2 = NONRESPONSE
3 = LEGITIMATE SKIP
FQ18_5 0179 0179 1 NON-RESIDENT SERVICES - OTHER
1 = APPLICABLE
2 = NONRESPONSE
3 = LEGITIMATE SKIP
FQ18_5SP 0180 0201 25 NON-RESIDENT SERVICES - SPECIFY
FQ19 0205 0209 5 TOTAL NON-RESIDENTS RECEIVING SERVICES 1984
RANGE = 00000 - 10396
FQ20 0210 0210 1 TYPE OF PHYSICIAN SERVICES AVAILABLE IN FAC.
1 = PHYSICIAN ON THE PREMISES AT ALL-TIMES
2 = PHYS. ON PREMISES DAYTIME HRS. EVERY WKDAY. ONCALL
3 = SCHED. TIMES NO LESS ONCE/MO. ONCALL REMAIN
4 = PHYSICIAN AVAILABLE ON-CALL ONLY
5 = OTHER
6 = NONRESPONSE
FQ20_5SP 0211 0235 25 OTHER(SPECIFY)
FQ21AA 0236 0239 4 TOTAL FULL-TIME EMPLOYEES
RANGE = 0000 - 1688
FQ21AB 0240 0243 4 TOTAL PART-TIME EMPLOYEES
RANGE = 0000 - 0326
FQ21B1_1 0244 0246 3 FULL-TIME, ADMIN/ASST. ADM.
RANGE = 000 - 625
FQ21B1_2 0247 0249 3 PART-TIME, ADMIN/ASST. ADM.
RANGE = 000 - 005
FQ21C1 0250 0254 5 NUMBER OF HRS WORKED LAST 7 DAYS PART TIME EMP.
RANGE = 00000 - 00320
FQ21B2_1 0255 0257 3 FULL-TIME, REGISTERED NURSES
RANGE = 000 - 714
FQ21B2_2 0258 0260 3 PART-TIME, REGISTERED NURSES
RANGE = 000 - 769
FQ21C2 0261 0265 5 NO. OF HRS WORKED LAST 7 DAYS PART-TIME EMP.
RANGE = 00000 - 01965
FQ21B3_1 0266 0268 3 FULL-TIME, LPN OR LVN
RANGE = 000 - 625
FQ21B3_2 0269 0271 3 PART-TIME, LPN OR LVN
RANGE = 000 - 044
FQ21C3 0272 0276 5 NUMBER OF HRS WORKED LAST 7 DAYS PART-TIME EMP.
RANGE = 00000 - 01420
FQ21B4_1 0273 0275 3 FULL-TIME, NURSES AIDES/ORDERLIES
RANGE = 000 - 478
FQ21B4_2 0280 0282 3 PART-TIME, NURSES AIDES/ORDERLIES
RANGE = 000 - 186
FQ21C4 0283 0287 5 NUMBER OF HRS WORKED LAST 7 DAYS PART-TIME EMP.
RANGE = 00000 - 15776
FQ21B5_1 0288 0290 3 FULL-TIME, PHYSICIANS, RESIDENTS, AND INTERNS
RANGE = 000 - 298
FQ21B5_2 0291 0293 3 PART-TIME, PHYSIClANS, RESIDENTS, AND INTERNS
RANGE = 000 - 032
FQ21C5 0294 0298 5 NUMBER OF HRS WORKED LAST 7 DAYS PART-TIME EMP.
RANGE = 00000 - 00672
FQ21B6_1 0299 0301 3 FULL-TIME, DENTISTS
RANGE = 000 - 298
FQ21B6_2 0302 0304 3 PART-TIME, DENTISTS
RANGE = 000 - 016
FQ21C6 0305 0309 5 NUMBER OF HRS WORKED LAST 7 DAYS PART-TIME EMP.
RANGE = 00000 - 00172
Tape Positions 310-479
LABEL BC EC LEN DESCRIPTION
FQ21B7_1 0310 0312 3 FULL-TIME, PHARMACISTS
RANGE = 000 - 298
FQ21B7_2 0313 0315 3 PART-TIME, PHARMACISTS
RANGE = 000 - 769
FQ21C7 0316 0320 5 NUMBER OF HRS WORKED LAST 7 DAYS PART-TIME EMP.
RANGE = 00000 - 00096
FQ21B8_1 0321 0323 3 FULL-TIME, REGISTERED OCCUPATIONAL THERAPlSTS
RANGE = 000 - 298
FQ21B8_2 0324 0326 3 PART-TIME, REGISTERED OCCUPATIONAL THERAPISTS
RANGE = 000 - 004
FQ21C8 0327 0331 5 NUMBER OF HRS WORKED LAST 7 DAYS PART-TIME EMP.
RANGE = 00000 - 00060
FQ21B9_1 0332 0334 3 FULL-TIME, REGISTERED PHYSICAL THERAPISTS
RANGE = 000 - 298
FQ21B9_2 0335 0337 3 PART-TIME, REGISTERED PHYSICAL THERAPISTS
RANGE = 000 - 005
FQ21C9 0338 0342 5 NUMBER OF HRS WORKED LAST 7 DAYS PART-TIME EMP.
RANGE = 00000 - 00090
FQ21B101 0343 0345 3 FULL-TIME, SPEECH PATHOLOGISTS/AUDIOLOGISTS
RANGE = 000 - 298
FQ21B102 0346 0348 3 PART-TIME, SPEECH PATHOLOGISTS/AUDIOLOGISTS
RANGE = 000 - 004
FQ21C10 0349 0353 5 NUMBER OF HRS WORKED LAST 7 DAYS PART-TIME EMP.
RANGE = 00000 - 00060
FQ21B111 0354 0356 3 FULL-TIME, ACTIVITIES DIRECTOR
RANGE = 000 - 298
FQ21B112 0357 0359 3 PART-TIME, ACTIVITIES DIRECTOR
RANGE = 000 - 769
FQ21C11 0360 0364 5 NUMBER OF HRS WORKED LAST 7 DAYS PART-TIME EMP.
RANGE = 00000 - 00090
FQ21B121 0365 0367 3 FULL-TIME, DIETICIANS OR NUTRITIONISTS
RANGE = 000 - 714
FQ21B122 0368 0370 3 PART-TIME, DIETICIANS OR NUTRITlONISTS
RANGE = 000 - 016
FQ21C12 0371 0375 5 NUMBER OF HRS WORKED LAST 7 DAYS PART-TIME EMP.
RANGE = 00000 - 00226
FQ21B131 0376 0378 3 FULL-TIME, REGISTERED MEDICAL RECORDS ADM.
RANGE = 000 - 298
FQ21B132 0379 0381 3 PART-TIME, REGISTERED MEDICAL RECORDS ADM.
RANGE = 000 - 769
FQ21C13 0382 0386 5 NUMBER OF HRS WORKED LAST 7 DAYS PART-TIME EMP.
RANGE = 00000 - 00040
FQ21B141 0387 0389 3 FULL-TIME, SOCIAL WORKERS
RANGE = 000 - 298
FQ21B142 0390 0392 3 PART-TIME, SOCIAL WORKERS
RANGE = 000 - 016
FQ21C14 0393 0397 5 NUMBER OF HRS WORKED LAST 7 DAYS PART-TIME EMP.
RANGE = 00000 - 00116
FQ21B151 0398 0400 3 FULL-TIME, RADIOLOGICAL SERVICE PERSONNEL
RANGE = 000 - 298
FQ21B152 0401 0403 3 PART-TIME, RADIOLOGICAL SERVICE PERSONNEL
RANGE = 000 - 004
FQ21C15 0404 0408 5 NUMBER OF HRS WORKED LAST 7 DAYS PART TIME EMP.
RANGE = 00000 - 00042
FQ21B161 0409 0411 3 FULL-TIME, OTHER HEALTH PROFESS. AND TECH. PERS.
RANGE = 000 - 298
FQ21B162 0412 0414 3 PART-TIME, OTHER HEALTH PROFESS. AND TECH. PERS.
RANGE = 000 - 043
FQ21C16 0415 0419 5 NUMBER OF HRS WORKED LAST 7 DAYS PART-TIME EMP.
RANGE = 00000 - 00740
FQ21B171 0420 0422 3 FULL-TIME, OFFICE STAFF
RANGE = 000 - 714
FQ21B172 0423 0425 3 PART-TIME, OFFICE STAFF
RANGE = 000 - 031
FQ21C17 0426 0430 5 NUMBER OF HRS WORKED LAST 7 DAY5 PART TIME EMP.
RANGE = 00000 - 00620
FQ21B181 0431 0433 3 FULL TIME, FOOD SERVICE PERSONNEL
RANGE = 000 - 298
FQ21B182 0434 0436 3 PART-TIME, FOOD SERVICE PERSONNEL
RANGE = 000 - 769
FQ21C18 0437 0441 5 NUMBER OF HRS WORKED LAST 7 DAYS PART TlME EMP.
RANGE = 00000 - 01024
FQ21B191 0442 0444 3 FULL TIME, HOUSEKEEPING/MAlNTENANCE PERSONNEL
RANGE = 000 - 714
FQ21B192 0445 0447 3 PART-TIME, HOUSEKEEPING/MAINTENANCE
RANGE = 000 - 769
FQ21C19 0448 0452 5 NUMBER OF HRS WORKED LAST 7 DAY5 PART TIME EMP.
RANGE = 00000 - 01875
FQ21B201 0453 0455 3 FULLTIME, OTHER NON-HEALTH PERSONNEL
RANGE = 000 - 298
FQ218202 0456 0458 3 PART TIME, OTHER NON-HEALTH PERSONNEL
RANGE = 000 - 048
FQ21C20 0459 0463 5 NUMBER OF HRS WORKED LAST 7 DAYS PART TIME EMP.
RANGE = 00000 - 00840
FQ22A 0464 0468 5 TOTAL # HRS. WORKED BY REGIS. NURSES LAST WEEK
RANGE = 00000 - 68875
FQ22B 0469 0473 5 TOTAL # HRS. WORKED BY LIC. PRACT. OR VOCAT. NURSES
RANGE = 00000 - 12674
FQ22C 0474 0478 5 TOTAL # HRS. WORKED BY NURS. AIDS, ORDLI. LAST WEEK
RANGE = 00000 - 23013
FQ23 0479 0479 1 DO PERSONS SERVE, VOL. BASIS, FULL OR PART-TIME
1 = YES
2 = NO
Tape Positions 480-525
LABEL BC EC LEN DESCRIPTION
FQC02701 0480 0480 1 IMPUTATlON INDICATOR: FQ15_1
0 = PASSED TEST
1 = FAILED TEST
FQC02702 0481 0481 1 IMPUTATION INDICATOR: FQ15_2
0 = PASSED TEST
1 = FAILED TEST
FQC02703 0482 0482 1 IMPUTATION INDICATOR: FQ15-3
0 = PASSED TEST
1 = FAILED TEST
FQC02704 0483 0483 1 IMPUTATION INDICATOR: FQ15_4
0 = PASSED TEST
1 = FAILED TEST
FQC02801 0484 0484 1 IMPUTATION INDICATOR: FQ15_1
0 = PASSED TEST
1 = FAILED TEST
FQC02802 0485 0485 1 IMPUTATION INDICATOR: FQ15_2
0 = PASSED TEST
1 = IMPUTED
FQC10201 0486 0486 1 IMPUTATION INDICATOR: FQ24A1
0 = PASSED TEST
1 = FAILED TEST
FQC10202 0487 0487 1 IMPUTATION INDICATOR: FQ24A2
0 = PASSED TEST
1 = FAILED TEST
FQC10401 0488 0488 1 lMPUTATION INDICATOR: FQ24B1
0 = PASSED TEST
1 = FAILED TEST
FQC10402 0489 0489 1 IMPUTATION INDICATOR: FQ24B2
0 = PASSED TEST
I = FAILED TEST
FQR00901 0490 0493 4 RECODE: FQR00901=FQ4 1984 BEDS RECODE
(ALL CASES WITH 300 BEDS OR MORE ARE CODED `300')
FQR02001 0494 0494 1 CERTIFICATION RECODE
1 = ICF AND SNF (MEDICARE)
2 = lCF AND SNF (MEDICAID)
3 = ICF AND SNF (BOTH MEDICARE AND MEDICAID)
4 = SNF (BOTH MEDICARE AND MEDICAID)
5 = SNF (MEDICARE)
6 = SNF (MEDICAID)
7 = ICF ONLY
8 = NOT CERTIFIED
9 = NONRESPONSE
FQR10601 0495 0496 2 BASIC CHARGE FOR PRIVATE PAY PATIENTS
(SKILLED LEVEL)
< 40................01
40-44.99.............02
45-49.99.............03
50-54.99.............04
55-59.99.............05
60-64.99.............06
65-69.99.............07
70-74.99.............08
75-79.99.............09
80-89.99.............10
90-99.99.............11
100+.................12
NOT APPLICABLE.......99
FQR10602 0497 0498 2 BASIC CHARGE FOR PRIVATE PAY PATIENTS
(INTERMEDIATE LEVEL)
< 30................01
30-34.99.............02
35-39.99.............03
40-44.99.............04
45-49.99.............05
50-54.99.............06
55-59.99.............07
60-64.99.............08
65-69.99.............09
70-79.99.............10
80+..................11
NOT APPLICABLE.......99
FQR10603 0499 0500 2 BASIC CHARGE FOR PRIVATE PAY PATIENTS
(RESIDENTIAL LEVEL)
< 20................01
20-24.99.............02
25-29.99.............03
30-34.99.............04
35-39.99.............05
40-44.99.............06
45-49.99.............07
50-54.99.............08
55-59.99.............09
60-69.99.............10
70+..................11
NOT APPLICABLE.......99
FQR10701 0501 0503 3 RECODE: FQ21B1_1 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 002
FQR10702 0504 0506 3 RECODE: FQ2IB2_1 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 002
FQR10703 0507 0509 3 RECODE: FQ21B3_1 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 012
FQR10704 0510 0512 3 RECODE: FQ21B4_1 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 451
FQR10705 0513 0515 3 RECODE: FQ2IB5_1 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 016
FQR10706 0516 0518 3 RECODE: FQ21B6_1 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 001
FQR10707 0519 0521 3 RECODE: FQ21B7_1 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 002
FQR10708 0522 0524 3 RECODE: FQ21B8_1 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 002
FQR10709 0525 0527 3 RECODE: FQ21B9_1 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 003
Tape Positions 528-587
LABEL BC EC LEN DESCRIPTION
FQR10710 0528 0530 3 RECODE: FQ21B101 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 002
FQR10711 0531 0533 3 RECODE: FQ21B111 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 002
FQR10712 0534 0536 3 RECODE: FQ21B121 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 002
FQR10713 0537 0539 3 RECODE: FQ218131 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 001
FQR10714 0540 0542 3 RECODE: FQ21B141 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 002
FQR10715 0543 0545 3 RECODE: FQ21B151 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 001
FQR10716 0546 0548 3 RECODE: FQ21B161 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 002
FQR10717 0549 0551 3 RECODE: FQ21BI71 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 005
FQR10718 0552 0554 3 RECODE: FQ21B181 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 021
FQR10719 0555 0557 3 RECODE: FQ21B191 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 016
FQR10720 0558 0560 3 RECODE: FQ21B201 FULL TIME EQUIVALENT STAFF
RANGE = 000 - 005
FQR10801 0561 0561 1 RECODE: GEOGRAPHIC REGION (FROM NMFI DATA)
1 = NORTHEAST
2 = NORTH CENTRAL
3 = SOUTH
4 = WEST
FQI01202 0562 0562 1 IMPUTATION INDICATOR: FQ7A
0 = NOT IMPUTED
1 = IMPUTED
FQI01301 0563 0563 1 IMPUTATION INDICATOR: FQ7B
0 = NOT IMPUTED
1 = IMPUTED
FQI01403 0564 0564 1 IMPUTATION INDICATOR: FQ9A
0 = NOT IMPUTED
1 = IMPUTED
FQI01501 0565 0565 1 IMPUTATION INDICATOR: FQ9B
0 = NOT IMPUTED
1 = IMPUTED
FQI01603 0566 0566 1 IMPUTATION INDICATOR: FQ11A
0 = NOT IMPUTED
1 = IMPUTED
FQI01701 0567 0567 1 IMPUTATION INDICATOR: FQ11B
0 = NOT IMPUTED
1 = IMPUTED
FQI02104 0568 0568 1 IMPUTATION INDICATOR: FQ14A
0 = NOT IMPUTED
1 = IMPUTED
FQI02105 0569 0569 1 IMPUTATION INDICATOR: FQ14B
0 = NOT IMPUTED
1 = IMPUTED
FQI02106 0570 0570 1 IMPUTATION INDICATOR: FQ13
0 = NOT IMPUTED
1 = IMPUTED
FQI02403 0571 0571 1 IMPUTATION INDICATOR: FQ15_1
0 = NOT IMPUTED
1 = IMPUTED
FQI02404 0572 0572 1 IMPUTATION INDICATOR: FQI5_2
0 = NOT IMPUTED
1 = IMPUTED
FQI02405 0573 0573 1 IMPUTATION INDICATOR: FQI5_3
0 = NOT IMPUTED
1 = IMPUTED
FQI02406 0574 0574 1 IMPUTATION INDICATOR: FQ15_4
0 = NOT IMPUTED
1 = IMPUTED
FQI02407 0575 0575 1 IMPUTATION INDICATOR: FQI5_5
0 = NOT IMPUTED
1 = IMPUTED
FQI05203 0576 0576 1 IMPUTATION INDICATOR: FQ21AA
0 = NOT IMPUTED
1 = IMPUTED
FQI05204 0577 0577 1 IMPUTATION INDICATOR: FQ21AB
0 = NOT IMPUTED
1 = IMPUTED
FQI05301 0578 0578 1 IMPUTATION INDICATOR: FQ21B1_1
0 = NOT IMPUTED
1 = IMPUTED
FQI05302 0579 0579 1 IMPUTATION INDICATOR: FQ21B1_2
0 = NOT IMPUTED
1 = IMPUTED
FQI05303 0580 0580 1 IMPUTATION INDICATOR: FQ21C1
0 = NOT IMPUTED
1 = IMPUTED
FQI05501 0581 0581 1 IMPUTATION INDICATOR: FQ21B2_1
0 = NOT IMPUTED
1 = IMPUTED
FQI05502 0582 0582 1 IMPUTATION INDICATOR: FQ21B2_2
0 = NOT IMPUTED
1 = IMPUTED
FQI05503 0583 0583 1 IMPUTATION INDICATOR: FQ21C2
0 = NOT IMPUTED
1 = IMPUTED
FQI05701 0584 0584 1 IMPUTATION INDICATOR: FQ2IB3_1
0 = NOT IMPUTED
1 = IMPUTED
FQI05702 0585 0585 1 IMPUTATION INDICATOR: FQ21B3_2
0 = NOT IMPUTED
1 = IMPUTED
FQI05703 0586 0586 1 IMPUTATION INDICATOR: FQ21C3
0 = NOT IMPUTED
1 = IMPUTED
FQI05901 0587 0587 1 IMPUTATION INDICATOR: FQ21B4_1
0 = NOT IMPUTED
1 = IMPUTED
Tape Positions 588-623
LABEL BC EC LEN DESCRIPTION
FQI05902 0588 0588 1 IMPUTATION INDICATOR: FQ21B4_2
0 = NOT IMPUTED
1 = IMPUTED
FQI05903 0589 0589 1 IMPUTATION INDICATOR: FQ21C4
0 = NOT IMPUTED
1 = IMPUTED
FQI06101 0590 0590 1 IMPUTATION INDICATOR: FQ21B5_1
0 = NOT IMPUTED
1 = IMPUTED
FQI06102 0591 0591 1 IMPUTATION INDICATOR: FQ21B5_2
0 = NOT IMPUTED
1 = IMPUTED
FQI06103 0592 0592 1 IMPUTATION INDICATOR: FQ21C5
0 = NOT IMPUTED
1 = IMPUTED
FQI06301 0593 0593 1 IMPUTATION INDICATOR: FQ21B6_1
0 = NOT IMPUTED
1 = IMPUTED
FQI06302 0594 0594 1 IMPUTATION INDICATOR: FQ21B6_2
0 = NOT IMPUTED
1 = IMPUTED
FQI06303 0595 0595 1 IMPUTATION INDICATOR: FQ2IC6
0 = NOT IMPUTED
1 = IMPUTED
FQI06501 0596 0596 1 IMPUTATION INDICATOR: FQ21B7_1
0 = NOT IMPUTED
1 = IMPUTED
FQI06502 0597 0597 1 IMPUTATION INDICATOR: FQ21B7_2
0 = NOT IMPUTED
1 = IMPUTED
FQI06503 0598 0598 1 IMPUTATION INDICATOR: FQ21C7
0 = NOT IMPUTED
1 = IMPUTED
FQI06701 0599 0599 1 IMPUTATION INDICATOR: FQ21B8_1
0 = NOT IMPUTED
1 = IMPUTED
FQI06702 0600 0600 1 IMPUTATION INDICATOR: FQ2IB8_2
0 = NOT IMPUTED
1 = IMPUTED
FQI06703 0601 0601 1 IMPUTATION INDICATOR: FQ21C8
0 = NOT IMPUTED
1 = IMPUTED
FQI06901 0602 0602 1 IMPUTATION INDICATOR: FQ21B9_1
0 = NOT IMPUTED
1 = IMPUTED
FQI06902 0603 0603 1 IMPUTATION INDICATOR: FQ21B9_2
0 = NOT IMPUTED
1 = IMPUTED
FQI06903 0604 0604 1 IMPUTATION INDICATOR: FQ21C9
0 = NOT IMPUTED
1 = IMPUTED
FQI07101 0605 0605 1 IMPUTATION INDICATOR: FQ21B1O1
0 = NOT IMPUTED
1 = IMPUTED
FQI07102 0606 0606 1 IMPUTATION INDICATOR: FQ21B102
0 = NOT IMPUTED
1 = IMPUTED
FQI07103 0607 0607 1 IMPUTATION INDICATOR: FQ21C10
0 = NOT IMPUTED
1 = IMPUTED
FQI07301 0608 0608 1 IMPUTATION INDICATOR: FQ21B111
0 = NOT IMPUTED
1 = IMPUTED
FQI07302 0609 0609 1 IMPUTATION INDICATOR: FQ21B112
0 = NOT IMPUTED -
1 = IMPUTED
FQI07303 0610 0610 1 IMPUTATION INDICATOR: FQ21C11
0 = NOT IMPUTED
1 = IMPUTED
FQI07501 0611 0611 1 IMPUTATION INDICATOR: FQ21B121
0 = NOT IMPUTED
1 = IMPUTED
FQI07502 0612 0612 1 IMPUTATIDN INDICATOR: FQ21B122
0 = NOT IMPUTED
1 = IMPUTED
FQI07503 0613 0613 1 IMPUTATION INDICATOR: FQ21C12
0 = NOT IMPUTED
1 = IMPUTED
FQI07701 0614 0614 1 IMPUTATION INDICATOR: FQ21B131
0 = NOT IMPUTED
1 = IMPUTED
FQI077O2 0615 0615 1 IMPUTATION INDICATOR: FQ21B132
0 = NOT IMPUTED
1 = IMPUTED
FQI07703 0616 0616 1 IMPUTATION INDICATOR: FQ21C13
0 = NOT IMPUTED
1 = IMPUTED
FQI07901 0617 0617 1 IMPUTATION INDICATOR: FQ21B141
0 = NOT IMPUTED
1 = IMPUTED
FQI07902 0618 0618 1 IMPUTATION INDICATOR: FQ21B142
0 = NOT IMPUTED
1 = IMPUTED
FQI07903 0619 0619 1 IMPUTATION INDICATOR: FQ21C14
0 = NOT IMPUTED
1 = IMPUTED
FQI08101 0620 0620 1 IMPUTATION INDICATOR: FQ21B151
0 = NOT IMPUTED
1 = IMPUTED
FQI08102 0621 0621 1 IMPUTATION INDICATOR: FQ21B152
0 = NOT IMPUTED
1 = IMPUTED
FQI08103 0622 0622 1 IMPUTATION INDICATOR: FQ21C15
0 = NOT IMPUTED
1 = IMPUTED
FQI08301 0623 0623 1 IMPUTATION INDICATOR: FQ21B161
0 = NOT IMPUTED
1 = IMPUTED
Tape Positions 624-658
LABEL BC EC LEN DESCRIPTION
FQI08302 0624 0624 1 IMPUTATION INDICATOR: FQ21B162
0 = NOT IMPUTED
1 = IMPUTED
FQI08303 0625 0625 1 IMPUTATION INDICATOR: FQ21C16
0 = NOT IMPUTED
1 = IMPUTED
FQI08501 0626 0626 1 IMPUTATION INDICATOR: FQ21B171
0 = NOT IMPUTED
1 = IMPUTED
FQI08501 0627 0627 1 IMPUTATION INDICATOR: FQ21B172
0 = NOT IMPUTED
1 = IMPUTED
FQ108503 0628 0628 1 IMPUTATION INDICATOR: FQ2IC17
0 = NOT IMPUTED
1 = IMPUTED
FQI08701 0629 0629 1 IMPUTATION INDICATOR: FQ21B181
0 = NOT IMPUTED
1 = IMPUTED
FQI08702 0630 0630 1 IMPUTATION INDICATOR: FQ21B182
0 = NOT IMPUTED
1 = IMPUTED
FQI08703 0631 0631 1 IMPUTATION INDICATOR: FQ21C18
0 = NOT IMPUTED
1 = IMPUTED
FQI08901 0632 0632 1 IMPUTATION INDICATOR: FQ21B19I
0 = NOT IMPUTED
1 = IMPUTED
FQI08902 0633 0633 1 IMPUTATION INDICATOR: FQ21B192
0 = NOT IMPUTED
1 = IMPUTED
FQI08903 0634 0634 1 IMPUTATION INDICATOR: FQ21C19
0 = NOT IMPUTED
1 = IMPUTED
FQI09101 0635 0635 1 IMPUTATION INDICATOR: FQ21B201
0 = NOT IMPUTED
1 = IMPUTED
FQI09102 0636 0636 1 IMPUTATION INDICATOR: FQ21B202
0 = NOT IMPUTED
1 = IMPUTED
FQI09103 0637 0637 1 IMPUTATION INDICATOR: FQ21C20
0 = NOT IMPUTED
1 = IMPUTED
FQI09301 0638 0638 1 IMPUTATION INDICATOR: FQ2IAA
0 = NOT IMPUTED
1 = IMPUTED
FQI09302 0639 0639 1 IMPUTATION INDICATOR: FQ21AB
0 = NOT IMPUTED
1 = IMPUTED
FQI09701 0640 0640 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = IMPUTED
FQI09801 0641 0641 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = IMPUTED
FQI09901 0642 0642 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = IMPUTED
FQI10101 0643 0643 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = IMPUTED
FQI10102 0644 0644 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = IMPUTED
FQI10301 0645 0645 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = IMPUTED
FQI10302 0646 0646 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = IMPUTED
FQI10501 0647 0647 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1= IMPUTED
FQI10502 0648 0648 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = IMPUTED
METRO 0649 0649 1 METROPOLITAN STATUS
1 = METROPOLITAN
2 = NON-METROPOLITAN
FQWT 0650 0657 8 FACILITY WEIGHT - FIRST STAGE FACILITY INFLATION
FACTOR USED TO PRODUCE NATIONAL ESTIMATES OF HOMES
(4 DECIMAL PLACES IMPLIED)
FQBEDWT 0658 0665 8 FACILITY BED WEIGHT - FIRST STAGE FACILITY
INFLATION FACTOR (INCLUDES A BED RATIO ADJUSTMENT)
USED TO PRODUCE NATIONAL ESTIMATES OF CHARACTERISTICS
RELATED TO BEDSIZE SUCH AS BEDS, INPATIENT DAYS,
ADMISSIONS, DISCHARGES, AND STAFF (4 DECIMAL PLACES
IMPLIED)
NURSING STAFF QUESTIONNAIRE
Tape Positions 1-83
LABEL BC EC LEN DESCRIPTION
NQ_FORM 0001 0002 2 FORM NUMBER (04)
RANGE = 04 - 04
NQ_DOC 0003 0009 7 DOCUMENT ID (CKDIG10)
RANGE = 1001114 - 7187149
NQ1 0010 0010 1 MEMBER OF THIS FACILITY STAFF/ OTHER ARRANG.
1 = STAFF MEMBER
2 = EMPLOYED UNDER SPEC. CONTRACT ARRANGEMENT
3 = SUPPLEMENTARY (TEMPORARY) EMPLOYMENT SERVICE
4 = MULTIPLE RESPONSE
5 = NONRESPONSE
NQ2A 0011 0012 2 NON-STAFF MEMBERS - HRS WORK IN NORMAL WEEK
NQ2B 0013 0014 2 NON-STAFF MEMBERS - HRS WORKED PAST WEEK
NQ3A 0015 0016 2 STAFF MEMBERS - HRS SCHEOULED TO WORK PER/WK
NQ3B 0017 0017 1 STAFF MEMBERS - CONSIDERED FULL-TIME?
1 = YES
2 = NO
3 = NONRESPONSE
4 = LEGITIMATE SKIP
NQ4 0018 0018 1 DO YOU ROTATE SHIFTS DURING WORK SCHEDULE
1 = YES
2 = NO
3 = OUT-OF-RANGE RESPONSE
4 = NONRESPONSE
5 = LEGITIMATE SKIP
NQ4A 0019 0019 1 IF "NO", INDICATE PRINCIPAL SHIFT YOU WORK
1 = DAY
2 = EVENING
3 = NIGHT
4 = MULTIPLE RESPONSE
5 = NONRESPONSE
6 = LEGITIMATE SKIP
NQ5 0020 0020 1 WHAT TYPE OF WORK SCHEDULE DO YOU HAVE
1 = WEEK DAYS ONLY
2 = WEEKENDS ONLY
3 = WORK BOTH WEEK DAYS AND WEEKEND
4 = MULTIPLE RESPONSE
5 = NONRESPONSE
6 = LEGITIMATE SKIP
NQ6 0021 0022 2 BEST DESCRIPT. OF THE POSITION YOU HOLD IN FAC.
1 = STAFF NURSE
2 = CHARGE NURSE
3 = HEAD OR ASSISTANT HEAD NURSE
4 = CLINICAL NURSING SPECIALIST
5 = NURSE PRACTITIONER
6 = IN-SERVICE INSTRUCTOR/EDUCATOR
7 = SUPERVISOR OR ASSISTANT
8 = DIRECTOR OF NURSING OR ASSISTANT
9 = ADMINISTRATOR
10 = OTHER
11 = MULTIPLE RESPONSE
12 = NONRESPONSE
13 = LEGITIMATE SKIP
NQ6_SP 0023 0047 25 OTHER, SPECIFY
NQ7 0048 0052 5 WHAT IS YOUR AVG. WEEKLY SALARY IN THIS FAC.
NQ8 0053 0053 1 HOW MANY YEARS HAVE YOU BEEN WORKING THIS FAC.
1 = LESS THAN ONE YEAR
2 = 1 UP TO 2 YEARS
3 = 2 UP TO 3 YEARS
4 = 3 UP TO 5 YEARS
5 = 5 YEARS OR MORE
6 = MULTIPLE RESPONSE
7 = NONRESPONSE
8 = LEGITIMATE SKIP
NQ9 0054 0054 1 PRIOR EMPLOYMENT IN THIS HEALTH CARE FAC.
1 = WORKING AS A NURSE
2 = NOT EMPLOYED IN NURSING
3 = MULTIPLE RESPONSE
4 = NONRESPONSE
5 = LEGITIMATE SKIP
NQ9A 0055 0055 1 WHAT TYPE OF FACILITY WERE YOU EMPLOYED
1 = ANOTHER NURSING HOME
2 = HOSPITAL
3 = PUBLIC/COMMUNITY HEALTH AGENCY
4 = PHYSICIAN'S OFFICE
5 = OTHER SPECIFY
6 = MULTIPLE RESPONSE
7 = NONRESPONSE
8 = LEGITIMATE SKIP
NQ9_ASP 0056 0080 25 OTHER SPECIFY
NQ9B 0081 0082 2 LENGTH OF TIME NOT EMPLOYED IN NURSING
1 = THIS FACILITY IS FIRST NURSING JOB
2 = LESS THAN ONE YEAR
3 = 1 UP TO 3 YEARS
4 = 3 UP TO 5 YEARS
5 = 5 UP TO 10 YEARS
6 = 10 YEARS OR MORE
7 = NOT APPLICABLE
8 = NOT KNOWN
9 = MULTIPLE RESPONSE
10 = NONRESPONSE
11 = LEGITIMATE SKIP
NQ10 0083 0083 1 ANY ADDTL. HRS AS R.N. IN OTHER SETTINGS
1 = YES
2 = NO
3 = NONRESPONSE
4 = LEGITIMATE SKIP
Tape Positions 84-124
LABEL BC EC LEN DESCRIPTION
NQ10A 0084 0085 2 IF YES, HOW MANY HRS/WEEK
RANGE = 01 - 64
NQ10B 0086 0086 1 WHAT TYPE OF FACILITY?
1 = HOSPITAL
2 = NURSING HOME
3 = OTHER
4 = MULTIPLE RESPONSE
5 = NONRESPONSE
6 = LEGITIMATE SKIP
NQ10_BSP 0087 0111 25 OTHER SPECIFY
NQ11A 0112 0112 1 INVOLVED IN ADMINISTERING ROUTINE THERAPIES
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = OUT-OF-RANGE RESPONSE
7 = MULTIPLE RESPONSE
8 = NONRESPONSE
9 = LEGITIMATE SKIP
NQ11B 0113 0114 2 INVOLVED IN ADMINISTERING COMPLEX THERAPIES
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = MULTIPLE RESPONSE
9 = NONRESPONSE
10 = LEGITIMATE SKIP
NQ11C 0115 0115 1 INVOLVED IN GIVING PERSONAL CARE
1 = ALWAYS
2 = OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = OUT-OF-RANGE RESPONSE
7 = MULTIPLE RESPONSE
8 = NONRESPONSE
9 = LEGITIMATE SKIP
NQ11D 0116 0116 1 INVOLVED IN OBSERVING AND RECORDING
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = OUT-OF-RANGE RESPONSE
7 = MULTIPLE RESPONSE
8 = NONRESPONSE
9 = LEGITIMATE SKIP
NQ11E 0117 0117 1 INVOLVED IN TEACHING AND COUNSELING PATIENTS
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = OUT-OF-RANGE RESPONSE
7 = MULTIPLE RESPONSE
8 = NONRESPONSE
9 = LEGITIMATE SKIP
NQ11F 0118 0118 1 INVOLVED IN DETERMINING INDIVIDUAL PATIENT CARE
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = OUT-OF-RANGE RESPONSE
7 = MULTIPLE RESPONSE
8 = NONRESPONSE
9 = LEGITIMATE SKIP
NQ11G 0119 0119 1 INVOLVED IN EVALU/MODIFYING PATIENT CARE PLANS
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = OUT-OF-RANGE RESPONSE
7 = MULTIPLE RESPONSE
8 = NONRESPONSE
9 = LEGITIMATE SKIP
NQ11H 0120 0120 1 INVOLVED IN ASSIGNING/SUPERVISING NURSING PERS.
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = OUT-OF-RANGE RESPONSE
7 = MULTIPLE RESPONSE
8 = NONRESPONSE
9 = LEGITIMATE SKIP
NQ11I 0121 0121 1 INVOLVED IN PLANNING/PROVIDING DIVERSION/RECR.
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = OUT-OF-RANGE RESPONSE
7 = MULTIPLE RESPONSE
8 = NONRESPONSE
9 = LEGITIMATE SKIP
NQ12A 0122 0123 2 INVOLVED IN PLANNING/PARTICIPATING IN RESEARCH
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = ACTIVITY DOES NOT OCCUR
7 = OUT-OF-RANGE RESPONSE
8 = MULTIPLE RESPONSE
9 = NONRESPONSE
10 = LEGITIMATE SKIP
NQ12B 0124 0125 2 INVOLVED IN CONDUCTING STAFF EDUCATION
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = ACTIVITY DOES NOT OCCUR
7 = OUT-OF-RANGE RESPONSE
8 = MULTIPLE RESPONSE
9 = NONRESPONSE
10 = LEGITIMATE SKIP
Tape Positions 126-140
LABEL BC EC LEN DESCRIPTION
NQ12C 0126 0127 2 INVOLVED IN ATTENDING STAFF EDUCATION ACT.
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = ACTIVITY DOES NOT OCCUR
7 = OUT-OF-RANGE RESPONSE
8 = MULTIPLE RESPONSE
9 = NONRESPONSE
10 = LEGITIMATE SKIP
NQ12D 0128 0129 2 INVOLVED IN EDUCATIONAL EXPER. FOR NURS, ETC
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = ACTIVITY DOES NOT OCCUR
7 = OUT-OF-RANGE RESPONSE
8 = MULTIPLE RESPONSE
9 = NONRESPONSE
10 = LEGITIMATE SKIP
NQ13A 0130 0130 1 PARTICIPATE IN DETERMINING INSTITUTIONAL POLICY
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = OUT-OF-RANGE RESPONSE
7 = MULTIPLE RESPONSE
8 = NONRESPONSE
9 = LEGITIMATE SKIP
NQ13B 0131 0131 1 PARTICIPATE IN DETERMINING PATIENT CARE POLICY
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = OUT-OF-RANGE RESPONSE
7 = MULTIPLE RESPONSE
8 = NONRESPONSE
9 = LEGITIMATE SKIP
NQ13C 0132 0132 1 PARTICIPATE IN DETERMINING PERSONNEL POLICY
1 = ALWAYS
2 = VERY OFTEN
3 = ABOUT AS OFTEN AS NOT
4 = SELDOM
5 = NEVER
6 = OUT-OF-RANGE RESPONSE
7 = MULTIPLE RESPONSE
8 = NONRESPONSE
9 = LEGITIMATE SKIP
NQ14A1A 0133 0133 1 RECRUIT - BY A MASTER'S PREPARED CLIN. SPEC.
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14A1B 0134 0134 1 RETENT - BY A MASTER'S PREPARED CLIN. SPEC.
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14A2A 0135 0135 1 RECRUIT - BY EXPERIENCED NURSING HOME NURSES
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14A2B 0136 0136 1 RETENT - BY EXPERIENCED NURSING HOME NURSES
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = NONRESPONSE
NQ14BA 0137 0137 1 RECRUIT - CAREER COUNSELING
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14BB 0138 0138 1 RETENT - CAREER COUNSELING
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14C 0139 0139 1 RECRUIT - JOB ADVANCEMENT ALONG CLINICAL LINES
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14CB 0140 0140 1 RETENT - JOB ADVANCEMENT ALONG CLINICAL LINES
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
Tape Positions 141-155
LABEL BC EC LEN DESCRIPTION
NQ14DA 0141 0141 1 RECRUIT - JOB ADVANCEMENT ALONG ADM. LINES
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = NONRESPONSE
NQ14DB 0142 0142 1 RETENT - JOB ADVANCEMENT ALONG ADM. LINES
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14E1A 0143 0143 1 RECRUIT - ARRANGE WK HRS DURING CHILD SCH HRS
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14E1B 0144 0144 1 RETENT - ARRANGE WK HRS DURING CHILD SCHOOL HRS
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = NONRESPONSE
NQ14E2A 0145 0145 1 RECRUIT - ARRANGE UK HRS DURING CHILD SCH TERM
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14E2B 0146 0146 1 RETENT - ARRANGE WK HRS DURING CHILD SCH TERM
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = NONRESPONSE
NQ14E3A 0147 0147 1 RECRUIT - ARRANGE WK HRS DURING WEEK DAYS ONLY
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14E3B 0148 0148 1 RETENT - ARRANGE WK HRS DURING WEEK DAYS ONLY
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = NONRESPONSE
NQ14E4A 0149 0149 1 RECRUIT - ARRANGE WK HRS DURING WEEKENDS ONLY
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14E4B 0150 0150 1 RETENT - ARRANGE WK HRS DURING WEEKENDS ONLY
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14E5A 0151 0151 1 RECRUIT - ARRANGE WK HRS ROTATING SHIFTS
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14E5B 0152 0152 1 RETENT - ARRANGE WK HRS ROTATING SHIFTS
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14E6A 0153 0153 1 RECRUIT - ARRANGE WK HRS DAY SHIFT ONLY
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14E6B 0154 0154 1 RETENT - ARRANGE WK HRS DAY SHIFT ONLY
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14E7A 0155 0155 1 RECRUIT - ARRANGE WK HRS EVENING SHIFT ONLY
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
Tape Positions 156-169
LABEL BC EC LEN DESCRIPTION
NQ14E7B 0156 0156 1 RETENT - ARRANGE WK HRS EVENING SHIFT ONLY
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14E8A 0157 0157 1 RECRUIT - ARRANGE WK HRS NIGHT SHIFT ONLY
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14E8B 0158 0158 1 RETENT - ARRANGE WK HRS NIGHT SHIFT ONLY
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = NONRESPONSE
NQ14FA 0159 0159 1 RECRUIT - NOT REQUIR TO "FLOAT" UNFAMILIAR UNITS
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14FB 0160 0160 1 RETENT - NOT REQUIR TO "FLOAT" UNFAMILIAR UNITS
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14G1A 0161 0161 1 RECRUIT - PAY DIFFERENTIAL FOR EVENING SHIFT
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14G1B 0162 0162 1 RETENT - PAY DIFFERENTIAL FOR EVENING SHIFT
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14G2A 0163 0163 1 RECRUIT - PAY DIFFERENTIAL FOR NIGHT SHIFT
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14G2B 0164 0164 1 RETENT - PAY DIFFERENTIAL FOR NIGHT SHIFT
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14G3A 0165 0165 1 RECRUIT - PAY DIFFERENTIAL FOR WEEKEND WORK
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14G3B 0166 0166 1 RETENT - PAY DIFFERENTIAL FOR WEEKEND WORK
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14G4A 0167 0167 1 RECRUIT - PAY DIFFERENTIAL FOR HOLIDAY WORK
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14G4B 0168 0168 1 RETENT - PAY DIFFERENTIAL FOR HOLIDAY WORK
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14HA 0169 0169 1 RECRUIT - PAY DIFFERENTIAL EDUCATIONAL PREP
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
Tape Positions 170-183
LABEL BC EC LEN DESCRIPTION
NQ14H8 0170 0170 1 RETENT - PAY DIFFERENTIAL EDUCATIONAL PREP
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14I1A 0171 0171 1 RECRUIT - INCREASES, LENGTH OF SERVICE
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14I1B 0172 0172 1 RETENT - INCREASES, LENGTH OF SERVICE
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = NONRESPONSE
NQ14I2A 0173 0173 1 RECRUIT - INCREASES, MERIT
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14I2B 0171 0171 1 RETENT - INCREASES, MERIT
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = NONRESPONSE
NQ14JA 0175 0175 1 RECRUIT - GRAD VACATION PLAN, LENGTH OF SERV
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14JB 0176 0176 1 RETENT - GRAD VACATION PLAN, LENGTH OF SERV
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = NONRESPONSE
NQ14KA 0177 0177 1 RECRUIT - LEAVE OF ABSENCE FOR MATERNITY
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14KB 0178 0178 1 RETENT - LEAVE OF ABSENCE FOR MATERNITY
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
1 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14LA 0179 0179 1 RECRUIT - CHILD CARE FACILITIES
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14LB 0180 0180 1 RETENT - CHILD CARE FACILITIES
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14MA 0181 0181 1 RECRUIT - FREE PARKING
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14MB 0182 0182 1 RETENT - FREE PARKING
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14NA 0183 0183 1 RECRUIT - CONVENIENT PUBLIC TRANSPORTATION
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
Tape Positions 184-197
LABEL BC EC LEN DESCRIPTION
NQ14NB 0184 0184 1 RETENT - CONVENIENT PUBLIC TRANSPORTATION
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14OA 0185 0185 1 RECRUIT - MEALS AT NO COST OR SUBSIDIZED
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14OB 0186 0186 1 RETENT - MEAL AT NO COST OR SUBSIDIZED
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14PA 0187 0187 1 RECRUIT - SUBSIDIZED HOUSING
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14PB 0188 0188 1 RETENT - SUBSIDIZED HOUSING
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14QA 0189 0189 1 RECRUIT - LAUNDRY OF UNIFORMS
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14QB 0190 0190 1 RETENT - LAUNDRY OF UNIFORMS
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14R1A 0191 0191 1 RECRUIT - NO COST/PART-PAY INS. - HOSP.
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14R1B 0192 0192 1 RETENT - NO COST/PART-PAY INS. - HOSP.
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = NONRESPONSE
NQ14R2A 0193 0193 1 RECRUIT - NO COST/PART-PAY INS.- MED/SURG CARE
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14R2B 0194 0194 1 RETENT - NO COST/PART-PAY INS. - MED/SURG CARE
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = NONRESPONSE
NQ14R3A 0195 0195 1 RECRUIT - NO COST/PART-PAY INS. -DENTAL
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14R3B 0196 0196 1 RETENT - NO COST/PART-PAY INS. - DENTAL
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14R4A 0197 0197 1 RECRUIT - NO COST/PART-PAY INS. - LIFE
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
Tape Positions 198-211
LABEL BC EC LEN DESCRIPTION
NQ14R4B 0198 0198 1 RETENT - NO COST/PART-PAY INS. - LIFE
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14SA 0199 0199 1 RECRUIT - RETIREMENT PLAN, PART OR TOTAL PAID
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14SB 0200 0200 1 RETENT - RETIREMENT PLAN, PART OR TOTAL PAID
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14TA 0201 0201 1 RECRUIT - AVAILABILITY OF PHYSICIANS
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14TB 0202 0202 1 RETENT - AVAILABILITY OF PHYSICIANS
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14UA 0203 0203 1 RECRUIT - AVAILABILITY SUPPORT SERVICE PERS.
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14UB 0204 0204 1 RETENT - AVAILABILITY SUPPORT SERVICE PERS.
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = NONRESPONSE
NQ14VA 0205 0205 1 RECRUIT - WELL EQUIPPED FAC, FUNC. NURSING UNIT
1 - NOT IMPORTANT
2 - SLIGHTLY IMPORTANT
3 - ABOUT AS IMPORTANT AS NOT
4 - VERY IMPORTANT
5 - ALL IMPORTANT
6 - NOT APPLICABLE
7 - OUT-OF-RANGE RESPONSE
8 - NONRESPONSE
NQ14VB 0206 0206 1 RETENT - WELL EQUIPPED FAC, FUNC. NURSING UNIT
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = NONRESPONSE
NQ14WA 0207 0207 1 RECRUIT - SECURITY PERSONNEL AVAILABLE
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14WB 0208 0208 1 RETENT -- SECURITY PERSONNEL AVAILABLE
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14XA 0209 0209 1 RECRUIT - USE AS CLINICAL CTR, NURS STUDENTS
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14XB 0210 0210 1 RETENT - USE AS CLINICAL CTR, NURS STUDENTS
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14YA 0211 0211 1 RECRUIT - OPPORTUNITY FOR PROF. DEVELOPMENT
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
Tape Positions 212-229
LABEL BC EC LEN DESCRIPTION
NQ14YB 0212 0212 1 RETENT - OPPORTUNITY FOR PROF. DEVELOPMENT
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14ZA 0213 0213 1 RECRUIT - AVAIL OF COLLEGE TUITION REIMB. PLAN
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14ZB 0214 0214 1 RETENT - AVAIL OF COLLEGE TUITION REIMB. PLAN
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14AAA 0215 0215 1 RECRUIT - RELEASE TIME, CONTINUING EDUCATION
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14AAB 0216 0216 1 RETENT - RELEASE TIME, CONTINUING EDUCATION
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14BBA 0217 0217 1 RECRUIT - REIMBURSE. FOR EXPENSES, CONT EDUC
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14BBB 0218 0218 1 RETENT - REIMBURSE. FOR EXPENSES, CONT EDUC
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14CCA 0219 0219 1 RECRUIT - PROVISION OF IN-SERVICE EDUCATION
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14CCB 0220 0220 1 RETENT - PROVISION OF IN-SERVICE EDUCATION
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = NONRESPONSE
NQ14DDA 0221 0221 1 RECRUIT - PROVIDE ORIENTATION FOR NEWLY-HIRED
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ14DDB 0222 0222 1 RETENT - PROVIDE ORIENTATION FOR NEWLY-HIRED
1 = NOT IMPORTANT
2 = SLIGHTLY IMPORTANT
3 = ABOUT AS IMPORTANT AS NOT
4 = VERY IMPORTANT
5 = ALL IMPORTANT
6 = NOT APPLICABLE
7 = OUT-OF-RANGE RESPONSE
8 = NONRESPONSE
NQ15 0223 0226 4 NURSE'S YEAR OF BIRTH
RANGE - 1900 - 1965
NQ16 0227 0227 1 NURSE'S SEX
1 = FEMALE
2 = MALE
3 = NONRESPONSE
NQ17 0228 0228 1 NURSE'S RACIAL BACKGROUND
1 = HISPANIC
2 = AMERICAN INDIAN OR ALASKAN NATIVE
3 = ASIAN OR PACIFIC ISLANDER
4 = BLACK, NOT OF HISPANIC ORIGIN
5 = WHITE, NOT OF HISPANIC ORIGIN
6 = MULTIPLE RESPONSE
7 = NONRESPONSE
NQl8 0229 0229 1 NURSE'S MARITAL STATUS
1 = MARRIED
2 = DIVORCED
3 = SEPARATED
1 = WIDOWED
5 = NEVER MARRIED
6 = MULTIPLE RESPONSE
7 = NONRESPONSE
Tape Positions 230-300
LABEL BC EC LEN DESCRIPTION
NQ19_1 0230 0230 1 CHILDREN AT HOME - LESS THAN 1 YEAR OLD
1 = APPLICABLE
2 = MULTIPLE RESPONSE
3 = REFUSAL
4 = NONRESPONSE
NQ19_2 0231 0231 1 CHILDREN AT HOME - 1 UP TO 6 YEARS OLD
1 = APPLICABLE
2 = REFUSAL
3 = NONRESPONSE
NQ19_3 0232 0232 1 CHILDREN AT HOME - 6 UP TO 18 YEARS OLD
1 = APPLICABLE
2 = REFUSAL
3 = NONRESPONSE
NQ19_4 0233 0233 1 CHILDREN AT HOME - NONE
1 = APPLICABLE
2 = REFUSAL
3 = NONRESPONSE
NQ20A 0234 0234 1 TYPE OF BASIC NURSING EDUCATION PROGRAM
1 = ASSOCIATE DEGREE
2 = DIPLOMA
3 = BACCALAUREATE OR HIGHER DEGREE
4 = NOT KNOWN
5 = MULTIPLE RESPONSE
6 = NONRESPONSE
NQ20B 0235 0238 1 IN WHAT YEAR DID YOU GRADUATE
RANGE = 1900 - 1985
NQ20C1 0239 0240 2 IN WHAT STATE SCHOOL LOCATED
RANGE = 01 - 56
NQ20C2 0241 0242 2 IN WHAT FOREIGN COUNTRY SCHOOL LOCATED
NQ21 0243 0243 1 WHAT IS YOUR HIGHEST NURSING-RELATED ED.
1 = ASSOCIATE DEGREE
2 = DIPLOMA
3 = BACCALAUREATE IN NURSING
4 = BACCALAUREATE IN OTHER FIELD
5 = MASTERS IN NURSING
6 = MASTERS IN OTHER FIELD
7 = DOCTORATE
8 = MULTIPLE RESPONSE
9 = NONRESPONSE
NQ22 0244 0244 1 GERIATRIC NURSE PRACTITIONER PREPARATION PGM
1 = YES
2 = NO
3 = NONRESPONSE
NQ23 0245 0245 1 MASTER'S SPECIALIZING GERIATRIC NURSING PRAC
1 = YES
2 = NO
3 = MULTIPLE RESPONSE
4 = NONRESPONSE
NQ24_1 0246 0246 1 WORKSHOP-NURSING CARE OF THE AGED
1 = APPLICABLE
2 = NONRESPONSE
NQ24_2 0247 0247 1 WORKSHOP-MEDICAL CARE OF THE AGED
1 = APPLICABLE
2 = NONRESPONSE
NQ24_3 0248 0248 1 WORKSHOP-MENTAL/SOCIAL PROBS OF THE AGED
1 = APPLICABLE
2 = NONRESPONSE
NQ24_4 0249 0249 1 WORKSHOP-EMERGENCY PROCEDURES
1 = APPLICABLE
2 = NONRESPONSE
NQ24_5 0250 0250 1 WORKSHOP-NURSING HOME ADMINISTRATION
1 = APPLICABLE
2 = NONRESPONSE
NQ24_6 0251 0251 1 WORKSHOP-NURSING MANAGEMENT
1 = APPLICABLE
2 = NONRESPONSE
NQ24_7 0252 0252 1 WORKSHOP-NUTRITION AND THE AGED
1 = APPLICABLE
2 = NONRESPONSE
NQ24_8 0253 0253 1 WORKSHOP-OCCUPATIONAL THERAPY
1 = APPLICABLE
2 = NONRESPONSE
NQ24_9 0254 0254 1 WORKSHOP-PHARMACOLOGY AND THE AGED
1 = APPLICABLE
2 = NONRESPONSE
NQ24_10 0255 0255 1 WORKSHOP-PHYSICAL ASSESSMENT
1 = APPLICABLE
2 = NONRESPONSE
NQ24_11 0256 0256 1 WORKSHOP-PHYSICAL THERAPY OR REHABILITATION
1 = APPLICABLE
2 = NONRESPONSE
NQ24_12 0257 0257 1 WORKSHOP DEVELOPMENT DISABILITIES
1 = APPLICABLE
2 = NONRESPONSE
NQ24_13 0258 0258 1 WORKSHOP-ACTIVITY PGMS FOR THE AGED
1 = APPLICABLE
2 = NONRESPONSE
NQ24_14 0259 0259 1 WORKSHOP-SOCIAL SERVICES FOR THE AGED
1 = APPLICABLE
2 = NONRESPONSE
NQ24_15 0260 0260 1 WORKSHOP-REFRESHER COURSE, INACTIVE NURSES
1 = APPLICABLE
2 = NONRESPONSE
NQ24_16 0261 0261 1 OTHER
1 = APPLICABLE
2 = NONRESPONSE
NQ24_16A 0262 0286 25 OTHER (PLEASE SPECIFY)
NQ25A 0287 0287 1 WORKED FOR PAY AS RN SINCE GRADUATION
1 = LESS THAN A YEAR
2 = OUT-OF-RANGE RESPONSE
3 = MULTIPLE RESPONSE
4 = NONRESPONSE
5 = LEGITIMATE SKIP
NQ25B 0288 0289 2 WORKED FOR PAY AS RN SINCE GRADUATION-YEARS
RANGE = 01 - 53
NQ26A 0290 0291 2 STATE 1 - LICENSED TO PRACTICE AS RN
RANGE = 01 - 57
NQ26B 0292 0293 2 STATE 2 - LICENSED TO PRACTICE AS RN
RANGE = 01 - 57
NQ26C 0294 0295 2 STATE 3 - LICENSED TO PRACTICE AS RN
NQ26D 0296 0297 2 STATE 1 - LICENSED TO PRACTICE AS RN
FQR10801 0298 0298 1 RECODE: GEOGRAPHIC REGION (FROM NMFI DATA)
1 = NORTHEAST
2 = NORTH CENTRAL
3 = SOUTH
4 = WEST
METRO 0299 0299 1 METROPOLITAN STATUS
1 = METROPOLITAN
2 = NON-METROPOLITAN
NQWT 0300 0307 8 NURSING STAFF WEIGHT - SECOND STAGE INFLATION
FACTOR USED TO PRODUCE NATIONAL ESTIMATES OF
REGISTERED NURSES (4 DECIMAL PLACES IMPLIED)
EXPENSE QUESTIONNAIRE
Tape Positions 1-159
LABEL BC EC LEN DESCRIPTION
EQ_FORM 0001 0002 2 FORM NUMBER (02)
RANGE = 02 - 02
EQ_DOC 0003 0009 7 DOCUMENT 1D (CKDIG10)
RANGE = 1001007 - 7186000
EQ_A1 0010 0011 2 MONTH MOST RECENT FISCAL PERIOD BEGAN
RANGE = 01 - 12
EQ_A2 0012 0013 2 YEAR MOST RECENT FISCAL PERIOD BEGAN
RANGE = 83 - 85
EQ_A3 0014 0015 2 MONTH MOST RECENT FISCAL PERIOD ENDED
RANGE = 01 - 12
EQ_A4 0016 0017 2 YEAR MOST RECENT FISCAL PERIOD ENDED
RANGE = 84 - 86
EQ_1A1 0018 0018 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ_1A2 0019 0026 8 NURSING STAFF PAYROLL EXPENSE
EQ1A2_1 0027 0027 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ1A2_2 0028 0035 8 PHYSICIANS, OTHER PRO/SEMI-PRO PAYROLL EXP.
EQ1A3_1 0036 0036 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ1A3_2 0037 0044 8 ALL OTHER STAFF PAYROLL EXPENSE
EQ1A4_1 0045 0045 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ1A4_2 0046 0054 9 SUBTOTAL OF WAGES AND SALARIES
EQ1B_1 0055 0055 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ1B_2 0056 0063 8 PAYROLL TAXES AND FRINGE BENEFITS
RANGE = 00000000 - 12717973
EQ1C_1 0064 0064 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ1C_2 0065 0074 10 TOTAL PAYROLL EXPENSES
RANGE = 0000001166 - 0052108996
EQ2A_1 0075 0075 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ2A_2 OO76 0083 8 OUTSIDE SOURCES-NURSING SERVICES
EQ2B_1 0084 0084 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ2B_2 0085 0092 8 OUTSIDE SOURCES-MENTAL HEALTH CARE SERVICES
EQ2C_1 0093 0093 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ2C_2 0094 0101 8 OUTSIDE SOURCES-OTHER HEALTH CARE SERVICES
EQ2D_1 0102 0102 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ2D_2 0103 0112 10 TOTAL EXP. OF HEALTH CARE SERV FROM OUTSIDE
EQ3_1 0113 0113 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ3_2 0114 0121 8 EQUIPMENT RENT
EQ4_1 0122 0122 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ4_2 0123 0130 8 INSURANCE (INCL. PROFESSION PUBLIC LIABILITY)
EQ5_1 0131 0131 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ5_2 0132 0139 8 TAXES & LICENSES (INCLUDE FRANCHISE TAX)
EQ6_1 0140 0140 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ6_2 0141 0148 8 INTEREST AND FINANCING CHARGES
EQ7_1 0149 0149 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ7_2 0150 0157 8 RENT ON BUILDING AND LAND
EQ8_1 0158 0158 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ8_2 0159 0166 8 AMORTIZATION OF LEASEHOLD IMPROVEMENTS
Tape Positions 167-342
LABEL BC EC LEN DESCRIPTION
EQ9_1 0167 0167 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ9_2 0168 0175 8 DEPRECIATION CHARGES (BLDG AND EQUIPMENT)
EQ10_1 0176 0176 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ10_2 0177 0184 8 FOOD AND OTHER DIETARY ITEMS
EQ11_1 0185 0185 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ11_2 0186 0193 8 DRUG EXPENSES
EQ12_1 0194 0194 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ12_2 0195 0202 8 SUPPLIES AND EQUIPMENT
EQ13_1 0203 0203 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ13_2 0204 0211 8 PURCHASED MAIN. OF BLDG,GROUNDS,EQUIPMENT
EQ14_1 0212 0212 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ14_2 0213 0220 8 PURCHASED LAUNDRY AND LINEN SERVICES
EQ15_1 0221 0221 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ15_2 0222 0229 8 UTILITIES (PHONE, GAS, WATER, & ELECTRICITY)
EQ16_1 0230 0230 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ16_2 0231 0238 8 OTHER & MISC. EXPENSES(DUES, TRAVEL, ETC)
EQ17_1 0239 0239 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ17_2 0240 0249 10 TOTAL EXPENSES
EQ18A 0250 0250 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ18B 0251 0260 10 PATIENT CARE REVENUES
EQ18A11 0261 0261 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ18A12 0262 0269 8 PUBLIC PAYMENTS-MEDICAID
EQ18A13 0270 0270 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ18A14 0271 0278 8 PUBLIC PAYMENTS-MEDICARE
EQ18A15 0279 0279 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ18A16 0280 0287 8 PUBLIC PAYMENTS-ALL OTHER
EQ18A1SP 0288 0312 25 SPECIFY, OTHER
EQ182_A 0313 0313 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ182_B 0314 0321 8 PRIVATE PAYMENTS
EQ18B_1 0322 0322 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ18B_2 0323 0330 8 NON-PATIENT REVENUES
EQ18C_1 0331 0331 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ18C_2 0332 0341 10 TOTAL REVENUES
EQNOTE1A 0342 0342 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
Tape Positions 343-359
LABEL BE EC LEN DESCRIPTION
EQNOTE2B 0343 0343 1 IMPUTATION INDICATOR
0 = NOT IMPUTED
1 = HAND IMPUTED
2 = MACHINE IMPUTED
EQ_MO2 0344 0345 2 COMPLETION DATE (MONTH)
RANGE = 01 - 12
EQ_DA 0346 0347 2 COMPLETION DATE (DAY)
RANGE = 01 - 31
EQ_YR2 0348 0349 2 COMPLETION DATE (YEAR)
RANGE = 84 - 86
EQI01501 0350 0350 1 IMPUTATION INDICATOR: ALL DATA EXCEPT
EQ17_2 & EQ1C_2
0 = NOT IMPUTED
1 = MANUAL IMPUTATION
2 = COMPUTER IMPUTATION
EQI01502 0351 0351 1 IMPUTATION INDICATOR: ALL DATA EXCEPT
EQ17_2 & EQ1C_2
0 = NOT IMPUTED
1 = MANUAL IMPUTATION
2 = COMPUTER IMPUTATION
EQI01601 0352 0352 1 IMPUTATION INDICATOR: EQ18A12
0 = NOT IMPUTED
1 = MANUAL IMPUTATION
2 = COMPUTER IMPUTATION
EQI01602 0353 0353 1 IMPUTATION INDICATOR: EQ18A14
0 = NOT IMPUTED
1 = MANUAL IMPUTATION
2 = COMPUTER IMPUTATION
EQI01603 0354 0354 1 IMPUTATION INDICATOR: EQ18A16
0 = NOT IMPUTED
1 = MANUAL IMPUTATION
2 = COMPUTER IMPUTATION
FQR00601 0355 0355 1 RECODE: FQ2A OWNERSHIP
1 = PROPRIETARY
2 = ALL OTHERS
FQR02001 0356 0356 1 CERTIFICATION RECODE
1 = ICF AND SNF (MEDICARE)
2 = ICF AND SNF (MEDICAID)
3 = ICF AND SNF (BOTH MEDICARE AND MEDICAID)
4 = SNF (BOTH MEDICARE AND MEDICAID)
5 = SNF (MEDICARE)
6 = SNF (MEDICAID)
7 = ICF ONLY
8 = NOT CERTIFIED
9 = NONRESPONSE
FQR10801 0357 0357 1 RECODE: GEOGRAPHIC REGION (FROM NMFI DATA)
1 = NORTHEAST
2 = NORTH CENTRAL
3 = SOUTH
4 = WEST
METRO 0358 0358 1 METROPOLITAN STATUS
1 = METROPOLITAN
2 = NON-METROPOLITAN
0359 0366 8 EXPENSE WEIGHT
NURSING STAFF SAMPLING LIST
LABEL BC EC LEN DESCRIPTION
------ ---- ---- --- ------------
NSL_FORM 0001 0002 2 FORM NUMBER (03)
RANGE = 03 - 03
NSL_ODC 0003 0009 7 DOCUMENT ID (CKDIG10)
RANGE = 1001007 - 718700B
NSLC 0010 0013 4 REGISTERED NURSES - FACILITY TOTAL
NSlD 0014 0015 2 TOTAL IN SAMPLE
FQR02001 0016 0016 1 CERTIFICATION RECODE
1 = ICF AND SNF (MEDICARE)
2 = ICF AND SNF (MEDICAID)
3 = ICF AND SNF (BOTH MEDICARE AND MEDICAID)
4 = SNF (BOTH MEDICARE ANO MEDICAID)
5 = SNF (MEDICARE)
6 = SNF (MEDICAID)
7 = ICF ONLY
8 = NOT CERTIFIED
9 = NONRESPONSE
FQR10171 0017 0017 1 RECODE: GEOGRAPHIC REGION (FROM NMFI DATA)
1 = NORTHEAST
2 = NORTH CENTRAL
3 = SOUTH
4 = WEST
METRO 0018 0018 1 METROPOLITAN STATUS
1 = METROPOLITAN
2 = NON-METROPOLITAN
CURRENT RESIDENT SAMPLING QUESTIONNAIRE
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CSL_FORM 0001 0002 2 FORM NUMBER (05)
RANGE = 05 - 05
CSL_ODC 0003 0009 7 DOCUMENT ID (CKDIG10)
RANGE = 1001007 - 7187008
CSLB 0010 0013 4 CURRENT RESIDENTS - FACILITY TOTAL
(ALL CASES WITH 300 RESIDENTS OR MORE ARE CODED "300")
CSLC 0014 0015 2 TOTAL IN SAMPLE
RANGE = 03 - 07
FQR02001 0016 0016 1 CERTIFICATION RECODE
1 = ICF AND SNF (MEDICARE)
2 = ICF AND SNF (MEDICAID)
3 = ICF AND SNF (BOTH MEDICARE AND MEDICAID)
4 = SNF (BOTH MEDICARE AND MEDICAID)
5 = SNF (MEDICARE)
6 = SNF (MEDICAID)
7 = ICF ONLY
8 = NOT CERTIFIED
9 = NONRESPONSE
FQR10801 0017 0017 1 RECODE: GEOGRAPHIC REGION (FROM NMFI DATA)
1 = NORTHEAST
2 = NORTH CENTRAL
3 = SOUTH
4 = WEST
METRO 0018 0018 1 METROPOLITAN STATUS
1 = METROPOLITAN
2 = NON-METROPOLITAN
DISCHARGE RESIDENT SAMPLING LIST
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DSL_FORM 0001 0002 2 FORM NUMBER (07)
RANGE = 07 - 07
DSL_DOC 0003 0009 7 DOCUMENT ID (CKDIG10)
DSLB_1MO 0010 0011 2 REFERENCE PERIOD FOR DISC BEGINNING SAMPLE MO.
DSLB_1DA 0012 0013 2 REFERENCE PERIOF FOR DISC BEGINNING SAMPLE DAY
DSLB_1YR 0014 0015 2 REFERENCE PERIOD FOR DISC BEGINNING SAMPLE YR.
DSLB_2MO 0016 0017 2 REFERENCE PERIOD FOR DISC ENDING SAMPLE MO.
DSLB_2DA 0018 0019 2 REFERENCE PERIOD FOR DISC ENDING SAMPLE DAY
DSLB_2YR 0020 0021 2 REFERENCE PERIOD FOR DISC ENDING SAMPLE YR.
DSLC 0022 0025 4 TOTAL DISCHARGES LISTED
DSLD 0026 0027 2 TOTAL IN SAMPLE
FQR02001 0028 0028 1 CERTIFICATION RECODE
1 = ICF AND SNF (MEDICARE)
2 = ICF AND SNF (MEDICAID)
3 = ICF AND SNF (BOTH MEDICARE AND MEDICAID)
4 = SNF (BOTH MEDICARE AND MEDICAID)
5 = SNF (MEDICARE)
6 = SNF (MEDICAID)
7 = ICF ONLY
8 = NOT CERTIFIED
9 = NONRESPONSE
FQR10801 0029 0029 1 RECODE.- GEOGRAPHIC REGION (FROM NMFI DATA)
1 = NORTHEAST
2 = NORTH CENTRAL
3 = SOUTH
4 = WEST
METRO 0030 0030 1 METROPOLITAN STATUS
1 = METROPOLITAN
2 = NON-METROPOLITAN
DISCHARGED RESIDENT QUESTIONNAIRE
Positions 1 - 46
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DR_FORM 0001 0002 2 FORM NUMBER (08)
RANGE = 08 - 08
DR_DOC 0003 0009 7 DOCUMENT ID (CKDIG10)
DR_ABS 0010 0010 1 ABSTRACTION CODE
0 = NOT ABSTRACTED
1 = ABSTRACTED
2 = NONRESPONSE
DRC_MO 0011 0012 2 DATE OF INTERVIEW (MONTH)
RANGE = 01 - 12
DRC_DA 0013 0014 2 DATE OF INTERVIEW (DAY)
DRC_YR 0015 0016 2 DATE OF INTERVIEW (YEAR)
DRF_MO 0017 0018 2 DATE OF DISCHARGE (MONTH)
RANGE = 01 - 12
DRF_DA 0019 0020 2 DATE OF DISCHARGE (DAY)
RANGE = 01 - 31
DRF_YR 0021 0022 2 DATE OF DISCHARGE (YR)
RANGE = 83 - 86
DR1 0023 0023 1 WHAT IS THE SEX OF THIS RESIDENT
1 = MALE
2 = FEMALE
3 = NONRESPONSE
DR2_MO 0024 0025 2 DISCHARGED RESIDENT'S DATE OF BIRTH (MONTH)
RANGE = 01 - 12
DR2_YR 0026 0029 4 DISCHARGED RESIDENT'S DATE OF BIRTH (YEAR)
RANGE = 1876 - 1982
DR3A 0030 0030 1 RACIAL BACKGROUND THAT BEST DESCRIBES RESIDENT
1 = WHITE
2 = BLACK
3 = AMERICAN INDIAN OR ALASKA NATIVE
4 = ASIAN OR PACIFIC ISLANDER
5 = NO DATA IN RECORD
6 = NOT KNOWN
7 = MULTIPLE RESPONSE
8 = NONRESPONSE
DR3B 0031 0031 1 IS RESIDENT HISPANIC OR NOT
1 = HISPANIC
2 = NOT HISPANIC
3 = NO DATA IN RECORD
4 = NOT APPLICABLE
5 = NOT KNOWN
6 = MULTIPLE RESPONSE
7 = NONRESPONSE
DR4A 0032 0033 2 RESIDENT'S MARITAL STATUS AT ADMISSION
1 = MARRIED
2 = WIDOWED
3 = DIVORCED
4 = SEPARATED
5 = NEVER MARRIED
6 = NO DATA IN RECORD
7 = DON'T KNOW
8 = MULTIPLE RESPONSE
9 = REFUSAL
10 = NONRESPONSE
DR4B 0034 0035 2 RESIDENT'S MARITAL STATUS AT DISCHARGE
1 = MARRIED
2 = WIDOWED
3 = DIVORCED
4 = SEPARATED
5 = NEVER MARRIED
6 = NO DATA IN RECORD
7 = DON'T KNOW
8 = MULTIPLE RESPONSE
9 = REFUSAL
10 = NONRESPONSE
DR6_MO 0036 0037 2 DATE OF ADMISSION PRIOR TO DISCHARGE DATE(MO)
RANGE = 01 - 12
DR6_DA 0038 0039 2 DATE OF ADMISSION PRIOR TO DISCHARGE DATE(DA)
RANGE = 01 - 31
DR6_YR 0040 0041 2 DATE OF ADMISSION PRIOR TO DISCHARGE DATE(YR)
RANGE = 32 - 86
DR7A 0042 0043 2 RESIDENT'S RESIDENCE BEFORE ENTERING FACILITY
1 = PRIVATE RESIDENCE (HOUSE OR APT)
2 = RENTED ROOM, BOARDING HOUSE
3 = RETIREMENT HOME
4 = ANOTHER HEALTH(INCLUDING MENTAL HEALTH)
FACILITY
5 = OTHER ARRANGEMENT
6 = NO DATA IN RECORD
7 = DON'T KNOW
8 = MULTIPLE RESPONSE
9 = REFUSAL
10 = NONRESPONSE
DR7B 0044 0044 1 WAS RES. LIVING WITH FAM MEMBERS,NONFAM,ALONE
1 = WITH FAMILY MEMBERS
2 = WITH NON-FAMILY MEMBERS
3 = ALONE
4 = NO DATA IN RECORD
5 = NOT APPLICABLE
6 = NOT KNOWN
7 = REFUSAL
8 = NONRESPONSE
9 = LEGITIMATE SKIP
DR7C 0045 0046 2 WHAT TYPE OF FACILITY WAS IT?
1 = DOMICILIARY OR PERSONAL CARE FACILITY
2 = INTERMEDIATE CARE FACILITY(ICF)
3 = SKILLED NURSING FACILITY(SNF)
4 = FACILITY FOR MENTALLY RETARDED
5 = GENERAL OR SHORT-TERM HOSPITAL EXCEPT
PHYCHIATRIC
6 = GENERAL OR SHORT-TERM HOSPITAL PSYCHIATRIC UNIT
7 = VETERAN'S HOSPITAL
8 = MENTAL HEALTH CENTER
9 = RESIDENTIAL FACILITY GROUP HOME CORP APT,
FAM/FOS
10 = STATE MENTAL HOSPITAL
11 = PRIVATE MENTAL HOSPITAL
12 = CHRONIC DISEASE,REHAB,GERIATIC,LONG,TERM CARE
HOSPITAL
13 = HOSPICE
14 = HOME HEALTH AGENCY
15 = OTHER, (SPECIFY)
16 = NO DATA IN RECORD
17 = DON'T KNOW
18 = MULTIPLE RESPONSE
19 = NONRESPONSE
20 = LEGITIMATE SKIP
Positions 47 - 63
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DR7D 0047 0049 3 NUM8ER OF NIGHTS RESIDENT STAYED IN HOSPITAL
RANGE = 001 - 548
DR7E 0050 0051 2 RES. RESIDENCE IMMED. BEFORE ENTER THAT FAC.
1 = PRIVATE RESIDENCE (HOUSE OR APARTMENT)
2 = RENTED ROOM, BOARDING HOUSE
3 = RETIREMENT HOME
4 = THIS FACILITY
5 = ANOTHER NURSING HOME
6 = ANOTHER HEALTH FACILITY(INCLD MENTAL HEALTH)
7 = OTHER ARRANGEMENT(SPECIFY)
8 = NO DATA IN RECORD
9 = NOT APPLICABLE
10 = NOT KNOWN
11 = MULTIPLE RESPONSE
12 = NONRESPONSE
13 = LEGITIMATE SKIP
DR7F 0052 0053 2 WAS RESIDENT LIVING WITH FAM MEM,NON-FAM,ALONE
1 = WITH FAMILY MEMBERS
2 = WITH NON-FAMILY MEMBERS
3 = ALONE
4 = NO DATA IN RECORD
5 = NOT APPLICABLE
6 = NOT KNOWN
7 = MULTIPLE RESPONSE
8 = REFUSAL
9 = NONRESPONSE
10 = LEGITIMATE SKIP
DR8A 0054 0054 1 WAS RES EVER ADMITTED TO A SHORT-STAY HOSPITAL
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = NOT APPLICABLE
5 = NOT KNOWN
6 = NONRESPONSE
DR8B 0055 0056 2 NUMBER OF STAYS IN SHORT-STAY HOSPITALS
RANGE = 01 - 21
DR9 0057 0057 1 ON DATE OF DISCHARGE,WAS RES. DISCHARGED ALIVE
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = DON'T KNOW
5 = NONRESPONSE
DR10A 0058 0059 2 WHERE DID RES. STAY IMMEDIATELY AFTER DISCHARGE
1 = PRIVATE RESIDENCE(HOUSE OR APT)
2 = RENTED ROOM, BOARDING HOUSE
3 = RETIREMENT HOME
4 = ANOTHER HEALTH CARE FACILITY
5 = OTHER ARRANGEMENTS
6 = NO DATA IN RECORD
7 = DON'T KNOW
8 = MULTIPLE RESPONSE
9 = REFUSAL
10 = NONRESPONSE
11 = LEGITIMATE SKIP
DR10B 0060 0061 2 WHAT TYPE OF FACILITY WAS IT
1 = DOMICILIARY OR PERSONAL CARE FACILITY
2 = INTERMEDIATE CARE FACILITY(ICF)
3 = SKILLED NURSING FACILITY(SNF)
4 = FACILITY FOR MENTALLY RETARDED
5 = GENERAL OR SHORT-TERM HOSPITAL EXCEPT PSYCHIATRIC
6 = GENERAL OR SHORT-TERM HOSPITAL PSYCHIATRIC UNIT
7 = VETERAN'S HOSPITAL
8 = MENTAL HEALTH CENTER
9 = RESIDENTIAL FACILITY GROUP HOME.CORP APT,FAM/FOS
10 = STATE MENTAL HOSPITAL
11 = PRIVATE MENTAL HOSPITAL
12 = CHRONIC DISEASE,REHAB,GERIATRIC OR OTHER HOSPITAL
13 = HOSPICE
14 = HOME HEALTH AGENCY
15 = OTHER(SPECIFY)
16 = NO DATA IN RECORD
17 = DON'T KNOW
18 = MULTIPLE RESPONSE
19 = REFUSAL
20 = NONRESPONSE
21 = LEGITIMATE SKIP
DR10C 0062 0062 1 DID RESIDENT DIE IN THIS OTHER HEALTH FACILITY
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = DON'T KNOW
5 = NONRESPONSE
6 = LEGITIMATE SKIP
DR11A 0063 0063 1 HAS RESIDENT HAD ANY OTHER STAYS AT THIS FAC.
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = DON'T KNOW
5 = NONRESPONSE
Positions 64 - 118
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DR11B 0064 0065 2 #OF TIMES RESIDENT BEEN A RESIDENT IN THIS FAC
DR11C1AM 0066 0067 2 1ST ADMISSION (MONTH)
DR11C1AD 0068 0069 2 1ST ADMISSION (DAY)
DR11C1AY 0070 0071 2 1ST ADMISSION (YEAR)
DR11C1BM 0072 0073 2 1ST DISCHARGE (MONTH)
DR11C1BD 0074 0075 2 1ST DISCHARGE (DAY)
DR11C1BY 0076 0077 2 1ST DISCHARGE (YEAR)
DR11C2_1 0078 0078 1 WAS DISCH TO A SHORT STAY OR GENERAL HOSPITAL
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = NOT APPLICABLE
5 = NOT KNOWN
6 = OUT-OF-RANGE RESPONSE
7 = REFUSAL
8 = NONRESPONSE
9 = LEGITIMATE SKIP
DR11C2AM 0079 0080 2 2ND ADMISSION (MONTH)
DR11C2AD 0081 0082 2 2ND ADMISSION (DAY)
DR11C2AY 0083 0084 2 2ND ADMISSION (YEAR)
DR11C2BM 0085 0086 2 2ND DISCHARGE (MONTH)
DR11C2BD 0087 0088 2 2ND DISCHARGE (DAY)
DR11C2BY 0089 0090 2 2ND DISCHARGE (YEAR)
DR11C2_2 0091 0092 2 WAS DISCH TO A SHORT STAY OR GENERAL HOSPITAL
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = NOT APPLICABLE
5 = NOT KNOWN
6 = OUT-OF-RANGE RESPONSE
7 = MULTIPLE RESPONSE
8 = REFUSAL
9 = NONRESPONSE
10 = LEGITIMATE SKIP
DR11C3AM 0093 0094 2 3RD ADMISSION (MONTH)
DR11C3AD 0095 0096 2 3RD ADMISSION (DAY)
DR11C3AY 0097 0098 2 3RD ADMISSION (YEAR)
DR11C3BM 0099 0100 2 3RD DISCHARGE (MONTi1)
DR11C3BD 0101 0102 2 3RD DISCHARGE (DAY)
DR11C3BY 0103 0104 2 3RD DISCHARGE (YEAR)
DR11C2_3 0105 0105 1 WAS DISCH TO A SHORT STAY OR GENERAL HOSPITAL
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = NOT APPLICABLE
5 = NOT KNOWN
6 = OUT-OF-RANGE RESPONSE
7 = REFUSAL
8 = NONRESPONSE
9 = LEGITIMATE SKIP
DR11C4AM 0106 0107 2 4TH ADMISSION (MONTH)
DR11C4AD 0108 0109 2 4TH ADMISSION (DAY)
DR11C4AY 0110 0111 2 4TH ADMISSION (YEAR)
DR11C4BM 0112 0113 2 4TH DISCHARGE (MONTH)
DR11C4BD 0114 0115 2 4TH DISCHARGE (DAY)
DR11C4BY 0116 0117 2 4TH DISCHARGE (YEAR)
DR11C2_4 0118 0118 1 WAS DISCH TO A SHORT STAY OR GENERAL HOSPITAL
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = NOT APPLICABLE
5 = NOT KNOWN
6 = REFUSAL
7 = NONRESPONSE
8 = LEGITIMATE SKIP
Positions 119 - 170
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DR11C5AM 0119 0120 2 5TH ADMISSION (MONTH)
DR11C5AD 0121 0122 2 5TH ADMISSION (DAY)
DR11C5AY 0123 0124 2 5TH ADMISSION (YEAR)
DR11C5BM 0125 0126 2 5TH DISCHARGE (MONTH)
DR11C5BD 0127 0128 2 5TH DISCHARGE (DAY)
DR11C5BY 0129 0130 2 5TH DISCHARGE (YEAR)
DR11C2_5 0131 0131 1 WAS DISCH TO A SHORT STAY OR GENERAL HOSPITAL
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = NOT APPLICABLE
5 = NOT KNOWN
6 = REFUSAL
7 = NONRESPONSE
8 = LEGITIMATE SKIP
DR11C6AM 0132 0133 2 6TH ADMISSION (MONTH)
DR11C6AD 0134 0135 2 6TH ADMISSION (DAY)
DR11C6AY 0136 0137 2 6TH ADMISSION (YEAR)
DR11C6BM 0138 0139 2 6TH DISCHARGE (MONTH)
DR11C6BD 0140 0141 2 6TH DISCHARGE (DAY)
DR11C68Y 0142 0143 2 6TH DISCHARGE (YEAR)
DR11C2_6 0144 0144 1 WAS DISCH TO A SHORT STAY OR GENERAL HOSPITAL
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = NOT APPLICABLE
5 = NOT KNOWN
6 = REFUSAL
7 = NONRESPONSE
8 = LEGITIMATE SKIP
DR11C7AM 0145 0146 2 7TH ADMISSION (MONTH)
DR11C7AD 0147 0148 2 7TH ADMISSION (DAY)
DR11C7AY 0149 0150 2 7TH ADMISSION (YEAR)
DR11C7BM 0151 0152 2 7TH DISCHARGE (MONTH)
DR11C7BD 0153 0154 2 7TH DISCHARGE (DAY)
DR11C7BY 0155 0156 2 7TH DISCHARGE (YEAR)
DR11C2_7 0157 0157 1 WAS DISCH TO A SHORT STAY OR GENERAL HOSPITAL
1 = YES
2 = NO
3 = NO DATA IN RECORD
1 = NOT APPLICABLE
5 = NOT KNOWN
6 = REFUSAL
7 = NONRESPONSE
8 = LEGITIMATE SKIP
DR11C8AM 0158 0159 2 8TH ADMISSION (MONTH)
DR11C8AD 0160 0161 2 8TH ADMISSION (DAY)
DR11C8AY 0162 0163 2 8TH ADMISSION (YEAR)
DR11C8BM 0164 0165 2 8TH DISCHARGE (MONTH)
DR11C8BD 0166 0167 2 8TH DISCHARGE (DAY)
DR11C8BY 0168 0169 2 8TH DISCHARGE (YEAR)
DR11C2_8 0170 0170 1 WAS DISCH TO A SHORT STAY OR GENERAL HOSPITAL
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = NOT APPLICABLE
5 = REFUSAL
6 = NONRESPONSE
7 = LEGITIMATE SKIP
Positions 171 - 218
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DR11_INT 0171 0171 1 ARE ANY DATES AFTER DATE OF DISCHARGE
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = MULTIPLE RESPONSE
5 = NONRESPONSE
6 = LEGITIMATE SKIP
DR11D 0172 0172 1 IS RESIDENT STILL A RESIDENT
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = DON'T KNOW
5 = NONRESPONSE
6 = LEGITIMATE SKIP
DR11E 0173 0173 1 WAS RESIDENT DISCHARGED ALIVE
1 = YES
2 = NO
3 = NEVER KNOW
4 = DON'T KNOW
5 = NONRESPONSE
6 = LEGITIMATE SKIP
DR11F 0174 0175 2 WHERE DID RESIDENT GO AFTER DISCHARGE
1 = PRIVATE HOUSE OR APARTMENT
2 = RETIREMENT HOME
3 = BOARDING HOUSE ROOMING HOUSE OR RENTED ROOM
4 = FAMILY/FOSTER CARE HOME
5 = HOSPICE
6 = ANOTHER HEALTH (INCLD MENTAL HEALTH) FACILITY
7 = OTHER ARRANGEMENT, (SPECIFY)
8 = NO DATA IN RECORD
9 = DON'T KNOW
10 = NONRESPONSE
11 = LEGITIMATE SKIP
DR12A 0176 0176 1 WAS RESIDENT EVER IN ANY OTHER NURSING HOME
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = DON'T KNOW
5 = MULTIPLE RESPONSE
6 = NONRESPONSE
DR12B 0177 0178 2 HOW MANY DIFF NURSING HOMES DID RES. RESIDE
DR12C_YR 0179 0180 2 TOTAL LENGTH OF TIME SPENT IN OTHER HOMES YEARS
DR12C_MO 0181 0182 2 TOTAL LENGTH OF TIME SPENT IN OTHER HOMES MONTH
DR12E 0183 0184 2 # OF TIMES RES WAS IN NAME1 FACILITY
DR12F1AM 0185 0186 2 DATE ADMITTED (MONTH)
DR12F1AY 0187 0188 2 DATE ADMITTED (YEAR)
DR12F1BM 0189 0190 2 DATE DISCHARGED (MONTH)
DR12F1BY 0191 0192 2 DATE DISCHARGED (YEAR)
DR12F2AM 0193 0194 2 DATE ADMITTED (MONTH)
DR12F2AY 0195 0196 2 DATE ADMITTED (YEAR)
DR12F2BM 0197 0198 2 DATE DISCHARGED (MONTH)
DR12F2BY 0199 0200 2 DATE DISCHARGED (YEAR)
DR12F3AM 0201 0202 2 DATE ADMITTED (MONTH)
DR12F3AY 0203 0204 2 DATE ADMITTED (YEAR)
DR12F3BM 0205 0206 2 DATE DISCHARGED (MONTH)
DR12F3BY 0207 0208 2 DATE DISCHARGED (YEAR)
DR12G 0209 0210 2 # OF TIMES RESIDENT WAS IN NAME2 FACILITY
DR12H1AM 0211 0212 2 DATE ADMITTED (MONTH)
DR12H1AY 0213 0214 2 DATE ADMITTED (YEAR)
DR12H1BM 0215 0216 2 DATE DISCHARGED (MONTH)
DR12H1BY 0217 0218 2 DATE DISCHARGED (YEAR)
Positions 219 - 437
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DR12H2AM 0219 0220 2 DATE ADMITTED (MONTH)
DR12H2AY 0221 0222 2 DATE ADMITTED (YEAR)
DR12H2BM 0223 0224 2 DATE DISCHARGED (MONTH)
DR12H2BY 0225 0226 2 DATE DISCHARGED (YEAR)
DR12H3AM 0227 0228 2 DATE ADMITTED (MONTH)
DR12H3AY 0229 0230 2 DATE ADMITTED (YEAR)
DR12H38M 0231 0232 2 DATE DISCHARGED (MONTH)
DR12H3BY 0233 0234 2 DATE DISCHARGED (YEAR)
DR121 0235 0236 2 # OF TIMES RESIDENT WAS IN NAME3 FACILITY
DR12J1AM 0237 0238 2 DATE ADMITTED (MONTH)
DR12J1AY 0239 0240 2 DATE ADMITTED (YEAR)
DR12J1BM 0241 0242 2 DATE DISCHARGED (MONTH)
DR12J1BY 0243 0244 2 DATE DISCHARGED (YEAR)
DR12J2AM 0245 0246 2 DATE ADMITTED (MONTH)
DR12J2AY 0247 0248 2 DATE ADMITTED (YEAR)
DR12J2BM 0249 0250 2 DATE DISCHARGED (MONTH)
DR12J2BY 0251 0252 2 DATE DISCHARGED (YEAR)
DR12J3AM 0253 0254 2 DATE ADMITTED (MONTH)
DR12J3AY 0255 0256 2 DATE ADMITTED (YEAR)
DR12J3BM 0257 0258 2 DATE DISCHARGED (MONTH)
DR12J3BY 0259 0260 2 DATE DISCHARGED (YEAR)
DR14_1A 0261 0265 5 ADM-PRIM DIAGNOSIS ICD-9 CODE
DR14_1C 0266 0271 6 ADM-PRIM DIAGNOSIS - E OR V CODE
DR14_2A 0272 0276 5 ADM-DIAGNOSIS1 ICD-9 CODE
DR14_2C 0277 0282 6 ADM-DIAGNOSIS1 - E OR V CODE
DR14_3A 0283 0287 5 ADM-DIAGNOSIS2 ICD-9 CODE
DR14_3C 0288 0293 6 ADM-DIAGNOSIS2 - E OR V CODE
DR14_4A 0294 0298 5 ADM-DIAGNOSIS3 ICD-9 CODE
DR14_4C 0299 0304 6 ADM-DIAGNOSIS3 - E OR V CODE
DR14_5A 0305 0309 5 ADM-DIAGNOSIS4 ICD-9 CODE
DR14_SC 0310 0315 6 ADM-DIAGNOSIS4 - E OR V CODE
DR14_6A 0316 0320 5 ADM-DIAGNOSIS5 ICD-9 CODE
DR14_6C 0321 0326 6 ADM-DIAGNOSIS5 - E OR V CODE
DR14_7A 0327 0331 5 ADM-DIAGNOSIS6 ICD-9 CODE
DR14_7C 0332 0337 6 ADM-DIAGNOSIS6 - E OR V CODE
DR14_8A 0338 0342 5 ADM-DIAGNOSIS7 ICD-9 CODE
DR14_8C 0343 0348 6 ADM-DIAGNOSIS7 - E OR V CODE
DR15_1A 0349 0353 5 DISC-PRIM DIAGNOSIS ICD-9 CODE
DR15_1C 0354 0359 6 DISC-PRIM DIAGNOSIS - E OR V CODE
DR15_2A 0360 0364 5 DISC-DIAGNOSIS1 ICD-9 CODE
DR15_2C 0365 0370 6 DISC-DIAGNOSIS1 - E OR V CODE
DR15_3A 0371 0375 5 DISC-DIAGNOSIS2 ICD-9 CODE
DR15_3C 0376 0381 6 DISC-DIAGNOSIS2 - E OR V CODE
DR15_4A 0382 0386 5 DISC-DIAGNOSIS3 ICD-9 CODE
DR15_4C 0387 0392 6 DISC-DIAGNOSIS3 - E OR V CODE
DR14_A 0393 0397 5 DISC-DIAGNOSIS4 ICD-9 CODE
DR15_SC 0398 0403 6 DISC-DIAGNOSIS4 - E OR V CODE
DR15_6A 0404 0408 5 DISC-DIAGNOSIS5 ICD-9 CODE
DR15_6C 0409 0414 6 DISC-DIAGNOSIS5 - E OR V CODE
DR15_7A 0415 0419 5 DISC-DIAGNOSIS6 ICD-9 CODE
DR15_7C 0420 0425 6 DISC-DIAGNOSIS6 - E OR V CODE
DR15_8A 0126 0130 5 DISC-DIAGNOSIS7 ICD-9 CODE
DR15_8C 0431 0436 6 DISC-DIAGNOSIS7 - E OR V CODE
DR16A 0437 0437 1 1 WEEK BEFORE DISCHARGE WAS PATIENT BEDFAST
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = NOT APPLICABLE
5 = NOT KNOWN
6 = MULTIPLE RESPONSE
7 = NONRESPONSE
Positions 438 - 450
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DR16B 0438 0438 1 1 WEEK BEFORE DISCHARGE WAS PATIENT CHAIRFAST
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = NOT APPLICABLE
5 = NOT KNOWN
6 = MULTIPLE RESPONSE
7 = NONRESPONSE
8 = LEGITIMATE SKIP
DR17 0439 0439 1 BEFORE DISC. DID PAT. HAVE DIFF. CONTROL BOWELS
1 = YES
2 = NO
3 = NOT APPLICABLE,HAD AN OSTOMY
4 = NO DATA IN RECORD
5 = NOT APPLICABLE
6 = NOT KNOWN
7 = MULTIPLE RESPONSE
8 = NONRESPONSE
DR18 0440 0440 1 BEFORE DISC. DID PAT. HAVE DIFF CONTROL BLADDER
1 = YES
2 = NO
3 = NOT APPLICABLE,HAD OSTOMY,INDWELL CATHETER
4 = NO DATA IN RECORD
5 = NOT APPLICABLE
6 = NOT KNOWN
7 = MULTIPLE RESPONSE
8 = NONRESPONSE
DRBOX1 0441 0441 1 DO YOU HAVE CHARGES AND PAYMENT SOURCES
1 = YES
2 = NO
3 = MULTIPLE RESPONSE
4 = REFUSAL
5 = NONRESPONSE
DRBOX2 0442 0442 1 WAS RESIDENT ADMITTED SAME MO. AS DISCHARGED
1 = YES
2 = NO
3 = NO DATA IN RECORD
4 = NOT KNOWN
5 = MULTIPLE RESPONSE
6 = NONRESPONSE
DR19_1 0443 0443 1 ALL SOURCES, INCOME, FAMILY SUPPORT, INS.
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = OUT-OF-RANGE RESPONSE
4 = REFUSAL
5 = NONRESPONSE
6 = LEGITIMATE SKIPS
DR19_2 0444 0444 1 ALL SOURCES, MEDICARE
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
5 = LEGITIMATE SKIP
DR19_3 0445 0445 1 ALL SOURCES, MEDICAID-SKILLED NURSING
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
5 = LEGITIMATE SKIP
DR19_4 0446 0446 1 ALL SOURCES, MEDICAID INTERMEDIATE CARE
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = OUT OF RANGE RESPONSE
4 = REFUSAL
5 = NONRESPONSE
6 = LEGITIMATE SKIP
DR19_5 0447 0447 1 ALL SOURCES, STATE FUNDED INDIGENT CARE
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
5 = LEGITIMATE SKIP
DR19_6 0448 0448 1 ALL SOURCES, OTHER GOVERNMENT ASST OR WELFARE
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
5 = LEGITIMATE SKIP
DR19_7 0449 0449 1 ALL SOURCES, ORG, FOUNDATIONS, VOL AGENCIES
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
5 = LEGITIMATE SKIP
DR19_8 0450 0450 1 ALL SOURCES, VA CONTRACT
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
5 = LEGITIMATE SKIP
Positions 451 - 466
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DR19_9 0451 0451 1 ALL SOURCES, INITIAL PAYMENT-LIFE CARE FUNDS
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
5 = LEGITIMATE SKIP
DR19_10 0452 0452 1 ALL SOURCES, NO CHARGE MADE FOR CARE
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
5 = LEGITIMATE SKIP
DR19_11 0453 0453 1 ALL SOURCES, NOT YET DETERMINED
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
5 = LEGITIMATE SKIP
DR19_ 12 0454 0454 1 ALL SOURCES, OTHER
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
5 = LEGITIMATE SKIP
DR20 0455 0456 2 PRIMARY SOURCE OF PAYMENT
1 = OWN INCOME
2 = MEDICARE
3 = MEDICAID-SKILLED
4 = MEDICAID INTERMEDIATE CARE
5 = STATE FUNDED INDIGENT CARE
6 = GOVERNMENT ASST. OR WELFARE
7 = RELIG.ORG,FOUNDATIONS,VOL AGEN.
8 = VA CONTRACT
9 = INITIAL PAYMENT-LIFE CARE FUNDS
10 = NO CHARGE MADE FOR CARE
11 = PAYMENT SOURCE NOT YET DETERMINED
12 = OTHER
13 = NO DATA IN RECORD
14 = NOT APPLICABLE
15 = NOT KNOWN
16 = OUT-OF-RANGE RESPONSE
17 = MULTIPLE RESPONSE
18 = REFUSAL
19 = NONRESPONSE
20 = LEGITIMATE SKIP
DR21_1 0457 0457 1 ALL SOURCES,INCOME,FAMILY SUPPORT, INS.
1 = APPLICA8LE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
DR21_2 0458 0458 1 ALL SOURCES, MEDICARE
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
DR21_3 0459 0459 1 ALL SOURCES, MEDICAID-SKILLED NURSING
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
DR21_4 0460 0460 1 ALL SOURCES, MEDICAID INTERMEDIATE CARE
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
DR21_5 0461 0461 1 ALL SOURCES, STATE FUNDED INDIGENT CARE
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
DR21_6 0462 0462 1 ALL SOURCES,OTHER GOVERNMENT ASST OR WELFARE
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
DR21_7 0463 0463 1 ALL SOURCES,RELIGIOUS ORG,FOUNDATIONS,VOL AGEN.
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
DR21_8 0464 0464 1 ALL SOURCES, VA CONTRACT
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
DR21_9 0465 0465 1 ALL SOURCES, INITIAL PAYMENT-LIFE CARE FUNDS
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
DR21_10 0466 0466 1 ALL SOURCES, NO CHARGE MADE FOR CARE
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
Positions 467 - 496
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DR21_11 0467 0467 1 ALL SOURCES, NOT YET DETERMINED
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
DR21_12 0468 0468 1 ALL SOURCES ,OTHER
1 = APPLICABLE
2 = NO DATA IN RECORD
3 = REFUSAL
4 = NONRESPONSE
DR22 0469 0470 2 PRIMARY SOURCE, INCOME,FAMILY SUPPORT, INS.
1 = OWN INCOME
2 = MEDICARE
3 = MEDICAID-SKILLED
4 = MEDICAID INTERMEDIATE CARE
5 = STATE FUNDED INDIGENT CARE
6 = GOVERNMENT ASST. OR WELFARE
7 = RELIG.ORG,FOUNDATIONS,VOL AGEN.
8 = VA CONTRACT
9 = INITIAL PAYMENT-LIFE CARE FUNDS
10 = NO CHARGE MADE FOR CARE
11 = PAYMENT SOURCE NOT YET DETERMINED
12 = OTHER
13 = NO DATA IN RECORD
14 = NOT APPLICABLE
15 = MULTIPLE RESPONSE
16 = REFUSAL
17 = NONRESPONSE
DR_CID1 0471 0477 7 CURRENT RESIDENT ID OVERLAP 1 (CKDIG10)
DR_DID1 0478 0484 7 DISCHARGE ID OVERLAP 1 (CKDIG10)
DR_0102 0485 0491 7 DISCHARGE ID OVERLAP 2 (CKDIG10)
DR_OVBOX 0492 0492 1 OVERLAP CASES BOX
1 = NONE
2 = NONRESPONSE
DRR00901 0493 0496 4 LENGTH OF STAY RECODE
Positions 497 - 498
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR03901 0497 0498 2 PRIMARY ADM. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC RRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
10 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION, N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS,SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 499 - 500
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR04001 0499 0500 2 2ND LISTED ADM. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUODENOM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION, N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 501 - 502
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR04101 0501 0502 2 3RD LISTED ADM. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSONS DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION. N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 503 - 504
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR04201 0503 0504 2 4TH LISTED ADM. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION. N.E.C
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 505 - 506
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR04301 0505 0506 2 5TH LISTED ADM. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUDDENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION, N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 507 - 508
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR04401 0507 0508 2 6TH LISTED ADM. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUDDENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION, N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 509 - 510
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR04501 0509 0510 2 7TH LISTED ADM. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUDDENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION, N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 511 - 512
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR04601 0511 0512 2 8TH LISTED ADM, DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUDDENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION, N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 513 - 514
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR04701 0513 0514 2 PRIMARY DISCH. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUDDENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION, N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 515 - 516
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR04801 0515 0516 2 2ND LISTED DISCH. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUDDENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION, N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 517 - 518
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR04901 0517 0518 2 3RD LISTED DISCH. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUDDENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION, N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 519 - 520
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR05001 0519 0520 2 4TH LISTED DISCH. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUDDENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION, N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 521 - 522
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR05101 0521 0522 2 5TH LISTED DISCH. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUDDENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION, N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 523 - 524
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR05201 0523 0524 2 6TH LISTED DISCl1. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUDDENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION, N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 525 - 526
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR053O1 0525 0526 2 7TH LISTED DISCH. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUDDENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION, N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 527 - 528
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRR05401 0527 0528 2 8TH LISTED DISCH. DIAGNOSIS RECODE
0 = ALL CONSISTENCY CODES, EXCEPT `DK'
1 = INFECTIOUS AND PARASITIC DISEASES
2 = MALIGNANT NEOPLASMS
3 = BENIGN NEOPLASMS, CARCINOMA-IN-SITU
4 = DIABETES MELLITUS
5 = OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC
DISORDERS
6 = ANEMIAS
7 = OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING
ORGANS
8 = SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 = OTHER PSYCHOSES
10 = MENTAL ILLNESS
11 = SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 = MENTAL RETARDATION
13 = OTHER MENTAL DISORDERS
14 = ALZHEIMER'S DISEASE
15 = PARKINSON'S DISEASE
16 = MULTIPLE SCLEROSIS
17 = EPILEPSY
18 = GLAUCOMA
19 = CATARACT
20 = BLINDNESS
21 = DEAFNESS
22 = OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE
ORGANS
23 = ESSENTIAL HYPERTENSION
24 = HYPERTESNIVE HEART DISEASE
25 = CORONARY ATHEROSCLEROSIS
26 = OTHER ISCHEMIC HEART DISEASE
27 = CONGESTIVE HEART FAILURE
28 = CARDIOVASCULAR DISEASE, UNSPECIFIED
29 = OTHER HEART DISEASE
30 = CEREBROVASCULAR ACCIDENT
31 = LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 = OTHER CEREBROVASCULAR DISEASE
33 = ATHEROSCLEROSIS
34 = OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 = PNEUMONIA, ALL FORMS
36 = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 = OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 = ULCER OF STOMACH,DUDDENUM,PEPTIC ULCER
39 = CONSTIPATION
40 = GASTROINTESTINAL HEMORRHAGE
41 = OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 = URINARY TRACT INFECTION, N.E.C.
43 = OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 = DECUBITUS ULCERS
45 = OTHER DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE
46 = RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 = OSEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 = OTHER ARTHRITIS OR RHEUMATISM
49 = OSTEOPOROSIS
50 = OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 = CONGENITAL ANOMALIES
52 = CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL
PERIOD
53 = SENILITY WITHOUT MENTION OF PSYCHOSIS
54 = OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 = FRACTURE OF NECK OR FEMUR
56 = OTHER FRACTURES
57 = OTHER INJURY AND POISONING
58 = PERSONS WITH POTENTIAL HEALTH HAZARDS
59 = PERSONS WITH CONDITIONS INFLUENCING HEALTH STATUS
60 = OTHER SUPPLEMENTARY CLASSIFICATION
94 = DON'T KNOW
Positions 529 - 544
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
DRI00201 0529 0529 1 IMPUTE DR2_YR
0 = NOT FLAGGED FOR IMPUTATION
1 = FLAGGED FOR IMPUTATION
DRI00202 0530 0530 1 IMPUTE DR2_MO,DR2_DA,DR2_YR
0 = NOT FLAGGED FOR IMPUTATION
1 = FLAGGED FOR IMPUTATION
DRI00701 0531 0531 1 IMPUTE DR6_YR
0 = NOT FLAGGED FOR IMPUTATION
1 = FLAGGED FOR IMPUTATION
DRI00702 0532 0532 1 IMPUTE DR6_MO,DR6_DA,DR6_YR
0 = NOT FLAGGED FOR IMPUTATION
1 = FLAGGED FOR IMPUTATION
DRI00801 0533 0533 1 IMPUTE DR6_MO,DR6_DA,DR6_YR
0 = NOT FLAGGED FOR IMPUTATION
1 = FLAGGED FOR IMPUTATION
FQR02001 0534 0534 1 CERTIFICATION RECODE
1 = ICF AND SNF (MEDICARE)
2 = ICF AND SNF (MEDICAID)
3 = ICF AND SNF (BOTH MEDICARE AND MEDICAID)
4 = SNF (BOTH MEDICARE AND MEDICAID)
5 = SNF (MEDICARE)
6 = SNF (MEDICAID)
7 = ICF ONLY
8 = NOT CERTIFIED
9 = NONRESPONSE
FQR10801 0535 0535 1 RECODE: GEOGRAPHIC REGION (FROM NMFI DATA)
1 = NORTHEAST
2 = NORTH CENTRAL
3 = SOUTH
4 = WEST
METRO 0536 0536 1 METROPOLITAN STATUS
1 = METROPOLITAN
2 = NON-METROPOLITAN
DRWT 0537 0544 8 DISCHARGED RESIDENT WEIGHT - SECOND STAGE
INFLATION
FACTOR USED TO PRODUCE NATIONAL ESTIMATES OF
DISCHARGED RESIDENTS (4 DECIMAL PLACES IMPLIED)
CURRENT RESIDENT QUESTIONNAIRE
Tape Positions 0001-0036
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR_TORN 0001 0002 2 FORM NUMBER (06)
RANGE 06 - 06
CR_DOG 0003 0009 7 DDCUNENT ID (CKDIG10)
RANGE 1001213 - 7187255
CR_ABS 0010 0010 1 ABSTRACTION CODE
1 NOT ABSTRACTED
2 ABSTRACTED
3 NONRESPONSE
CRC_MO 0011 0012 2 DATE OF INTERVIEW (MONTH)
RANGE 01 - 12
CRC_DA 0013 0014 2 DATE OF INTERVIEW (DAY)
RANGE 01 - 31
CRC_YR 0015 0016 2 DATE DF INTERVIEW (YEAR)
RANGE 84 - 86
CR1 0017 0017 1 WHAT IS THE SEX OF THIS RESIDENT
1 MALE
2 FEMALE
3 NONRESPONSE
CR2_MO 0018 0019 2 CURRENT RESIDENT'S DATE OF BIRTH (MONTH)
RANGE 01 - 12
CR2_YR 0020 0023 4 CURRENT RESIDENT'S DATE OF BIRTH (YEAR)
RANGE 1878 - 1984
CR3A 0024 0024 1 RACIAL BACKGROUND THAT BEST DESCRIBES RESIDENT
1 WHITE
2 BLACK
3 AMERICAN INDIAN OR ALASKA NATIVE
4 ASIAN OR PACIFIC ISLANDER
5 DON'T KNOW
6 MULTIPLE RESPONSE
7 NONRESPONSE
CR3B 0025 0025 1 IS RESIDENT HISPANIC OR NOT
1 HISPANIC
2 NOT HISPANIC
3 NO DATA IN RECORD
4 NOT APPLICABLE
5 DON'T KNOW
6 MULTIPLE RESPONSE
7 REFUSAL
8 NONRESPONSE
CR4A 0026 0027 2 RESIDENT'S MARITAL STATUS AT ADMISSION
1 MARRIED
2 WIDOWED
3 DIVORCED
4 SEPARATED
5 NEVER MARRIED
6 NO DATA IN RECORD
7 DON'T KNOW
8 MULTIPLE RESPONSE
9 REFUSAL
10 NONRESPONSE
CR4B 0028 0029 2 RESIDENT'S MARITAL STATUS NOW
1 MARRIED
2 WIDOWED
3 DIVORCED
4 SEPARATED
5 NEVER MARRIED
6 NO DATA IN RECORD
7 DON'T KNOW
8 MULTIPLE RESPONSE
9 REFUSAL
10 NONRESPONSE
CR6 0030 0030 1 DOES RESIDENT HAVE ANY LIVING CHILDREN
1 YES
2 NO
3 NO DATA IN RECORD
4 DON'T KNOW
5 MULTIPLE RESPONSE
6 REFUSAL
7 NONRESPONSE
CR7_MO 0031 0032 2 DATE OF ADMISSION (MONTH)
RANGE 01 - 12
CR7_DA 0033 0034 2 DATE OF ADMISSION (DAY)
RANGE 01 - 31
CR7_YR 0035 0036 2 DATE OF ADMISSION (YEAR)
RANGE 44 - 86
Tape Positions 0037-0109
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR8A 0037 0038 2 RESIDENT'S RESIDENCE BEFORE ENTERING FACILITY
1 PRIVATE RESIDENCE(HOUSE OR APT)
2 RENTED ROOM, BOARDING HOUSE
3 RETIREMENT HOME
4 ANOTHER HEALTH(INCLUDING MENTAL HEALTH)FACILITY
5 OTHER ARRANGEMENT
6 NO DATA IN RECORD
7 DON'T KNOW
8 MULTIPLE RESPONSE
9 REFUSAL
10 NONRESPONSE
CR8B 0039 0039 1 WAS RES. LIVING WITH FAM-MEMBER,NON-FAM,ALONE
1 WITH FAMILY MEMEBERS
2 WITH NON-FAMILY MEMBERS
3 ALONE
4 NO DATA IN RECORD
5 NOT APPLICABLE
6 DON'T KNOW
7 REFUSAL
8 NONRESPONSE
9 LEGITIMATE SKIP
CR8C 0040 0041 2 WHAT TYPE OF FACILITY WAS IT?
1 DOMICILIARY OR PERSONAL CARE FACILITY
2 INTERMEDIATE CARE FACILITY(ICF)
3 SKILLED NURSING FACILITY(SNF)
4 FACILITY FOR MENTALLY RETARDED
5 GENERAL OR SHORT-TERM HOSPITAL EXCEPT
PSYCHIATRIC
6 GENERAL OR SHORT-TERM PSYCHIATRIC UNIT
7 VETERAN'S HOSPITAL
8 MENTAL HEALTH CENTER
9 RESIDENTIAL FACILITY GROUP HOME,CORP APT,
FAM/FOS
10 STATE MENTAL HOSPITAL
11 PRIVATE MENTAL HOSPITAL
12 CHRONIC DISEASE,REHAB,GERIATRIC
CARE HOSPITAL
13 OTHER, (SPECIFY)
14 DON'T KNOW
15 NONRESPONSE
16 LEGITIMATE SKIP
CR8D 0042 0043 2 RES. RESIDENCE IMMED. BEFORE ENTERING FACILITY
1 PRIVATE RESIDENCE (HOUSE OR APARTMENT)
2 RENTED ROOM, BOARDING HOUSE
3 RETIREMENT HOME
4 THIS FACILITY
5 ANOTHER NURSING HOME
6 ANOTHER HEALTH (INCLD MENTAL HEALTH) FACILITY
7 OTHER ARRANGEMENT(SPECIFY)
8 NO DATA IN RECORD
9 DON'T KNOW
10 MULTIPLE RESPONSE
11 NONRESPONSE
12 LEGITIMATE SKIP
CR8E 0044 0044 1 WAS RESIDENT LIVING WITH FAM-MEM,NON-FAM,ALONE
1 WITH FAMILY MEMBERS
2 WITH NON-FAMILY MENBERS
3 ALONE
4 NO DATA IN RECORD
5 NOT APPLICABLE
6 DON'T KNOW
7 REFUSAL
8 NONRESPONSE
9 LEGITIMATE SKIP
CR9A 0045 0045 1 RESIDENCE'S HOSP. DIAGNOSIS RELATED GROUP(DRG)
1 YES
2 NO
3 NO DATA IN RECORD
4 MULTIPLE RESPONSE
5 NONRESPONSE
6 LEGITIMATE SKIP
CR9B 0046 0048 3 DRG CATEGORY
RANGE 002 - 459
CR9C_A 0049 0053 5 PRINCIPAL DIAGNOSIS - ICD-9 DIGITS
CR9C_C 0054 0059 6 PRINCIPAL DIAGNOSIS - E OR V CODE CHARACTERS
CR9D 0060 0060 1 WHERE THERE COND.THAT EXISTED AT TIME OF ADM.
1 YES
2 NO
3 NO DATA IN RECORD
4 DON'T KNOW
5 MULTIPLE RESPONSE
6 NONRESPONSE
7 LEGITIMATE SKIP
CR9E_1A 0061 0065 5 CONDITION1 - ICD-9 DIGITS
CR9E_1C 0066 0071 6 CONDITION1 - E OR V CODE CHARACTERS
CR9E_2A 0072 0076 5 CONDITION2 - ICD-9 DIGITS
CR9E_2C 0077 0082 6 CONDITION2 - E OR V CODE CHARACTERS
CR9E_3A 0083 0087 5 CONDITION3 - ICD-9 DIGITS
CR9E_3C 0088 0093 6 CONDITION3 - E OR V CODE CHARACTERS
CR9F 0094 0094 1 WERE ANY DIAG.PROCEDURES PERFORMED AT HOSPITAL
1 YES
2 NO...............................................
3 NO DATA IN RECORD
4 DON'T KNOW
5 MULTIPLE RESPONSE
6 NONRESPONSE
7 LEGITIMATE SKIP
CR9G_1A 0095 0098 4 PROCEDURE 1 - ICD_9 CODE
CR9G_2A 0099 0102 4 PROCEDURE 2 - ICO-9 CODE
CR9G_3A 0103 0106 4 PROCEDURE 3 - ICD-9 CODE
CR9H 0107 0109 3 NUMBER OF NIGHTS RESIDENT SPENT IN HOSPITAL
Tape Positions 0110-0206
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR10A 0110 0110 1 HAS RES. BEEN ADM TO SHORT STAY WHILE RESIDENT
1 YES
2 NO
3 NO DATA IN RECORD
4 DON'T KNOW
5 OUT OF RANGE RESPONSE
6 NONRESPONSE
CR10B 0111 0112 2 # TIMES ADMITTED TO SHORT STAY WHILE RESIDENT
RANGE 01 - 27
CR10C 0113 0113 1 DO YOU KNOW PATIENT'S HOSP DIAGNOSIS GROUP(DRG)
1 YES
2 NO
3 OUT OF RANGE RESPONSE
4 REFUSAL
5 NONRESPONSE
6 LEGITIMATE SKIP
CR10D 0114 0116 3 DRG CATEGORY
CR10E_A 0117 0121 5 PRINCIPAL DIAGNOSIS - ICD-9 DIGITS
CR10E_C 0122 0127 6 PRINCIPAL DIAGNOSIS - E OR V CODE CHARACTER
CR10F 0128 0128 1 OTHER CONDITIONS THAT EXISTED AT TIME OF ADM.
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT APPLICABLE
5 DON'T KNOW
6 MULTIPLE RESPONSE
7 NONRESPONSE
8 LEGITIMATE SKIP
CR10G_1A 0129 0133 5 CONDITION1 - ICD-9 DIGITS
CR10G_1C 0134 0139 6 CONDITION1 - E OR V CODE CHARACTERS
CR10G_2A 0140 0144 5 CONDITION2 - ICD-9 DIGITS
CR10G_2C 0145 0150 6 CONDITION2 - E OR V CODE CHARACTERS
CR10G_3A 0151 0155 5 CONDITION3 - ICD-9 DIGITS
CR1OG_3C 0156 0161 6 CONDITION3 - E OR V CODE CHARACTERS
CR10H 0162 0162 1 ANY DIAGNOSTIC PROCEDURES PERFORMED AT HOSPITAL
1 YES
2 NO
3 NOT APPLICABLE
4 DON'T KNOW
5 MULTIPLE RESPONSE
6 REFUSAL
7 NONRESPONSE
8 LEGITIMATE SKIP
CR10I_1A 0163 0166 4 PROCEDURE 1 - ICD-9 CODE
CR10I_2A 0167 0170 4 PROCEDURE 2 - ICD-9 CODE
CR10I_3A 0171 0174 4 PROCEDURE 3 - ICD-9 CODE
CR10J 0175 0177 3 NUMBER OF NIGHTS PATIENT STAYED IN HOSPITAL
CR11A 0178 0170 1 HAS RESIDENT PREVIOUSLY BEEN IN THIS FACILITY
1 YES
2 NO
3 DON'T KNOW
4 MULTIPLE RESPONSE
5 NONRESPONSE
CR11B 0179 0180 2 # OF TIMES RESIDENT HAS BEEN IN THIS FACILITY
RANGE 01 - 20
CR11C1AM 0181 0182 2 1ST ADMISSION (MONTH)
RANGE 01 - 12
CR11C1AD 0183 0184 2 1ST ADMISSION (DAY)
RANGE 01 - 31
CR11C1AY 0185 0186 2 1ST ADMISSION (YEAR)
RANGE 44 - 85
CR11C1BM 0187 0188 2 1ST DISCHARGE (MONTH)
RANGE 01 - 12
CR11C1BD 0189 0190 2 1ST DISCHARGE (DAY)
RANGE 01 - 31
CR11C1BY 0191 0192 2 1ST DISCHARGE (YEAR)
RANGE 66 - 85
CR11C2_1 0193 0193 1 HAS DISCH.TO A SHORT STAY OR GENERAL HOSPITAL
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT APPLICABLE
5 DON'T KNOW
6 MULTIPLE RESPONSE
7 NONRESPONSE
8 LEGITIMATE SKIP
CR11C2AM 0194 0195 2 2ND ADMISSION (MONTH)
RANGE 01 - 12
CR11C2AD 0196 0197 2 2ND ADMISSION (DAY)
RANGE 01 - 31
CR11C2AY 0198 0199 2 2ND ADMISSION (YEAR)
RANGE 67 - 85
CR11C2BM 0200 0201 2 2ND DISCHARGE (MONTH)
RANGE 01 - 12
CR11C2BD 0202 0203 2 2ND DISCHARGE (DAY)
RANGE 01 - 31
CR11C2BY 0204 0205 2 2ND DISCHARGE (YEAR)
RANGE 68 - 85
CR11C2_2 0206 0206 1 WAS DISCH.TO A SHORT STAY OR GENERAL HOSPITAL
1 YES
2 NO
3 NO DATA IN RECORD
4 DON'T KNOW
5 MULTIPLE RESPONSE
6 NONRESPONSE
7 LEGITIMATE SKIP
Tape Positions 0207-0258
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR11C3AM 0207 0208 2 3RD ADMISSION (MONTH)
RANGE 01 - 12
CR11C3AD 0209 0210 2 3RD ADMISSION (DAY)
RANGE 01 - 31
CR11C3AY 0211 0212 2 3RD ADMISSION (YEAR)
RANGE 68 - 85
CR11C3BM 0213 0214 2 3RD DISCHARGE (MONTH)
RANGE 01 - 12
CR11C3BD 0215 0216 2 3RD DISCHARGE (DAY)
RANGE 01 - 31
CR11C3BY 0217 0218 2 3RD DISCHARGE (YEAR)
RANGE 72 - 85
CR11C2_3 0219 0219 1 WAS DISCH.TO A SHORT STAY OR GENERAL HOSPITAL
1 YES
2 NO
3 NO DATA IN RECORD
4 DON'T KNOW
5 NONRESPONSE
6 LEGITIMATE SKIP
CR11C4AM 0220 0221 2 4TH ADMISSION (MONTH)
RANGE 01 - 12
CR11C4AD 0222 0223 2 4TH ADMISSION (DAY)
RANGE 01 - 31
CR11C4AY 0224 0225 2 4TH ADMISSION (YEAR)
RANGE 73 - 85
CR11C4BM 0226 0227 2 RANGE 4TH DISCHARGE (MONTH)
RANGE 01 - 12
CR11C4BD 0228 0229 2 4TH DISCHARGE (DAY)
RANGE 01 - 31
CR11C4BY 0230 0231 2 4TH DISCHARGE (YEAR)
RANGE 73 - 85
CR11C2_4 0232 0232 1 WAS DISCH.TO A SHORT STAY OR GENERAL HOSPITAL
1 YES
2 NO
3 NO DATA IN RECORD
4 DON'T KNOW
5 NONRESPONSE
6 LEGITIMATE SKIP
CR11C5AM 0233 0234 2 5TH ADMISSION (MONTH)
RANGE 01 - 12
CR11C5AD 0235 0236 2 5TH ADMISSION (DAY)
RANGE 01 - 30
CR11C5AY 0237 0238 2 5TH ADMISSION (YEAR)
RANGE 73 - 85
CR11C5BM 0239 0240 2 5TH DISCHARGE (MONTH)
RANGE 01 - 12
CR11C5BD 0241 0242 2 5TH DISCHARGE (DAY)
RANGE 01 - 30
CR11C5BY 0243 0244 2 5TH DISCHARGE (YEAR)
RANGE 76 - 85
CR11C2_5 0245 0245 1 WAS DISCH.TO A SHORT STAY OR GENERAL HOSPITAL
1 YES
2 NO
3 NO DATA IN RECORD
4 DON'T KNOW
5 NONRESPONSE
6 LEGITIMATE SKIP
CR11C6AM 0246 0247 2 6TH ADMISSION (MONTH)
RANGE 01 - 12
CR11C6AD 0248 0249 2 6TH ADMISSION (DAY)
RANGE 02 - 30
CR11C6AY 0250 0251 2 6TH ADMISSION (YEAR)
RANGE 69 - 85
CR11C6BM 0252 0253 2 6TH DISCHARGE (MONTH)
RANGE 01 - 12
CR11C6BD 0254 0255 2 6TH DISCHARGE (DAY)
RANGE 02 - 30
CR11C6BY 0256 0257 2 6TH DISCHARGE (YEAR)
RANGE 72 - 85
CR11C2_6 0258 0258 1 WAS DISCH.TO A SHORT STAY OR GENERAL HOSPITAL
1 YES
2 NO
3 NO DATA IN RECORD
4 NONRESPONSE
5 LEGITIMATE SKIP
Tape Positions 0259-0317
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR11C7AM 0259 0260 2 7TH ADMISSION (MONTH)
RANGE 02 - 12
CR11C7AD 0261 0262 2 7TH ADMISSION (DAY)
RANGE 05 - 24
CR11C7AY 0263 0264 2 7TH ADMISSION (YEAR)
RANGE 66 - 85
CR11C7BM 0265 0266 2 7TH DISCHARGE (MONTH)
RANGE 01 - 12
CR11C7BD 0267 0268 2 7TH DISCHARGE (DAY)
RANGE 01 - 29
CR11C7BY 0269 0270 2 7TH DISCHARGE (YEAR)
RANGE 71 - 85
CR11C2_7 0271 0271 1 WAS DISCH.TO A SHORT STAY OR GENERAL HOSPITAL
1 YES
2 NO
3 NO DATA IN RECORD
4 NONRESPONSE
5 LEGITIMATE SKIP
CR11C8AM 0272 0273 2 8TH ADMISSION (MONTH)
RANGE 01 - 12
CR11C8AD 0274 0275 2 8TH ADMISSION (DAY)
RANGE 03 - 30
CR11C8AY 0276 0277 2 8TH ADMISSION (YEAR)
RANGE 68 - 85
CR11C8BM 0278 0279 2 8TH DISCHARGE (MONTH)
RANGE 01 - 08
CR11C8BD 0280 0281 2 8TH DISCHARGE (DAY)
RANGE 04 - 30
CR11C8BY 0282 0283 2 8TH DISCHARGE (YEAR)
RANGE 69 - 85
CR11C2_8 0284 0204 1 WAS DISCH.TO A SHORT STAY OR GENERAL HOSPITAL
1 YES
2 NO
3 NO DATA IN RECORD
4 NONRESPONSE
5 LEGITIMATE SKIP
CR11D 0285 0285 1 WAS RESIDENT EVER IN ANY OTHER NURSING HOME
1 YES
2 NO
3 NO DATA IN RECORD
4 DON'T KNOW
5 MULTIPLE RESPONSE
6 NONRESPONSE
CR11E 0286 0287 2 # OF DIFFERENT HOMES RESIDENT HAS RESIDED
RANGE 00 - 35
CR11F_YR 0288 0289 2 TOTAL LENGTH OF TIME SPENT IN OTHER HOMES (YEARS)
RANGE 00 - 78
CR11F_MO 0290 0291 2 TOTAL LENGTH OF TIME SPENT IN OTHER HOMES (MONTHS)
RANGE 00 - 40
CR11H 0292 0293 2 # OF TIMES RESIDENT WAS IN NAME1 FACILITY
RANGE 01 - 65
CR11I1AM 0294 0295 2 DATE ADMITTED (MONTH)
RANGE 01 - 12
CR11I1AY 0296 0297 2 DATE ADMITTED (YEAR)
RANGE 18 - 85
CR11I1BM 0298 0299 2 DATE DISCHARGED (MONTH)
RANGE 01 - 12
CR11I1BY 0300 0301 2 DATE DISCHARGED (YEAR)
RANGE 04 - 85
CR11I2AM 0302 0303 2 DATE ADMITTED (MONTH)
RANGE 01 - 12
CR11I2AY 0304 0305 2 DATE ADMITTED (YEAR)
RANGE 44 - 85
CR11I2BM 0306 0307 2 DATE 0ISCHARGED (MONTH)
RANGE 01 - 10
CR11I2BY 0308 0309 2 DATE DISCHARGED (YEAR)
RANGE 58 - 85
CR11I3AM 0310 0311 2 DATE ADMITTED (MONTH)
RANGE 10 - 10
CR11I3AY 0312 0313 2 DATE ADMITTED (YEAR)
RANGE 78 - 79
CR11I3BM 0314 0315 2 DATE DISCHARGED (MONTH)
RANGE 01 - 06
CR11I3BY 0316 0317 2 DATE DISCHARGED (YEAR)
RANGE 79 - 80
Tape Positions 0318-0369
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR11J 0318 0319 2 # OF TIMES RESIDENT WAS IN NAME2 FACILITY
RANGE 01 - 03
CR11K1AM 0320 0321 2 DATE ADMITTED (MONTH)
RANGE 01 - 12
CR11K1AY 0322 0323 2 DATE ADMITTED (YEAR)
RANGE 39 - 85
CR11K1BM 0324 0325 2 DATE DISCHARGED (MONTH)
RANGE 01 - 12
CR11K1BY 0326 0327 2 DATE DISCHARGED (YEAR)
RANGE 43 - 85
CR11K2AM 0328 0329 2 DATE ADMITTED (MONTH)
RANGE 01 - 06
CR11K2AY 0330 0331 2 DATE ADMITTED (YEAR)
RANGE 47 - 80
CR11K211M 0332 0333 2 DATE DISCHARGED (MONTH)
RANGE 05 - 06
CR11K2BY 0334 0335 2 DATE DISCHARGED (YEAR)
RANGE 49 - 82
CR11K3AM 0336 0337 2 DATE ADMITTED (MONTH)
RANGE 02 - 03
CR11K3AY 0338 0339 2 DATE ADMITTED (YEAR)
RANGE 53 - 84
CR11K3BM 0340 0341 2 DATE DISCHARGED (MONTH)
RANGE 02 - 03
CR11K38Y 0342 0343 2 DATE DISCHARGED (YEAR)
RANGE 67 - 85
CR11L 0344 0345 2 # OF TIMES RESIDENT WAS IN NAME3 FACILITY
RANGE 01 - 02
CR11M1AM 0346 0347 2 DATE ADMITTED (MONTH)
RANGE 06 - 09
CR11M1AY 0348 0349 2 DATE ADMITTED (YEAR)
RANGE 49 - 68
CR11M1BM 0350 0351 2 DATE DISCHARGED (MONTH)
RANGE 06 - 12
CR11M1BY 0352 0353 2 DATE DISCHARGED (YEAR)
RANGE 49 - 68
CR11M2AM 0354 0355 2 DATE ADMITTED (MONTH)
RANGE 11 - 11
CR11M2AY 0356 0357 2 DATE ADMITTED (YEAR)
RANGE 68 - 68
CR11M2BM 0358 0359 2 DATE DISCHARGED (MONTH)
RANGE 01 - 01
CR11M2BY 0360 0361 2 DATE DISCHARGED (YEAR)
RANGE 72 - 72
CR11M3AM 0362 0363 2 DATE ADMITTED (MONTH)
RANGE 91 - 00
CR11M3AY 0364 0365 2 DATE ADMITTED (YEAR)
RANGE 91 - 00
CR11M3BM 0366 0367 2 DATE DISCHARGED (MONTH)
RANGE 98 - 00
CR11M3BY 0368 0369 2 DATE DISCHARGED (YEAR)
RANGE 98 - 00
Tape Positions 0370-0545
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR13_1A 0370 0374 5 ADM. PRIM DIAGNOSIS - ICD-9 CODE DIGITS
CR13_1C 0375 0380 6 ADM. PRIM DIAGNOSIS - E OR V CODE CHARACTERS
CR13_2A 0381 0385 5 ADM-OTH DIAGNOSIS1 - ICD-9 CODE DIGITS
CR13_2C 0386 0391 6 ADM-OTH DIAGNOS1S1 - E OR V CODE CHARACTERS
CR13_3A 0392 0396 5 ADM-OTH DIAGNOSIS2 - ICD-9 CODE DIGITS
CR13_3C 0397 0402 6 ADM-OTH DIAGNOSIS2 - E OR V CODE CHARACTERS
CR13_4A 0403 0407 5 ADM-OTH DIAGNOSIS3 - ICD9 CODE DIGITS
CR13_4C 0408 0413 6 ADM-OTH DIAGNOSIS3 - E OR V CODE CHARACTERS
CR13_5A 0414 0418 5 ADM-OTH DIAGNOSIS4 - ICD-9 DIGITS
CR13_5C 0419 0424 6 ADM-OTH DIAGNOSIS4 - E OR V CODE CHARACTERS
CR13_6A 0425 0429 5 ADM-OTH DIAGNOSIS5 - ICD-9 CODE DIGITS
CR13_6C 0430 0435 6 ADM-OTH DIAGNOSIS5 - E OR V CODE CHARACTERS
CR13_7A 0436 0440 5 ADM-OTH DIAGNOSIS6 - ICD-9 CODE DIGITS
CR13_7C 0441 0446 6 ADM-OTH DIAGNOSIS6 - E OR V CODE CHARACTERS
CR13_8A 0447 0451 5 ADM-OTH DIAGNOSIS7 - ICD-9 DIGITS
CR13_8C 0452 0457 6 ADM-OTH DIAGNOSIS7 - E OR V CODE CHARACTERS
CR14_1A 0458 0462 5 CUR-PRIM DIAGNOSIS - ICD-9 CODE DIGITS
CR14_1C 0463 0468 6 CUR-PRIM DIAGNOSIS - E OR V CODE CHARACTERS
CR14_2A 0469 0473 5 CUR-OTH DIAGNOSIS1 - ICD-9 CODE DIGITS
CR14_2C 0474 0479 6 CUR-OTH DIAGNOSIS1 - E OR V CODE CHARACTERS
CR14_3A 0480 0484 5 CUR-OTH DIAGNOSIS2-ICD-9 CODE DIGITS
CR14_3C 0485 0490 6 CUR-OTH DIAGNOSIS2 - E OR V CODE CHARACTERS
CR14_4A 0491 0495 5 CUR-OTH DIAGNOSIS3 - ICD-9 CODE DIGITS
CR14_4C 0496 0501 6 CUR-OTH DIAGNOSIS3 - E OR V CODE CI1ARACTERS
CR14_5A 0502 0506 5 CUR-OTH DIAGNOSIS4 - ICD-9 CODE DIGITS
CR14_SC 0507 0512 6 CUR-OTH DIAGNOSIS4 - E OR V CODE CHARACTERS
CR14_6A 0513 0517 5 CUR-OTH DIAGNOSIS5 - ICD-9 CODE DIGITS
CR14_6C 0518 0523 6 CUR-OTH DIAGNOSIS5 - E OR V CODE CHARACTERS
CR14_7A 0524 0528 5 CUR-OTH DIAGNOSIS6 - ICD-9 CODE DIGITS
CR14_7C 0529 0534 6 CUR-OTH DIAGNOSIS6 - E OR V CODE CHARACTERS
CR14_8A 0535 0539 5 CUR-OTH DIAGNOSIS7 - ICD-9 CODE DIGITS
CR14_SC 0540 0545 6 CUR-OTH DIAGNOSIS7 - E OR V CODE CHARACTERS
Tape Positions 0546-0581
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR15_ 1 0546 0546 1 CONDITION: MENTAL RETARDATION
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT KNOWN
4 REFUSAL
5 NONRESPONSE
CR15_2 0547 0547 1 CONDITION: ALCOHOL ABUSE/DEPENDENCE
1 APPLICABLE
2 NO DATA IN RECROD
3 NOT KNOWN
4 REFUSAL
5 NONRESPONSE
CR15_3 0548 0548 1 CONDITION: DRUG ABUSE/DEPENDENCE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT KNOWN
4 REFUSAL
5 NONRESPONSE
CR15_4 0549 0549 1 CONDITION: SENILE DEMENTIA/CHRONIC BRAIN SYND.
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT KNOWN
4 REFUSAL
5 NONRESPONSE
CR15_5 0550 0550 1 CONDITION: DEPRESSIVE DISORDERS
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT KNOWN
4 REFUSAL
5 NONRESPONSE
CR15_6 0551 0551 1 CONDITION: SCHIZOPHRENIA
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT KNOWN
4 REFUSAL
5 NONRESPONSE
CR15_7 0552 0552 1 CONDITION: OTHER PSYCHOSES
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT KNOWN
4 REFUSAL
5 NONRESPONSE
CR15_8 0553 0553 1 CONDITION: ANXIETY DISORDERS
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT KNOWN
4 REFUSAL
5 NONRESPONSE
CR15_9 0554 0554 1 CONDITION: PERSONALITY/CHARACTER DISORDERS
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT KNOWN
4 REFUSAL
5 NONRESPONSE
CR15_10 0555 0555 1 CONDITION: OTHER MENTAL DISORDERS
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT KNOWN
4 REFUSAL
5 NONRESPONSE
CR15_SP 0556 0580 25 OTHER SPECIFY
CR15_11 0581 0581 1 CONDITION: NO MENTAL DISORDER
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT KNOWN
4 REFUSAL
5 NONRESPONSE
Tape Positions 0582-0624
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR16A 0582 0582 1 LAST MO DID RESIDENT RECEIVE THERAPY SERVICES
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT APPLICABLE
5 DON'T KNOW
8 MULTIPLE RESPONSE
7 NONRESPONSE
CR16B1 0583 0583 1 TYPE OF THERAPY: PHYSICAL THERAPY
1 APPLICABLE
2 NOT KNOWN
3 NONRESPONSE
4 LEGITIMATE SKIP
CR16B2 0584 0584 1 TYPE OF THERAPY: OCCUPATIONAL THERAPY
1 APPLICABLE
2 NOT KNOWN
3 NONRESPONSE
4 LEGITIMATE SKIP
CR16B3 0585 0585 1 TYPE OF THERAPY: RECREATIONAL THERAPY
1 APPLICABLE
2 NOT KNOWN
3 NONRESPONSE
4 LEGITIMATE SKIP
CR16B4 0586 0586 1 TYPE OF THERAPY: SPEECH & HEARING THERAPY
1 APPLICABLE
2 NOT KNOWN
3 NONRESPONSE
4 LEGITIMATE SKIP
CR16B5 0587 0587 1 TYPE OF THERAPY: MENTAL HEALTH TREAT, PHYSICIAN
1 APPLICABLE
2 NOT KNOWN
3 NONRESPONSE
4 LEGITIMATE SKIP
CR16B6 0588 0580 1 TYPE OF THERAPY: MENTAL HEALTH, PSYCHIATRIST
1 APPLICABLE
2 NOT KNOWN
3 NONRESPONSE
4 LEGITIMATE SKIP
CR16B7 0589 0589 1 TYPE OF THERAPY: MENTAL HEALTH, PSYCHOLOGIST
1 APPLICABLE
2 NOT KNOWN
3 NONRESPONSE
4 LEGITIMATE SKIP
CR16B8 0590 0590 1 TYPE OF THERAPY: MENTAL HEALTH : CLINICAL SW
1 APPLICABLE
2 NOT KNOWN
3 NONRESPONSE
4 LEGITIMATE SKIP
CR16B9 0591 0591 1 TYPE OF THERAPY: MENTAL HEALTH PSYCH. NURSE
1 APPLICABLE
2 NOT KNOWN
3 NONRESPONSE
4 LEGITIMATE SKIP
CR16B10 0592 0592 1 TYPE OF THERAPY: SOC. SERVICES BY SOCIAL WORKER
1 APPLICABLE
2 NOT KNOWN
3 NONRESPONSE
4 LEGITIMATE SKIP
CR16B11 0593 0593 1 TYPE OF THERAPY OTHER: THERAPY SERVICES
1 APPLICABLE
2 NOT KNOWN
3 NONRESPONSE
4 LEGITIMATE SKIP
CR1611_S 0594 0618 25 OTHER, SPECIFY
CR17A 0619 0619 1 DOES RESIDENT WEAR EYEGLASSES OR CONTACTS
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT KNOWN
5 NONRESPONSE
CR17B 0620 0620 1 DOES RESIDENT HAVE ANY DIFFICULTY IN SEEING
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT APPLICABLE
5 DON'T KNOW
6 MULTIPLE RESPONSE
7 NONRESPONSE
CR17C 0621 0621 1 IS RESIDENT'S VISION PART, SEVERELY, IMPAIRED
1 PARTIALLY IMPAIRED
2 SEVERELY IMPAIRED
3 COMPLETELY LOST-BLIND
4 NO DATA IN RECORD
5 NOT APPLICABLE
6 DON'T KNOW
7 NONRESPONSE
8 LEGITIMATE SKIP
CR18A 0622 0622 1 DOES RESIDENT WEAR A HEARING AID
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT KNOWN
5 OUT-OF-RANGE RESPONSE
6 NONRESPONSE
CR18B 0623 0623 1 DOES RESIDENT HAVE DIFFICULTY IN HEARING
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT APPLICA8LE
5 DON'T KNOW
6 MULTIPLE RESPONSE
7 NONRESPONSE
CR18C 0624 0624 1 IS RESIDENT'S HEARING PART, SEVERELY, IMPAIRED
1 PARTIALLY IMPAIRED
2 SEVERELY IMPAIRED
3 COMPLETELY LOST-DEAF
4 NO DATA IN RECORD
5 NOT APPLICABLE
6 DON'T KNOW
7 MULTIPLE RESPONSE
8 NONRESPONSE
9 LEGITIMATE SKIP
Tape Positions 625-639
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR19A 0625 0625 1 DOES RESIDENT REQUIRE ANY ASSIST. IN BATHING
1 YES
2 NO
3 DON'T KNOW
4 NONRESPONSE
CR19B1 0626 0626 1 DOES RES. BATH WITH HELP OF SPECIAL EQUIPMENT
1 YES
2 NO
3 NO DATA IN RECORD
4 NONRESPONSE
5 LEGITIMATE SKIP
CR19B2 0627 0627 1 DOES RESIDENT BATH WITH HELP OF ANOTHER PERSON
1 YES
2 NO
3 NO DATA IN RECORD
4 MULTIPLE RESPONSE
5 NONRESPONSE
6 LEGITIMATE SKIP
CR20A 0628 0628 1 DOES RESIDENT REQUIRE ANY ASSIST. IN DRESSING
1 YES
2 NO
3 DOES NOT PARTICIPATE
4 NO DATA IN RECORD
5 DON'T KNOW
6 MULTIPLE RESPONSE
7 NONRESPONSE
CR20B1 0629 0629 1 DOES RES. DRESS WITH HELP OF SPEC EQUIPMENT
1 YES
2 NO
3 NO DATA IN RECORD
4 MULTIPLE RESPONSE
5 NONRESPONSE
6 LEGITIMATE SKIP
CR20B2 0630 0630 1 DOES RES. DRESS WITH HELP OF ANOTHER PERSON
1 YES
2 NO
3 NO DATA IN RECORD
4 NONRESPONSE
5 LEGITIMATE SKIP
CR21A 0631 0631 1 DOES RESIDENT REQUIRE ANY ASSISTANCE IN EATING
1 YES
2 NO
3 REQUIRES INTRAVENOUS FEEDING
4 DON'T KNOW
5 REFUSAL
6 NONRESPONSE
CR21B1 0632 0632 1 DOES RES. EAT WITH HELP OF SPEC. EQUIPMENT
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
7 LEGITIMATE SKIP
CR21B2 0633 0633 1 DOES RES. EAT WITH HELP OF ANOTHER PERSON
1 YES
2 NO
3 REFUSAL
4 NONRESPONSE
5 LEGITIMATE SKIP
CR21C 0634 0634 1 IS RESIDENT FED TOTALLY BY ANOTHER PERSON
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT KNOWN
5 NONRESPONSE
6 LEGITIMATE SKIP
CR22A 0635 0635 1 IS RESIDENT BEDFAST
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT KNOWN
5 NONRESPONSE
CR22B 0636 0636 1 IS RESIDENT CHAIRFAST
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT KNOWN
5 MULTIPLE RESPONSE
6 NONRESPONSE
7 LEGITIMATE SKIP
CR23A 0637 0637 1 DOES RES. REQUIRE ASSIST TRANS. OUT OF BED
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT APPLICABLE
5 DON'T KNOW
6 NONRESPONSE
CR23B1 0638 0638 1 DOES RESIDENT REQUIRE THE HELP OF SPECIAL EQUIP
1 YES
2 NO
3 MULTIPLE RESPONSE
4 NONRESPONSE
5 LEGITIMATE SKIP
CR23B2 0639 0639 1 DOES RESIDENT REQUIRE THE HELP OF ANOTHER PERSO
1 YES
2 NO
3 MULTIPLE RESPONSE
4 NONRESPONSE
5 LEGITIMATE SKIP
Tape Positions 0640-0655
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR24A 0640 0640 1 DOES RES. CURRENTLY REQUIRE HELP WALKING
1 YES
2 NO
3 NOT APPLICABLE
4 DON'T KNOW
5 MULTIPLE RESPONSE
6 REFUSAL
7 NONRESPONSE
CR24B1 0641 0641 1 DOES RES. WALK WITH HELP OF SPEC EQUIPMENT
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT APPLICABLE
5 MULTIPLE RESPONSE
6 NONRESPONSE
7 LEGITIMATE SKIP
CR24B2 0642 0642 1 DOES RES. WALK WITH HELP OF ANOTHER PERSON
1 YES
2 NO
3 NOT APPLICABLE
4 MULTIPLE RESPONSE
5 NONRESPONSE
6 LEGITIMATE SKIP
CR25A 0643 0643 1 DOES RESIDENT GO OUTSIDE GROUNDS OF FACILITY
1 YES
2 NO
3 NO DATA IN RECORD
4 DON'T KNOW
5 NONRESPONSE
CR25B1 0644 0644 1 DOES RES. GO OUTSIDE WITH HELP OF SPEC EQUIP.
1 YES
2 NO
3 NO DATA IN RECORD
4 NONRESPONSE
5 LEGITIMATE SKIP
CR25B2 0645 0645 1 DOES RES.GO OUTSIDE WITH HELP OF ANOTHER PERSON
1 YES
2 NO
3 NONRESPONSE
4 LEGITIMATE SKIP
CR26A 0646 0646 1 DOES RESIDENT HAVE AN OSTOMY OR CATHETER
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT KNOWN
5 NONRESPONSE
CR26B 0647 0647 1 DOES RES. REQUIRE ASSIST. IN CARING FOR DEVICE
1 YES
2 NO
3 NOT KNOWN
4 NONRESPONSE
5 LEGITIMATE SKIP
CR26C 0648 0648 1 DOES RESIDENT REQUIRE ASSIST. USING TOILET
1 YES
2 NO
3 DOES NOT USE TOILET ROOM
4 NO DATA IN RECORD
5 NOT APPLICABLE
6 DON'T KNOW
7 NONRESPONSE
CR26D1 0649 0649 1 DOES RES. REQUIRE HELP WITH SPEC. EQUIPMENT
1 YES
2 NO
3 NO DATA IN RECORD
4 NONRESPONSE
5 LEGITIMATE SKIP
CR26D2 0650 0650 1 DOES RES. REQUIRE HELP OF ANOTHER PERSON
1 YES
2 NO
3 NO DATA IN RECORD
4 NONRESPONSE
5 LEGITIMATE SKIP
CR27A 0651 0651 1 DOES RESIDENT HAVE DIFFICULTY CONTROL.BOWELS
1 YES
2 NO
3 NOT APPLICABLE HAD AN OSTOMY
4 NO DATA IN RECORD
5 DON'T KNOW
6 NONRESPONSE
CR27B 0652 0652 1 HOW FREQ. DOES RESIDENT HAVE THIS DIFFICULTY
1 DAILY
2 SEVERAL TIMES A WEEK
3 ONCE A WEEK
4 LESS THAN ONCE A WEEK
5 NO DATA IN RECORD
6 DON'T KNOW
7 NONRESPONSE
8 LEGITIMATE SKIP
CR28A 0653 0653 1 DOES RES. HAVE DIFFICULTY CONTROLLING BLADDER
1 YES
2 NO
3 N/A INDWELLING CATHETER,OSTOMY,OR EXTERNAL DE
4 NO DATA IN RECORD
5 DON'T KNOW
6 MULTIPLE RESPONSE
7 NONRESPONSE
CR28B 0654 0654 1 HOW FREQ DOES RESIDENT HAVE THIS DIFFICULTY
1 DAILY
2 SEVERAL TIMES A WEEK
3 ONCE A WEEK
4 LESS THAN ONCE A WEEK
5 NO DATA IN RECORD
6 DON'T KNOW
7 NONRESPONSE
8 LEGITIMATE SKIP
CR28C 0655 0655 1 DOES THIS OCCUR ONLY AT NIGHT
1 YES
2 NO
3 NO DATA IN RECORD
4 DON'T KNOW
5 MULTIPLE RESPONSE
6 NONRESPONSE
7 LEGITIMATE SKIP
Tape Positions 0656-0670
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR29A 0656 0656 1 DOES RES. RECEIVE HELP CARING OF PERS POSESSIONS
1 YES
2 NO
3 NO DATA IN RECORD
4 DON'T KNOW
5 MULTIPLE RESPONSE
6 NONRESPONSE
CR29B 0657 0657 1 DOES RES. RECEIVE HELP HANDLING MONEY
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT APPLICABLE
5 DON'T KNOW
6 MULTIPLE RESPONSE
7 NONRESPONSE
CR29C 0658 0658 1 DOES RES. RECEIVE HELP SECURING PERS ITEMS
1 YES
2 NO
3 NO DATA IN RECORD
4 DON'T KNOW
5 NONRESPONSE
CR29D 0659 0659 1 DOES RES. RECEIVE HELP USING THE TELEPHONE
1 YES
2 NO
3 NO DATA IN RECORD
4 NOT APPLICABLE
5 DON'T KNOW
6 MULTIPLE RESPONSE
7 NONRESPONSE
CR30 0660 0661 2 HOW LONG HAVE YOU PROVIDED CARE FOR RESIDENT
1 LESS THAN 1 MONTH
2 1-3 MONTHS
3 4-6 MONTHS
4 7-11 MONTHS
5 12 MONTHS OR MORE
6 RESPONDENT DOES NOT PROVIDE CARE
7 NO DATA IN RECORD
8 NOT APPLICABLE
9 MULTIPLE RESPONSE
10 NONRESPONSE
CR31 0662 0662 1 RESIDENTS PHYSICAL HEALTH RATE AT THIS TIME
1 EXCELLENT
2 GOOD
3 FAIR
4 POOR
5 NO DATA IN RECORD
6 NOT APPLICABLE
7 DON'T KNOW
8 MULTIPLE RESPONSE
9 NONRESPONSE
CR32 0663 0663 1 RESIDENTS MENTAL HEALTH RATE AT THIS TIME
1 EXCELLENT
2 GOOD
3 FAIR
4 POOR
5 NO DATA IN RECORD
6 NOT APPLICABLE
7 DON'T KNOW
8 MULTIPLE RESPONSE
9 NONRESPONSE
CR33_1 0664 0664 1 TYPES OF BEHAVIOR: DISROBING/EXPOSING ONESELF
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 NONRESPONSE
CR33_2 0665 0665 1 TYPES OF BEHAVIOR: SCREAMING
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 NONRESPONSE
CR33_3 0666 0666 1 TYPES OF BEHAVIOR: BEING PHYSICALLY ABUSIVE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 NONRESPONSE
CR33_4 0667 0667 1 TYPES OF BEHAVIOR: STEALING
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
CR33_5 0668 0668 1 TYPES OF BEHAVIOR: GETTING LOST
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
3 NONRESPONSE
CR33_6 0669 0669 1 TYPES OF BEHAVIOR: INABI TO AVOID SIMPLE DANGERS
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 NONRESPONSE
CR33_7 0670 0670 1 TYPES OF BEHAVIOR: NONE OF THE ABOVE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 NONRESPONSE
Tape Positions 0671-0681
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR34_1 0671 0671 1 BASIC ACTIVITIES: UNABLE TO REMEMBER DATES/TIME
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 MULTIPLE RESPONSE
6 NONRESPONSE
CR34_2 0672 0672 1 BASIC ACTIVITIES: UNABLE TO REMEMBER LOCATIONS
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 MULTIPLE RESPONSE
6 NONRESPONSE
CR34_3 0673 0673 1 BASIC ACTIVITIES: UNABLE TO RECALL IMPT. EVENTS
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 MULTIPLE RESPONSE
6 NONRESPONSE
CR34_4 0674 0674 1 BASIC ACTIVITIES: UNABLE TO MAKE JUDGMENTS
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 MULTIPLE RESPONSE
6 NONRESPONSE
CR34_5 0675 0675 1 BASIC ACTIVITIES NONE OF THE ABOVE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 MULTIPLE RESPONSE
6 NONRESPONSE
CR35_1 0676 0676 1 DOES RESIDENT DISPLAY DEPRESSION
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 NONRESPONSE
CR35_2 0677 0677 1 DOES RESIDENT DISPLAY ANXIETY
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
CR35_3 0678 0678 1 DOES RESIDENT DISPLAY FEARFULNESS OR WORRY
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
CR35_4 0679 0679 1 DOES RESIDENT DISPLAY NONE OF THE ABOVE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 NONRESPONSE
CR_BOX1 0680 0680 1 DO YOU HAVE CHARGES & PAYMENT SOURCES
1 YES
2 NO
3 OUT-OF-RANGE RESPONSE
4 MULTIPLE RESPONSE
5 REFUSAL
6 NONRESPONSE
CR_BOX2 0681 0681 1 WAS RESIDENT ADMITTED AFTER 1ST DAY OF LAST MO
1 YES
2 NO
3 NOT APPLICABLE
4 MULTIPLE RESPONSE
5 NONRESPONSE
Tape Positions 0682-0701
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR36_1 0682 0682 1 ALL SOURCES, OWN INCOME FAM-SUPPORT, HEALTH INS
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
7 LEGITIMATE SKIP
CR36_2 0683 0683 1 ALL SOURCES, MEDICARE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
7 LEGITIMATE SKIP
CR36_3 0684 0684 1 ALL SOURCES, MEDICAID - SKILLED NURSING
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
7 LEGITIMATE SKIP
CR36_4 0685 0685 1 ALL SOURCES, MEDICAID - INTERMEDIATE CARE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
8 NONRESPONSE
7 LEGITIMATE SKIP
CR36_5 0686 0686 1 ALL SOURCES, STATE FUNDED INDIGENT CARE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
7 LEGITIMATE SKIP
CR36_6 0687 0687 1 ALL SURCES,OTHER GOVT ASST OR WELFARE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
7 LEGITIMATE SKIP
CR36_7 0688 0688 1 ALL SOURCES, RELIG. ORG, FOUNDATIONS, VOL AGENC.
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
7 LEGITIMATE SKIP
CR36_8 0689 0689 1 ALL SOURCES, VA CONTRACT
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
7 LEGITIMATE SKIP
CR36_9 0690 0690 1 ALL SOURCES, INITIAL PAYMENT-LIFE CARE FUNDS
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
7 LEGITIMATE SKIP
CR36_10 0691 0691 1 ALL SOURCES, NO CHARGE MADE FOR CARE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
7 LEGITIMATE SKIP
CR36_11 0692 0692 1 ALL SOURCES NOT YET DETERMINED
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
7 LEGITIMATE SKIP
CR36_12 0693 0693 1 ALL SOURCES, OTHER
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 REFUSAL
6 NONRESPONSE
7 LEGITIMATE SKIP
CR37 0694 0695 2 PRIMARY SOURCE OF PAYMENT
1 OWN INCOME
2 MEDICARE
3 MEDICAID-SKILLED
4 MEDICAID-INTERMEDIATE CARE
5 STATE FUNDED INDIGENT CARE
6 OTHER GOVERNMENT ASSIST.
7 RELIGIOUS ORG,FOUNDATIONS,VOL.AGENCIES
8 VA CONTRACT
9 INITIAL PAYMENT-LIFE CARE FUNDS
10 NO CHARGE MADE FOR CARE
11 PAYMENT SOURCE NOT YET DETERMINED
12 OTHER
13 NO DATA IN RECORD
14 NOT APPLICABLE
IS NOT KNOWN
16 MULTIPLE RESPONSE
17 REFUSAL
18 NONRESPONSE
19 LEGITIMATE SKIP
CR38 0696 0701 6 TOTAL CHARGED BILLED FOR RESIDENT LAST MONTH
Tape Positions 0702-0811
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CR39_1 0702 0707 6 TOTAL CHARGE BILLED FOR RESIDENT SINCE ADMIS
CR39_2 0708 0709 2 TOTAL BILL PER - - ?
1 SINCE DATE OF ADMISSION
2 DAY
3 WEEK
4 MONTH
5 OTHER PERIOD
6 NO CHARGE WAS MADE FOR CARE
7 NO DATA IN RECORD
8 DON'T KNOW
9 MULTIPLE RESPONSE
10 REFUSAL
11 NONRESPONSE
12 LEGITIMATE SKIP
CR40A_1 0710 0710 1 ALL SOURCES, OWN INCOME FAM-SUPPORT, HEALTH INS
1 APPLICABLE
2 NO DATA IN RECORD
3 MULTIPLE RESPONSE
4 REFUSAL
5 NONRESPONSE
CR40B_1 0711 0716 6 AMOUNT PAID
CR40A_2 0717 0717 1 ALL SOURCES, MEDICARE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 MULTIPLE RESPONSE
6 REFUSAL
7 NONRESPONSE
CR40B_2 0718 0723 6 AMOUNT PAID
CR40A_3 0724 0724 1 ALL SOURCES,MEDICAID - SKILLED NURSING
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 NOT KNOWN
5 MULTIPLE RESPONSE
6 REFUSAL
7 NONRESPONSE
CR40B_3 0725 0730 6 AMOUNT PAID
CR40A_4 0731 0731 1 ALL SOURCES, MEDICAID INTERMEDIATE CARE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 MULTIPLE RESPONSE
5 REFUSAL
6 NONRESPONSE
CR40B_4 0732 0737 6 AMOUNT PAID
CR40A_5 0738 0738 1 ALL SOURCES, STATE FUNDED INDIGENT CARE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 MULTIPLE RESPONSE
5 REFUSAL
6 NONRESPONSE
CR4QB_5 0739 0744 8 AMOUNT PAID
CR40A_6 0745 0745 1 ALL SOURCES, GOVERNMENT ASST OR WELFARE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 MULTIPLE RESPONSE
5 REFUSAL
6 NONRESPONSE
CR408_6 0748 0751 8 AMOUNT PAID
CR40A_7 0752 0752 1 ALL SOURCES,RELIG.ORG,FOUNDATIONS,VOL AGENC.
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 MULTIPLE RESPONSE
5 REFUSAL
6 NONRESPONSE
CR40B_7 0753 0758 6 AMOUNT PAID
CR40A_8 0759 0759 1 ALL SOURCES, VA CONTRACT
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 MULTIPLE RESPONSE
5 REFUSAL
6 NONRESPONSE
CR40B_8 0760 0765 6 AMOUNT PAID
CR40A_9 0766 0766 1 ALL SOURCES, INITIAL PAYMENT-LIFE CARE FUNDS
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 MULTIPLE RESPONSE
5 REFUSAL
6 NONRESPONSE
CR40B_9 0767 0772 6 AMOUNT PAID
CR40A_10 0773 0773 1 ALL SOURCES,NO CHARGE MADE FOR CARE
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 MULTIPLE RESPONSE
5 REFUSAL
6 NONRESPONSE
CR40B_10 0774 0779 8 AMOUNT PAID
CR40A_11 0780 0700 1 ALL SOURCES, NOT YET DETERMINED
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 MULTIPLE RESPONSE
5 REFUSAL
6 NONRESPONSE
CR40A_12 0781 0781 1 ALL SOURCES, OTHER
1 APPLICABLE
2 NO DATA IN RECORD
3 NOT APPLICABLE
4 MULTIPLE RESPONSE
5 REFUSAL
6 NONRESPONSE
CR40B_12 0782 0787 6 AMOUNT PAID
CR_DRQ1 0788 0794 7 DISCHARGE ID OVERLAP 1 (CKDIG10)
CR_DRQ2 0795 0801 7 DISCHARGE ID OVERLAP 2 (CKDIG10)
CR_OVBOX 0802 0802 1 OVERLAP CASES BOX
1 NONE
2 NONRESPONSE
CRR00901 0803 0807 5 RECODE: CURRENT LENGTH OF STAY
CRR01001 0808 0810 3 RECODE: AGE AT SAMPLE ADMISSION
CRR01101 0811 0811 1 RECODE: RESIDENT IN FACILITY ALL OF LAST MONTH
1 YES
2 NO
3 NOT KNOWN
Tape Positions 0812-0815
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CRR04401 0812 0813 2 RECODE: PRIMARY ADMISSIONS DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
CRR04501 0814 0815 2 RECODE: 2ND LISTED ADMISSIONS DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
Tape Positions 0816-0819
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CRR04601 0816 0817 2 RECODE: 3RD LISTED ADMISSIONS DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
CRR04701 0818 0819 2 RECODE: 4TH LISTED ADMISSIONS DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
Tape Positions 0820-0823
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CRR04801 0820 0821 2 RECODE: 5TH LISTED ADMISSIONS DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
CRR04901 0822 0823 2 RECODE: 6TH LISTED ADMISSIONS DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
Tape Positions 0824-0827
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CRR05001 0824 0825 2 RECODE: 7TH LISTED ADMISSIONS DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
CRR05101 0826 0827 2 RECODE: 8TH LISTED ADMISSIONS DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
Tape Positions 0828-0831
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CRR05301 0828 0829 2 RECODE: PRIMARY CURRENT DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
CRR05401 0830 0831 2 RECODE: 2ND LISTED CURRENT DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
Tape Positions 0832-0835
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CRR05501 0832 0833 2 RECODE: 3RD LISTED CURRENT DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
CRR05601 0834 0835 2 RECODE: 4TH LISTED CURRENT DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
Tape Positions 0836-0839
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CRR05701 0836 0837 2 RECODE: 5TH LISTED CURRENT DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
CRR05801 0838 0839 2 RECODE: 6TH LISTED CURRENT DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
2Tape Positions 0840-0843
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CRR05901 0840 0841 2 RECODE: 7TH LISTED CURRENT DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
CRR06001 0842 0843 2 RECODE: 8TH LISTED CURRENT DIAGNOSIS
1 INFECTIOUS AND PARASITIC DISEASES
2 MALIGNANT NEOPLASMS
3 BENIGN NEOPLASMS,CARCINOMA-IN-SITU,UNCERTAIN BEHAVIOR
4 DIABETES MELLITUS
5 OTHER NUTRITIONAL DEFICIENCIES AND METABOLIC DISORD
6 ANEMIAS
7 OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
8 SENILE DEMENTIA AND OTHER ORGANIC BRAIN SYNDROMES
9 OTHER PSYCHOSES
10 MENTAL ILLNESS
11 SPECIFIC NON-PSYCHOTIC MENTAL DISORDERS
12 MENTAL RETARDATION
13 OTHER MENTAL DISORDERS
14 ALZHEIMER'S DISEASE
15 PARKINSON'S DISEASE
16 MULTIPLE SCLEROSIS
17 EPILEPSY
18 GLAUCOMA
19 CATARACT
20 BLINDNESS
21 DEAFNESS
22 OTHER DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS
23 ESSENTIAL HYPERTENSION
24 HYPERTENSIVE HEART DISEASE
25 CORONARY ATHEROSCLEROSIS
26 OTHER ISCHEMIC HEART DISEASE
27 CONGESTIVE HEART FAILURE
28 CARDIOVASCULAR DISEASE, UNSPECIFIED
29 OTHER HEART DISEASE
30 CEREBROVASCULAR ACCIDENT
31 LATE EFFECTS OF CEREBROVASCULAR DISEASE
32 OTHER CEREBROVASCULAR DISEASE
33 ATHEROSCLEROSIS
34 OTHER DISEASES OF THE CIRCULATORY SYSTEM
35 PNEUMONIA, ALL FORMS
36 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
37 OTHER DISEASES OF THE RESPIRATORY SYSTEM
38 ULCER OF STOMACH,DUODENUM,PEPTIC ULCER
39 CONSTIPATION
40 GASTROINTESTINAL HEMORRHAGE
41 OTHER DISEASES OF THE DIGESTIVE SYSTEM
42 URINARY TRACT INFECTION, N.E.C.
43 OTHER DISEASES OF THE GENITOURINARY SYSTEM
44 DECUBITUS ULCERS
45 OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
46 RHEUMATOID ARTHRITIS, EXCEPT SPINE
47 OSTEOARTHRITIS AND ALLIED DISORDERS, EXCEPT SPINE
48 OTHER ARTHRITIS, AND RHEUMATISM
49 OSTEOPOROSIS
50 OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM
51 CONGENITAL ANOMALIES
52 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
53 SENILITY WITHOUT MENTION OF PSYCHOSIS
54 OTHER SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
55 FRACTURE OF NECK OF FEMUR
56 OTHER FRACTURES
57 OTHER INJURY AND POISONING
58 PERSONS WITH POTENTIAL HEALTH HAZARDS
59 PERSONS WITH A CONDITION INFLUENCING HEALTH STATUS
60 OTHER SUPPLEMENTARY CLASSIFICATION
61 DON'T KNOW
Tape Positions 0844-0873
LABEL BC EC LEN DESCRIPTION
----- -- -- --- -----------
CRR09001 0844 0849 6 RECODE: TOTAL MONTHLY CHARGE
CRR11701 0850 0851 2 RECODE: PRIMARY SOURCE OF PAYMENT
1 OWN INCOME, FAMILY SUPPORT,ETC
2 MEDICARE
3 MEDICAID-SKILLED
4 MEDICAID-INTERMEDIATE
5 STATE FUNDED INDIGENT CARE
6 OTHER GOVERNMENT ASSISTANCE OR WELFARE
7 RELIGIOUS ORGANIZATIONS
8 VA CONTRACT
9 INITIAL PAYMENT-LIFE CARE FUNDS
10 NO CHARGE MADE FOR CARE
12 OTHER
13 DON'T KNOW
CRI00201 0852 0852 1 IMPUTATION INDICATOR: CR2_MO,DA
0 NOT IMPUTED
1 IMPUTED
CRI00202 0853 0853 1 IMPUTATION INDICATOR: CR2_YR
0 NOT IMPUTED
1 IMPUTED
CRI00701 0854 0854 1 IMPUTATION INDICATOR: CR7_MO,DA
0 NOT IMPUTED
1 IMPUTED
CRI00702 0855 0855 1 IMPUTATION INDICATOR: CR7_YR
0 NOT IMPUTED
1 IMPUTED
CRI00801 0856 0856 1 IMPUTATION INDICATOR: CR7_MO,DA
0 NOT IMPUTED
1 IMPUTED
CRI00802 0857 0857 1 IMPUTATION INDICATOR: CR7_YR
0 NOT IMPUTED
1 IMPUTED
CRI08801 0858 0858 1 TOTAL CHARGE RECODE
0 NOT IMPUTED
1 IMPUTED
CRI08901 0859 0859 1 PRIMARY SOURCE OF PAYMENT
0 NOT IMPUTED
1 IMPUTED
FQR02001 0860 0860 1 CERTIFICATION RECODE
1 ICF AND SNF (MEDICARE)
2 ICF AND SNF (MEDICAID)
3 ICF AND SNF (BOTH MEDICARE AND MEDICAID)
4 SNF (BOTH MEDICARE AND MEDICAID)
5 SNF (MEDICARE)
6 SNF (MEDICAID)
7 ICF ONLY
8 NOT CERTIFIED
9 NONRESPONSE
FQR10801 0861 0861 1 RECODE: GEOGRAPHIC REGION (FROM NMFI DATA)
1 NORTHEAST
2 NORTH CENTRAL
3 SOUTH
4 WEST
METRO 0062 0862 1 METROPOLITAN STATUS
1 METROPOLITAN
2 NON-METROPOLITAN
0863 0870 8 CURRENT RESIDENT WEIGHT - SECOND STAGE INFLATION
FACTOR USED TO PRODUCE NATIONAL ESTIMATES OF
CURRENT RESIDENTS (4 DECIMAL PLACES IMPLIED)
0871 0873 3 RECODE: CURRENT AGE