MEPS supporting statement v17

MEPS supporting statement v17.doc

Medical Expenditure Panel Survey Household Component and Medical Provider Component (MEPS-HC and MEPS-MPC through 2009)

OMB: 0935-0118

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Beta

Disability Days (DD) Section

BOX_01

IF PERSON IS LESS THAN 1 YEAR OF AGE (OR AGE CATEGORY 1), GO TO BOX_03.

OTHERWISE, CONTINUE WITH DD01.

1

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Disability Days (DD) Section

DD01

{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

The next questions ask about time when (PERSON) may have missed a half

day or more from work or school or spent a half day or more in bed {since

(START DATE)/between (START DATE) and (END DATE)}. In answering

these questions, please include any time when this occurred because of

(PERSON)’s physical illness or injury, or a mental or emotional problem such

as stress or depression.

PRESS ENTER OR SELECT NEXT PAGE TO CONTINUE.

DISPLAY INSTRUCTIONS:

DISPLAY 'since (START DATE)' IF NOT ROUND 5.

DISPLAY 'between (START DATE) and (END DATE)' IF ROUND 5.

PROGRAMMER NOTES:

THERE IS NO UPPER AGE LIMIT RESTRICTION FOR PERSONS WHO ARE

ASKED THE WORK-LOSS DISABILITY DAYS QUESTION.

ROUTING INSTRUCTION:

IF PERSON IS = OR > 1 YEAR OLD AND < 3 YEARS OLD (OR AGE

CATEGORY 2), GO TO DD08.

IF PERSON IS = OR > 3 YEARS OLD AND < OR = 15 YEARS OLD (OR

AGE CATEGORY 3), GO TO DD05.

IF PERSON IS = OR > 16 YEARS OLD (OR AGE CATEGORIES 4-9),

CONTINUE WITH DD02.

Context Header Display Instructions:

IF PRND DATES ARE MISSING USE RU DATES:

RUBEGMM

RUBEGDD

RUENDMM

RUENDDD

2

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Disability Days (DD) Section

DD02

{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

(HALFDAYHELP)

{NUMBER OF DAYS IN HOSPITAL: {NUMBER OF DAYS}}

Let's start with work. {Including the time (PERSON) (were/was) in the hospital,

how/How} many days did (PERSON) miss a half day or more from work {since

(START DATE)/between (START DATE) and (END DATE)}? Please do not

include work around the house.

PROBE: Include any time when a half day or more was missed because of a

physical illness or injury, or a mental or emotional problem.

Size

Variable Name

Label

PRND.DDNOWORK

3

MISSED WORK BECAUSE OF ILLNESS/INJURY

IF NO DAYS MISSED FROM WORK, CODE ‘995’.

IF PERSON DOES NOT WORK, CODE ‘996’.

{BOX_01A}

NUMBER OF DAYS: _______

RF

Refused

----------------------------------------------------------------------------------------------------------------------------------

DK

Don't Know

HELP AVAILABLE FOR DEFINITION OF HALF DAY OR MORE.

DISPLAY INSTRUCTIONS:

DISPLAY ‘NUMBER OF DAYS IN HOSPITAL: { }’ IF PERSON HAS AT

LEAST ONE HOSPITAL STAY THAT ENDED IN CURRENT ROUND (I.E.,

DISCHARGE DATE NOT CODED ‘95’ (STILL IN HOSPITAL)). OTHERWISE,

USE A NULL DISPLAY. FOR ‘NUMBER OF DAYS’, DISPLAY TOTAL

NUMBER OF DAYS PERSON WAS IN HOSPITAL FOR ALL HOSPITAL STAYS

THAT ENDED IN CURRENT ROUND (I.E., DISCHARGE DATE NOT CODED

‘95’ (STILL IN HOSPITAL)). OTHERWISE, USE A NULL DISPLAY.

DISPLAY ‘Including the time..., how’ IF PERSON HAS AT LEAST

ONE HOSPITAL STAY THAT ENDED IN CURRENT ROUND (I.E., DISCHARGE

DATE NOT CODED ‘95’ (STILL IN HOSPITAL)).

OTHERWISE, DISPLAY ‘How’.

DISPLAY 'since (START DATE)' IF NOT ROUND 5.

DISPLAY 'between (START DATE) and (END DATE)' IF ROUND 5.

3

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Disability Days (DD) Section

PROGRAMMER NOTES:

IF ‘0’ ENTERED, DISPLAY THE FOLLOWING ERROR MESSAGE: ‘IF NO

WORK DAYS MISSED, USE RADIO BUTTON TO RECORD THIS INFORMATION.’

IF NUMBER ENTERED > NUMBER OF DAYS IN REFERENCE PERIOD,

DISPLAY THE FOLLOWING ERROR MESSAGE: ‘NUMBER OF DAYS MUST BE

EQUAL TO OR LESS THAN NUMBER IN REFERENCE PERIOD.’

'NO DAYS MISSED FROM WORK' AND 'DOES NOT WORK (OTHER THAN

AROUND THE HOUSE)' ARE RADIO BUTTONS BELOW THE ENTRY FIELD,

ALONG WITH THE 'REFUSED' AND 'DON'T KNOW' BUTTONS.

ROUTING INSTRUCTION:

IF CODED '995' (NO DAYS MISSED FROM WORK), '996' (DOES NOT

WORK), 'RF' (REFUSED), OR 'DK' (DON'T KNOW) AND PERSON IS 16

THROUGH 22 YEARS OF AGE INCLUSIVE (OR AGE CATEGORY 4), GO TO

DD05.

IF CODED '995' (NO DAYS MISSED FROM WORK), '996' (DOES NOT

WORK), 'RF' (REFUSED), OR 'DK' (DON'T KNOW) AND PERSON IS 23

YEARS OF AGE OR OLDER (OR AGE CATEGORIES 5-9), GO TO DD08.

OTHERWISE, CONTINUE WITH BOX_01A.

Hard CHECK:

RANGE CHECK: 1 THROUGH NUMBER OF DAYS IN REFERENCE PERIOD FOR THIS PERSON.

BOX_01A

IF ROUND 3, CONTINUE WITH DD02A.

OTHERWISE (I.E., IF NOT ROUND 3), GO TO DD03.

4

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Disability Days (DD) Section

DD02A

{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

NUMBER OF DAYS MISSED WORK: {NUMBER OF DAYS}

Of those days, how many were in {YEAR}?

Size

Variable Name

Label

PRND.NOWRKLYR

3

MISSED WORK DUE TO ILLNESS/INJURY LST YR

{DD03}

NUMBER OF DAYS: _______

RF

Refused

{DD03}

----------------------------------------------------------------------------------------------------------------------------------

DK

Don't Know

{DD03}

DISPLAY INSTRUCTIONS:

FOR 'NUMBER OF DAYS,' DISPLAY THE NUMBER ENTERED AT DD02.

(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES

AUTOMATICALLY): 'YEAR' IN QUESTION TEXT IS FIRST CALENDAR YEAR

OF PANEL.

Hard CHECK:

DAYS IN 2007 AT DD02A MUST BE < OR = DAYS MISSED FROM WORK AT DD02.

5

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Disability Days (DD) Section

DD03

{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

What are the health problems that caused (PERSON) to miss work on those

days?

PROBE: Any other health problems?

IF CONDITION IS ALREADY LISTED, ASK: Is this the same (NAME OF

CONDITION) that we have already talked about before?

Size

Variable Name

Label

COND.CONDID

12

COND ID KEY: PERSID + COUNTER(3) + CD

COND.CONDRURN

2

ROUND STAMP: RU LETTER + ROUND NUMBER

COND.CREATEQ

4

QUESTION THAT CREATED COND SEGMENT

COND.CONDNAM

30

NAME OF CONDITION

COND.MISSWORK

2

FLAG ASSOCIATED WITH MISSED WORK DAYS

CRND.CRNDID

13

CRND ID KEY: CONDID + ROUND NUMBER

CRND.CRNDRURN

2

ROUND STAMP: RU LETTER + ROUND NUMBER

CRND.CREATEQ

2

CREATION STAMP

IF SAME EPISODE OF CONDITION, SELECT ENTRY ON ROSTER.

IF NEW EPISODE OF CONDITION, ADD TO ROSTER.

[Medical Condition]

[Medical Condition]

[Medical Condition]

{DD04}

PROGRAMMER NOTES:

FLAG ALL CONDITIONS SELECTED OR ADDED AS BEING ASSOCIATED WITH

MISSED WORK DAYS IN THIS ROUND.

Title:

PERS_COND_1

Roster Details

Col #

Header

Instructions

1

MEDICAL CONDITION Display name of medical condition

COND.CONDNAM

6

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Disability Days (DD) Section

Roster Behavior:

1. Multiple Select allowed.

2. Multiple Add allowed.

3. Limited Delete allowed. Interviewer may delete a condition

added on this screen as long as CAPI has not yet created the

link between this condition and the event. If the interviewer

attempts to delete a condition when delete is not allowed,

display the following message: “DELETE ALLOWED ONLY WHEN

CONDITION IS FIRST ENTERED.”

4. Limited Edit allowed. Interviewer may edit a condition name

added on this screen as long as CAPI has not yet created the

link between this condition and the event. If the interviewer

attempts to edit a condition when edit is not allowed, display

the following message: “EDIT ALLOWED ONLY WHEN CONDITION IS

FIRST ENTERED.”

Roster Filter:

Display all conditions on person’s roster; no filter.

Roster Definition:

Display the PERSON-MEDICAL-CONDITIONS-ROSTER for the selection

and addition of one or many medical condition(s) associated

with this event.

7

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Disability Days (DD) Section

DD04

{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

(STAYBEDHELP)

NUMBER OF DAYS MISSED WORK: {NUMBER OF DAYS}

Of those days, how many did (PERSON) stay in bed for half a day or more?

Size

Variable Name

Label

PRND.WRKINBED

3

WORK DAYS MISSED TO STAY IN BED

NUMBER OF DAYS: _______

RF

Refused

----------------------------------------------------------------------------------------------------------------------------------

DK

Don't Know

HELP AVAILABLE FOR DEFINITION OF STAY IN BED.

DISPLAY INSTRUCTIONS:

FOR ‘NUMBER OF DAYS’, DISPLAY THE NUMBER ENTERED AT DD02.

ROUTING INSTRUCTION:

IF DD02A OR DD04 EQUALS 0, DON'T KNOW OR REFUSED AND PERSON IS

16 THROUGH 22 YEARS OF AGE INCLUSIVE (OR AGE CATEGORY 4), GO

TO DD05.

IF DD02A OR DD04 EQUALS 0, DON'T KNOW OR REFUSED AND PERSON IS

23 YEARS OF AGE OR OLDER (OR AGE CATEGORIES 5-9), GO TO DD08.

OTHERWISE, CONTINUE WITH BOX_01B.

Hard CHECK:

DAYS IN BED AT DD04 MUST BE < OR = DAYS MISSED FROM WORK AT DD02.

8

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Disability Days (DD) Section

BOX_01B

IF ROUND 3, CONTINUE WITH DD04A.

IF NOT ROUND 3 AND PERSON IS 16 THROUGH 22 YEARS OF AGE INCLUSIVE (OR AGE

CATEGORY 4), GO TO DD05.

IF NOT ROUND 3 AND PERSON IS 23 YEARS OF AGE OR OLDER (OR AGE CATEGORIES 5-

9), GO TO DD08.

9

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Disability Days (DD) Section

DD04A

{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

NUMBER OF DAYS IN BED: {NUMBER OF DAYS}

Of those days, how many were in {YEAR}?

Size

Variable Name

Label

PRND.WKBEDLYR

3

WORK DAYS MISSED TO STAY IN BED LAST YR

NUMBER OF DAYS: _______

RF

Refused

----------------------------------------------------------------------------------------------------------------------------------

DK

Don't Know

DISPLAY INSTRUCTIONS:

FOR 'NUMBER OF DAYS,' DISPLAY THE NUMBER ENTERED AT DD04.

(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES

AUTOMATICALLY): 'YEAR' IN QUESTION TEXT IS FIRST CALENDAR YEAR

OF PANEL.

ROUTING INSTRUCTION:

IF PERSON IS 16 THROUGH 22 YEARS OF AGE INCLUSIVE (OR AGE

CATEGORY 4), CONTINUE WITH DD05.

IF PERSON IS 23 YEARS OF AGE OR OLDER (OR AGE CATEGORIES 5-9),

GO TO DD08.

Hard CHECK:

DAYS IN BED IN 2007 AT DD04A MUST BE < OR = DAYS IN BED AT DD04.

DAYS IN BED IN 2007 AT DD04A MUST BE < OR = DAYS MISSED FROM WORK IN 2007 AT

DD02A.

10

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Disability Days (DD) Section

DD05

{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

(HALFDAYHELP)

{NUMBER OF DAYS IN HOSPITAL: {NUMBER OF DAYS}}

Let's talk about school (and day care). {Including the time (PERSON)

(were/was) in the hospital, how/How} many days did (PERSON) miss a half

day or more of school (or day care) {since (START DATE)/between (START

DATE) and (END DATE)}?

PROBE: Include any time when a half day or more of school (or day care)

was missed because of a physical illness or injury, or a mental or emotional

problem.

Size

Variable Name

Label

PRND.DDNOSCHL

3

MISSED SCHOOL BECAUSE OF ILLNESS/INJURY

IF NO DAYS MISSED FROM SCHOOL, CODE ‘995’.

IF PERSON DOES NOT ATTEND SCHOOL, CODE ‘996’.

{BOX_01C}

NUMBER OF DAYS: _______

RF

Refused

{DD08}

----------------------------------------------------------------------------------------------------------------------------------

DK

Don't Know

{DD08}

HELP AVAILABLE FOR DEFINITION OF HALF DAY OR MORE.

DISPLAY INSTRUCTIONS:

DISPLAY ‘NUMBER OF DAYS IN HOSPITAL: { }’ IF PERSON HAS AT

LEAST ONE HOSPITAL STAY THAT ENDED IN CURRENT ROUND (I.E.,

DISCHARGE DATE NOT CODED ‘95’ (STILL IN HOSPITAL)). OTHERWISE

USE A NULL DISPLAY. FOR ‘NUMBER OF DAYS’, DISPLAY TOTAL NUMBER

OF DAYS PERSON WAS IN HOSPITAL FOR ALL HOSPITAL STAYS THAT

ENDED IN CURRENT ROUND (I.E., DISCHARGE DATE NOT CODED ‘95’

(STILL IN HOSPITAL)). OTHERWISE USE A NULL DISPLAY.

DISPLAY ‘Including the time..., how’ IF PERSON HAS AT LEAST

ONE HOSPITAL STAY THAT ENDED IN CURRENT ROUND (I.E., DISCHARGE

DATE NOT CODED ‘95’ (STILL IN HOSPITAL)).

OTHERWISE, DISPLAY ‘How’.

DISPLAY 'since (START DATE)' IF NOT ROUND 5.

DISPLAY 'between (START DATE) and (END DATE) IF ROUND 5.

11

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Disability Days (DD) Section

PROGRAMMER NOTES:

IF ‘0’ ENTERED, DISPLAY THE FOLLOWING ERROR MESSAGE: ‘IF NO

SCHOOL DAYS MISSED, USE RADIO BUTTON TO RECORD THIS

INFORMATION.’

IF NUMBER ENTERED > NUMBER OF DAYS IN REFERENCE PERIOD,

DISPLAY THE FOLLOWING ERROR MESSAGE: ‘NUMBER OF DAYS MUST BE

EQUAL TO OR LESS THAN NUMBER OF DAYS IN REFERENCE PERIOD.’

'NO DAYS MISSED FROM SCHOOL' AND 'DOES NOT ATTEND SCHOOL' ARE

RADIO BUTTONS BELOW THE ENTRY FIELD, ALONG WITH THE 'REFUSED'

AND 'DON'T KKNOW' BUTTONS.

Hard CHECK:

RANGE CHECK: 1 THROUGH NUMBER OF DAYS IN REFERENCE PERIOD FOR THIS PERSON.

BOX_01C

IF ROUND 3, CONTINUE WITH DD05A.

OTHERWISE (I.E., IF NOT ROUND 3), GO TO DD06.

12

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Disability Days (DD) Section

DD05A

{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

NUMBER OF DAYS MISSED SCHOOL: {NUMBER OF DAYS}

Of those days, how many were in {YEAR}?

Size

Variable Name

Label

PRND.NOSCHLYR

3

MISSED SCHOOL BECAUSE OF ILLNESS/INJURY

{DD06}

NUMBER OF DAYS: _______

RF

Refused

{DD06}

----------------------------------------------------------------------------------------------------------------------------------

DK

Don't Know

{DD06}

DISPLAY INSTRUCTIONS:

FOR 'NUMBER OF DAYS,' DISPLAY THE NUMBER ENTERED AT DD05.

(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES

AUTOMATICALLY): 'YEAR' IN QUESTION TEXT IS FIRST CALENDAR YEAR

OF PANEL.

Hard CHECK:

DAYS MISSED FROM SCHOOL IN 2007 AT DD05A MUST BE < OR = DAYS MISSED FROM

SCHOOL AT DD05.

13

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Disability Days (DD) Section

DD06

{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

What are the health problems that caused (PERSON) to miss school on those

days?

PROBE: Any other health problems?

IF CONDITION IS ALREADY LISTED, ASK: Is this the same (NAME OF

CONDITION) that we have already talked about before?

Size

Variable Name

Label

COND.CONDID

12

COND ID KEY: PERSID + COUNTER(3) + CD

COND.CONDRURN

2

ROUND STAMP: RU LETTER + ROUND NUMBER

COND.CREATEQ

4

QUESTION THAT CREATED COND SEGMENT

COND.CONDNAM

30

NAME OF CONDITION

COND.MISSSCHL

2

FLAG ASSOCIATED WITH MISSED SCHOOL DAYS

CRND.CRNDID

13

CRND ID KEY: CONDID + ROUND NUMBER

CRND.CRNDRURN

2

ROUND STAMP: RU LETTER + ROUND NUMBER

CRND.CREATEQ

2

CREATION STAMP

IF SAME EPISODE OF CONDITION, SELECT ENTRY ON ROSTER.

IF NEW EPISODE OF CONDITION, ADD TO ROSTER.

[Medical Condition]

[Medical Condition]

[Medical Condition]

{DD07}

PROGRAMMER NOTES:

FLAG ALL CONDITIONS SELECTED OR ADDED AS BEING ASSOCIATED WITH

MISSED SCHOOL DAYS IN THIS ROUND.

Title:

PERS_COND_1

Roster Details

Col #

Header

Instructions

1

MEDICAL CONDITION Display name of medical condition

COND.CONDNAM

14

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Disability Days (DD) Section

Roster Behavior:

1. Multiple Select allowed.

2. Multiple Add allowed.

3. Limited Delete allowed. Interviewer may delete a condition

added on this screen as long as CAPI has not yet created

the link between this condition and the event. If the

interviewer attempts to delete a condition when delete is

not

allowed, display the following message: “DELETE ALLOWED

ONLY WHEN CONDITION IS FIRST ENTERED.”

4. Limited Edit allowed. Interviewer may edit a condition name

newly added on this screen as long as CAPI has not yet

created the link between this condition and the event. If

the interviewer attempts to edit a condition when edit is not

allowed, display the following message: “EDIT ALLOWED ONLY

WHEN CONDITION IS FIRST ENTERED.”

Roster Filter:

Display all conditions on person’s roster; no filter.

Roster Definition:

Display the PERSON-MEDICAL-CONDITIONS-ROSTER for the selection

and addition of one or many medical condition(s) associated

with this event.

15

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Disability Days (DD) Section

DD07

{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

(STAYBEDHELP)

NUMBER OF DAYS MISSED SCHOOL: {NUMBER OF DAYS}

Of those days, how many did (PERSON) stay in bed a half day or more?

Size

Variable Name

Label

PRND.SCLINBED

3

MISSED SCHL DAYS TO STAY IN BED

NUMBER OF DAYS: _______

RF

Refused

{DD08}

----------------------------------------------------------------------------------------------------------------------------------

DK

Don't Know

{DD08}

HELP AVAILABLE FOR DEFINITION OF STAY IN BED.

DISPLAY INSTRUCTIONS:

FOR ‘NUMBER OF DAYS’, DISPLAY NUMBER RECORDED IN DD05.

ROUTING INSTRUCTION:

IF DD05A OR DD07 EQUALS 0, DON'T KNOW OR REFUSED, GO TO DD08.

OTHERWISE, CONTINUE WITH BOX_01D.

Hard CHECK:

DAYS IN BED AT DD07 MUST BE < OR = DAYS MISSED FROM SCHOOL AT DD05.

TOTAL BED DAYS (SUM OF ENTRY AT DD04 PLUS ENTRY AT DD07) MUST BE < OR =

NUMBER OF DAYS IN REFERENCE PERIOD FOR PERSON.

BOX_01D

IF ROUND 3, CONTINUE WITH DD07A.

OTHERWISE (I.E., IF NOT ROUND 3), GO TO DD08.

16

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Disability Days (DD) Section

DD07A

{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

NUMBER OF DAYS IN BED: {NUMBER OF DAYS}

Of those days, how many were in {YEAR}?

Size

Variable Name

Label

PRND.SCBEDLYR

3

MISSED SCHL DAYS TO STAY IN BED LAST YR

{DD08}

NUMBER OF DAYS: _______

RF

Refused

{DD08}

----------------------------------------------------------------------------------------------------------------------------------

DK

Don't Know

{DD08}

DISPLAY INSTRUCTIONS:

FOR 'NUMBER OF DAYS,' DISPLAY THE NUMBER ENTERED AT DD07.

(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES

AUTOMATICALLY): 'YEAR' IN QUESTION TEXT IS FIRST CALENDAR YEAR

OF PANEL.

Hard CHECK:

DAYS IN BED IN 2007 AT DD07A MUST BE < OR = DAYS IN BED AT DD07.

DAYS IN BED IN 2007 AT DD07A MUST BE < OR = DAYS MISSED SCHOOL IN 2007 AT

DD05A.

17

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Disability Days (DD) Section

DD08

{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

(DD08Help)

{NUMBER OF DAYS IN HOSPITAL: {NUMBER OF DAYS}}

{Besides the days in bed you just told me about, how/How} many {additional}

days did (PERSON) spend a half day or more in bed {since (START

DATE)/between (START DATE) and (END DATE)} because of a physical

illness or injury, or mental or emotional problem? {Please include the time

(PERSON) (were/was) in the hospital.}

Size

Variable Name

Label

PRND.DDBEDAYS

3

OTHER DAYS SPEND IN BED SINCE START DAY

IF NO {ADDITIONAL} BED DAYS, CODE ‘995’.

{BOX_01E}

NUMBER OF DAYS: _______

RF

Refused

{BOX_02}

----------------------------------------------------------------------------------------------------------------------------------

DK

Don't Know

{BOX_02}

HELP AVAILABLE FOR DEFINITION OF HALF DAY OR MORE AND STAY

IN BED.

DISPLAY INSTRUCTIONS:

DISPLAY ‘NUMBER OF DAYS IN HOSPITAL: { }’ IF PERSON HAS AT

LEAST ONE HOSPITAL STAY THAT ENDED IN CURRENT ROUND (I.E.,

DISCHARGE DATE NOT CODED ‘95’ (STILL IN HOSPITAL)). OTHERWISE,

USE A NULL DISPLAY. FOR ‘NUMBER OF DAYS’, DISPLAY TOTAL

NUMBER OF DAYS PERSON WAS IN HOSPITAL FOR ALL HOSPITAL STAYS

THAT ENDED IN CURRENT ROUND (I.E., DISCHARGE DATE NOT CODED

‘95’ (STILL IN HOSPITAL)). OTHERWISE, USE A NULL DISPLAY.

DISPLAY ’Besides the days...how’, ‘additional’ IN THE QUESTION

TEXT, AND ‘ADDITIONAL’ IN THE LABEL OF THE RADIO BUTTON IF ANY

BED DAYS RECORDED FOR THIS PERSON IN EITHER DD04 OR DD07. IF

NO BED DAYS RECORDED AT DD04 AND DD07, DISPLAY, ‘How’.

DISPLAY 'since (START DATE)' IF NOT ROUND 5.

DISPLAY 'between (START DATE) and (END DATE)' IF ROUND 5.

DISPLAY ‘Please include...’ IF PERSON HAS AT LEAST ONE

HOSPITAL STAY THAT ENDED IN CURRENT ROUND (I.E., DISCHARGE

DATE NOT CODED ‘95’ (STILL IN HOSPITAL)).

18

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Disability Days (DD) Section

PROGRAMMER NOTES:

IF ‘0’ ENTERED, DISPLAY THE FOLLOWING ERROR MESSAGE: ‘IF NO

ADDITIONAL BED DAYS, USE RADIO BUTTON TO RECORD THIS

INFORMATION.’

'NO {ADDITIONAL} BED DAYS' IS A RADIO BUTTONS BELOW THE ENTRY

FIELD, ALONG WITH THE 'REFUSED' AND 'DON'T KNOW' BUTTONS.

Hard CHECK:

RANGE CHECK: 1 THROUGH NUMBER OF DAYS IN REFERENCE PERIOD FOR THIS PERSON.

EDIT: TOTAL BED DAYS (SUM OF ENTRY AT DD04 PLUS ENTRY AT DD07 PLUS ENTRY AT

DD08) MUST BE LESS THAN OR EQUAL TO NUMBER OF DAYS IN REFERENCE PERIOD FOR

PERSON.

BOX_01E

IF ROUND 3, CONTINUE WITH DD08A.

OTHERWISE (I.E., IF NOT ROUND 3), GO TO DD09.

19

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Disability Days (DD) Section

DD08A

{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

NUMBER OF {ADDITIONAL} DAYS IN BED: {NUMBER OF DAYS}

Of those days, how many were in {YEAR}?

Size

Variable Name

Label

PRND.BEDAYLYR

3

OTHER DAYS SPENT IN BED LAST YEAR

{DD09}

NUMBER OF DAYS: _______

RF

Refused

{DD09}

----------------------------------------------------------------------------------------------------------------------------------

DK

Don't Know

{DD09}

DISPLAY INSTRUCTIONS:

DISPLAY 'ADDITIONAL' IF ANY BED DAYS RECORDED FOR THIS PERSON

IN EITHER DD04 OR DD07. OTHERWISE, USE A NULL DISPLAY.

FOR 'NUMBER OF DAYS,' DISPLAY THE NUMBER ENTERED AT DD08.

(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES

AUTOMATICALLY): 'YEAR' IN QUESTION TEXT IS FIRST CALENDAR YEAR

OF PANEL.

Hard CHECK:

DAYS IN BED IN 2007 AT DD08A MUST BE < OR = ADDITIONAL DAYS IN BED AT DD08.

20

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Disability Days (DD) Section

DD09

{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

What are the health problems that caused (PERSON) to spend half day or

more in bed on those days?

PROBE: Any other health problems?

IF CONDITION IS ALREADY LISTED, ASK: Is this the same (NAME OF

CONDITION) that we have already talked about before?

Size

Variable Name

Label

COND.CONDID

12

COND ID KEY: PERSID + COUNTER(3) + CD

COND.CONDRURN

2

ROUND STAMP: RU LETTER + ROUND NUMBER

COND.CREATEQ

4

QUESTION THAT CREATED COND SEGMENT

COND.CONDNAM

30

NAME OF CONDITION

COND.INBEDFLG

2

FLAG ASSOCIATED WITH BED DAYS

CRND.CRNDID

13

CRND ID KEY: CONDID + ROUND NUMBER

CRND.CRNDRURN

2

ROUND STAMP: RU LETTER + ROUND NUMBER

CRND.CREATEQ

2

CREATION STAMP

IF SAME EPISODE OF CONDITION, SELECT ENTRY ON ROSTER.

IF NEW EPISODE OF CONDITION, ADD TO ROSTER.

[Medical Condition]

[Medical Condition]

[Medical Condition]

{BOX_02}

PROGRAMMER NOTES:

FLAG ALL CONDITIONS SELECTED OR ADDED AS BEING ASSOCIATED WITH

BED DAYS IN THIS ROUND.

Title:

PERS_COND_1

Roster Details

Col #

Header

Instructions

1

MEDICAL CONDITION Display name of medical condition

COND.CONDNAM

21

Beta

Disability Days (DD) Section

Roster Behavior:

1. Multiple Select allowed.

2. Multiple Add allowed.

3. Limited Delete allowed. Interviewer may delete a condition

added on this screen as long as CAPI has not yet created the

link between this condition and the event. If the interviewer

attempts to delete a condition when delete is not allowed,

display the following message: “DELETE ALLOWED ONLY WHEN

CONDITION IS FIRST ENTERED.”

4. Limited Edit allowed. Interviewer may edit a condition name

added on this screen as long as CAPI has not yet created the

link between this condition and the event. If the interviewer

attempts to edit a condition when edit is not allowed, display

the following message: “EDIT ALLOWED ONLY WHEN CONDITION IS

FIRST ENTERED.”

Roster Filter:

Display all conditions on person’s roster; no filter.

Roster Definition:

Display the PERSON-MEDICAL-CONDITIONS-ROSTER for the selection

and addition of one or many medical condition(s) associated

with this event.

BOX_02

CHECK AGE AND WORK STATUS: IF LESS THAN 16 YEARS OF AGE OR AGE CATEGORIES

1-3), GO TO BOX_03.

IF 16 YEARS OF AGE OR OLDER (OR AGE CATEGORIES 4-9) AND DD02 IS NOT CODED

'996' (DOES NOT WORK OTHER THAN AROUND THE HOUSE), CONTINUE WITH DD10.

IF 16 YEARS OF AGE OR OLDER (OR AGE CATEGORIES 4-9) AND DD02 IS CODED

'996' (DOES NOT WORK OTHER THAN AROUND THE HOUSE), GO TO BOX_03.

22

Beta

Disability Days (DD) Section

DD10

{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

(HALFDAYHELP)

{Besides the {NUMBER OF MISSED WORK DAYS} days (PERSON) missed

a half day or more from work because of (PERSON)'s own illness or injury,

did/Did} (PERSON) miss more than a half day from work {between (START

DATE) and (END DATE)} because of someone else's illness, injury, or health

care needs, for example, to take care of a sick child or a relative?

Size

Variable Name

Label

PRND.OTHRMISS

2

MISS ANY WRK/SCHL DAYS TO CARE FOR OTHRS

1

YES

{DD11}

2

NO/DO NOT WORK

{BOX_03}

RF

Refused

{BOX_03}

----------------------------------------------------------------------------------------------------------------------------------

DK

Don't Know

{BOX_03}

HELP AVAILABLE FOR DEFINITION OF HALF DAY OR MORE.

DISPLAY INSTRUCTIONS:

DISPLAY ‘Besides the ..., did’ IF ANY MISSED WORK DAYS

RECORDED FOR THIS PERSON IN DD02. DISPLAY ‘Did’ IF NO MISSED

WORK DAYS RECORDED FOR THIS PERSON IN DD02.

DISPLAY NUMBER RECORDED IN DD02 FOR ‘NUMBER OF MISSED WORK

DAYS’ IF DD02 DOES NOT = ‘RF’ (REFUSED) OR ‘DK’ (DON’T KNOW).

IF DD02 = ‘RF’ (REFUSED) OR ‘DK’ (DON’T KNOW), USE A NULL

DISPLAY.

DISPLAY 'between (START DATE) and (END DATE)' IF ROUND 5.

OTHERWISE, USE A NULL DISPLAY.

23

Beta

Disability Days (DD) Section

DD11

{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

How many days did (PERSON) miss a half day or more from work because of

someone else's illness, injury, or health care needs?

Size

Variable Name

Label

PRND.OTHNUMDD

3

WRK/SCHL DAYS MISSED TO CARE FOR OTHERS

{BOX_02A}

NUMBER OF DAYS: _______

RF

Refused

{BOX_02A}

----------------------------------------------------------------------------------------------------------------------------------

DK

Don't Know

{BOX_02A}

PROGRAMMER NOTES:

IF ‘0’ ENTERED, DISPLAY THE FOLLOWING ERROR MESSAGE: ‘IF NO

WORK DAYS MISSED, BACK UP AND CORRECT PREVIOUS ANSWER.’

IF NUMBER ENTERED > NUMBER OF DAYS IN REFERENCE PERIOD,

DISPLAY THE FOLLOWING ERROR MESSAGE: ‘NUMBER OF DAYS MUST BE

EQUAL TO OR LESS THAN NUMBER IN REFERENCE PERIOD.’

Hard CHECK:

DAYS ENTERED AT DD11 MUST BE < OR = NUMBER OF DAYS IN REFERENCE PERIOD FOR

PERSON.

BOX_02A

IF ROUND 3, CONTINUE WITH DD11A.

OTHERWISE (I.E., IF NOT ROUND 3), GO TO BOX_03.

24

Beta

Disability Days (DD) Section

DD11A

{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT}

Comment Enabled

Jump Back Enabled

Help Enabled

NUMBER OF DAYS MISSED WORK DUE TO SOMEONE ELSE'S HEALTH:

{NUMBER OF DAYS}

Of those days, how many were in {YEAR}?

Size

Variable Name

Label

PRND.OTHDYLYR

3

WRK/SCHL MISSED TO CARE FOR OTHRS LST YR

{BOX_03}

NUMBER OF DAYS: _______

RF

Refused

{BOX_03}

----------------------------------------------------------------------------------------------------------------------------------

DK

Don't Know

{BOX_03}

DISPLAY INSTRUCTIONS:

FOR 'NUMBER OF DAYS,' DISPLAY THE NUMBER ENTERED AT DD11.

(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES

AUTOMATICALLY): 'YEAR' IN QUESTION TEXT IS FIRST CALENDAR YEAR

OF PANEL.

Hard CHECK:

DAYS IN 2007 AT DD11A MUST BE < OR = DAYS MISSED WORK DUE TO SOMEONE ELSE'S

HEALTH AT DD11.

BOX_03

GO TO NEXT QUESTIONNAIRE SECTION.

25

File Typeapplication/pdf
File Title\\rk29\vol2905\MEPSWVS\SpecWriter\BETA\dd (beta).snp
Authormiller_n
File Modified2005-12-21
File Created2005-12-21

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