Beta
Hospital Stay (HS) Section
BOX_01
IF HOSPITAL STAY DISCHARGE DATE IS '95' (STILL IN HOSPITAL) [OR IF ROUND
5, CODE '95' INDICATES 'STILL IN HOSPITAL' AND 'RELEASED IN 2009'], DO NOT
ASK THE HOSPITAL STAY (HS) SECTION OR THE CHARGE/PAYMENT (CP) SECTION FOR
THIS EVENT. (WE WILL FOLLOW UP WITH THESE EVENTS NEXT ROUND. IF ROUND 5,
WE WILL OBTAIN NECESSARY INFORMATION DURING MPS FOLLOW-UP.)
IF THE MONTH OR DAY OR YEAR FOR THE HOSPITAL STAY ADMIT DATE OR DISCHARGE
DATE IS 'RF' (REFUSED) OR 'DK' (DON'T KNOW), CONTINUE WITH HS01.
OTHERWISE, GO TO HS02.
HS01
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {ADM-DT} {DIS-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
How many nights did (PERSON) stay in (PROVIDER)?
Size
Variable Name
Label
STAZ.NUMNIGHT
3
NUMBER OF NIGHTS STAYED AT PROVIDER
{HS02}
NUMBER OF
NIGHTS:
_______
RF
Refused
{HS02}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{HS02}
Context Header Display Instructions:
DISCHARGE DATE SOULD GO BELOW ADMIT DATE ON SCREEN (APPLIES TO
ALL SCREENS)
PERS.FULLNAME, EVNT.DRFNAM & LORPNAME, EVNT.EVNTBEGM,
EVNTBEGD, EVNTENDM, EVNTENDD {USE FIRST THREE LETTERS FOR
MONTH}
Soft CHECK:
SOFT RANGE CHECK: 1 TO 30.
1
Beta
Hospital Stay (HS) Section
HS02
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {ADM-DT} {DIS-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(HS02Help)
Did this hospital stay begin with a visit to an emergency room?
Size
Variable Name
Label
STAZ.EMERROOM
2
DID STAY BEGIN WITH EMERGENCY ROOM VISIT
1
YES
{HS03}
2
NO
{HS03}
RF
Refused
{HS03}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{HS03}
HELP AVAILABLE FOR DEFINITION OF EMERGENCY ROOM.
PROGRAMMER NOTES:
IF CODED ‘1’ (YES), DISPLAY THE FOLLOWING MESSAGE: ‘PLEASE BE
SURE YOU HAVE ENTERED THIS EMERGENCY ROOM VISIT FOR THIS
PERSON.’
2
Beta
Hospital Stay (HS) Section
HS03
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {ADM-DT} {DIS-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
Was this hospital stay related to any specific health condition or were any
conditions discovered during this hospital stay?
Size
Variable Name
Label
STAZ.SPECCOND
2
HOSPITAL STAY RELATED TO CONDITION
1
YES
{HS04}
2
NO
{HS05}
RF
Refused
{HS05}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{HS05}
3
Beta
Hospital Stay (HS) Section
HS04
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {ADM-DT} {DIS-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
What conditions were discovered or led (PERSON) to enter the hospital?
PROBE: Any other condition?
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
CLNK.CLNKID
24
CLNK ID KEY: CONDID + EVNTID
CLNK.CLNKRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
CLNK.CREATEQ
4
QUESTION THAT CREATED CLNK SEGMENT
CLNK.CLNKTYPE
2
TYPE OF EVENT CONDITION IS LINKED TO
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]
{HS05}
Title:
PERS_COND_1
Roster Details
Col #
Header
Instructions
1
MEDICAL CONDITION Display name of medical condition
COND.CONDNAM
Roster Definition:
Display the PERSON-MEDICAL-CONDITIONS-ROSTER for the selection
and addition of one or many medical condition(s) associated
4
Beta
Hospital Stay (HS) 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.
with this event.
5
Beta
Hospital Stay (HS) Section
HS05
SHOW CARD HS-1.
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {ADM-DT} {DIS-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(HS05Help)
Please look at this card and tell me which category best describes the reason
(PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered
(PROVIDER)?
Size
Variable Name
Label
STAZ.RSNINHOS
2
REASON ENTERED PROVIDER
1
OPERATION OR SURGICAL
PROCEDURE
2
TREATMENT OR THERAPY, NOT
INCLUDING SURGERY
{HS06}
3
DIAGNOSTIC TESTS ONLY
{HS06}
4
GIVE BIRTH TO A BABY - NORMAL OR
CAESAREAN SECTION (MOTHER)
{HS06}
5
TO BE BORN (BABY)
{HS06}
6
PREGNANCY-RELATED
COMPLICATIONS
{HS06}
91
OTHER
{HS06}
RF
Refused
{HS06}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{HS06}
HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.
6
Beta
Hospital Stay (HS) Section
PROGRAMMER NOTES:
ALLOW CODE ‘4’ (GIVE BIRTH TO A BABY) AND CODE '6' (PREGNANCY-
RELATED COMPLICATIONS) ONLY IF PERSON IS FEMALE. ALLOW CODE
‘5’ (TO BE BORN) ONLY IF PERSON IS < OR = 1 YEAR OLD (OR AGE
CATEGORY 1).
IF CODED ‘4’ (GIVE BIRTH TO A BABY), DISPLAY THE FOLLOWING
MESSAGE: ‘PLEASE BE SURE YOU HAVE ALSO ENTERED A HOSPITAL
STAY EVENT FOR THE BABY.’ IF CODED ‘5’ (TO BE BORN), DISPLAY
THE FOLLOWING MESSAGE: ‘PLEASE BE SURE YOU HAVE ALSO ENTERED
A HOSPITAL STAY EVENT FOR THE MOTHER.’
ROUTING INSTRUCTION:
IF HS05 IS CODED ‘1’ (OPERATION OR SURGICAL PROCEDURE),
AUTOMATICALLY CODE HS06 AS ‘1’ (YES) BY CAPI AND GO TO HS08.
HS06
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {ADM-DT} {DIS-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(HS06Help)
Were any operations or surgical procedures performed on (PERSON) during
this stay?
Size
Variable Name
Label
STAZ.ANYOPER
2
ANY OPERATIONS OR SURGERIES PERFORMED
1
YES
{BOX_01A}
2
NO
{BOX_01A}
RF
Refused
{BOX_01A}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{BOX_01A}
HELP AVAILABLE FOR DEFINITION OF OPERATIONS/SURGICAL
PROCEDURES.
7
Beta
Hospital Stay (HS) Section
BOX_01A
IF HS05 IS CODED '4' (GIVE BIRTH TO A BABY), CONTINUE WITH HS06A.
OTHERWISE, GO TO HS08.
HS06A
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {ADM-DT} {DIS-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(PG06Help)
What kind of delivery did (PERSON) have? Was it vaginal delivery or
caesarean section?
Size
Variable Name
Label
PREG.DLVRTYPE
2
TYPE OF DELIVERY
1
VAGINAL DELIVERY
{HS06B}
2
CAESAREAN SECTION
{HS06B}
RF
Refused
{HS06B}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{HS06B}
HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.
Context Header Display Instructions:
CONTINUE USING THE CONTEXT HEADER FROM HS06
8
Beta
Hospital Stay (HS) Section
HS06B
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {ADM-DT} {DIS-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(PG08Help)
Did (PERSON) receive an epidural or a 'spinal' for pain?
Size
Variable Name
Label
PREG.EPIDURAL
2
DID PERSON RECEIVE AN EPIDURAL FOR PAIN
1
YES
{HS08}
2
NO
{HS08}
RF
Refused
{HS08}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{HS08}
HELP AVAILABLE FOR DEFINITION OF EPIDURAL/SPINAL.
Context Header Display Instructions:
CONTINUE USING THE CONTEXT HEADER FROM HS06
9
Beta
Hospital Stay (HS) Section
HS08
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {ADM-DT} {DIS-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(MEDPRES)
At the time (PERSON) (were/was) discharged, were any medicines
prescribed for (PERSON)? Please do not include medications received while
(PERSON) (were/was) a patient in the hospital.
Size
Variable Name
Label
STAZ.DSCHPMED
2
MEDICINES PRESCRIBED AT DISCHARGE
1
YES
{HS09}
2
NO
{BOX_04}
RF
Refused
{BOX_04}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{BOX_04}
HELP AVAILABLE FOR DEFINITION OF PRESCRIBED MEDICINE.
10
Beta
Hospital Stay (HS) Section
HS09
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {ADM-DT} {DIS-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
Please tell me the names of the prescribed medicines from this stay that were
filled.
PROBE: Any other prescribed medicines from this stay that were filled?
Size
Variable Name
Label
PMED.PMEDID
12
PMED ID KEY: PERSID + COUNTER(3) + CD
PMED.PMEDRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
PMED.CREATEQ
4
QUESTION THAT CREATED PMED SEGMENT
PMED.PMEDNAME
30
NAME OF MEDS AND PRESCRIPTIONS FILLED
PMED.DRUGLINK
3
LINKS PMED TO DRUGID
PMED.RPTPMED
2
PMED WAS ORIGINALLY TAKEN IN PREV ROUND
RXLK.RXLKID
24
RXLK ID KEY: EVENTID + PMEDID
RXLK.RXLKRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
RXLK.CREATEQ
4
QUESTION THAT CREATED RXLK RECORD
EVNT.EVNTID
12
EVNT ID KEY: PERSID + COUNTER(3) + CD
EVNT.EVNTRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
EVNT.CREATEQ
5
QUESTION THAT CREATED EVNT SEGMENT
EVNT.EVNTTYPE
2
EVENT TYPE
EVPV.EVPVID
23
EVPV ID KEY: EVNTID + PROVID
EVPV.EVPVRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
EVPV.CREATEQ
5
QUESTION THAT CREATED EVPV SEGMENT
EVPV.EVNTTYPE
2
EVENT TYPE
EVPV.EVPVTYPE
2
PROVIDER TYPE RELATED TO EVENT
DRUG.DRUGID
11
DRUG ID KEY: PERSID + COUNTER(3)
DRUG.DRUGRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
DRUG.CREATEQ
4
QUESTION THAT CREATED DRUG SEGMENT
DRUG.DRUGNAME
30
NAME OF MEDS AND PRESCRIPTIONS FILLED
[Prescribed Medicine]
[Prescribed Medicine]
[Prescribed Medicine]
{BOX_04}
Title:
PERSON'S_PRESCRIBED-MEDICINES_1
Roster Details
11
Beta
Hospital Stay (HS) Section
Col #
Header
Instructions
1
PRESCRIBED
MEDICINE
Display name of prescribed medicine
PMED.PMEDNAME
Roster Behavior:
1. Multiple select allowed.
2. Multiple add allowed.
3. Limited delete allowed. Interviewer may deletd medicines
added at the section as
long as CAPI has not yet created the link between this PMED
and the EVNT.
If delete is attempted at a time when it is not allowed
(i.e., after the link is established), display the
following error message: ‘DELETE ALLOWED ONLY
WHEN MEDICINE IS FIRST ENTERED.’
4. Limited edit allowed. Interviewer may edit the
name of a PMED added on this screen as long as
CAPI has not yet created the link between this
PMED and the EVNT. If edit is attempted at a time
when it is not allowed, display the following error message:
‘EDITING ALLOWED ONLY WHEN MEDICINE IS
FIRST ENTERED.’
5. Any medicine added to the roster should be flagged
as ‘created’ this round. Any
medicine selected at the roster should be flagged
as ‘selected’ this round. This
flagging should occur at each person’s-prescribed
-medicines-roster throughout the instrument (unless
otherwise specified), the first time the medicine is
added or selected during the round. For example,
if it is Round 1, all medicines on the roster would
have the flag ‘created - Round 1’. If a medicine is
created in HS, but selected in MV, all during round
1, it would only have the flag ‘created - Round 1’.
Thus, for any one round, a medicine can be
flagged only as either ‘created’ or ‘selected’. If it is
Round 2
and a medicine that was created in round 1 is
selected, it should be flagged as ‘selected -
Round 2’. This flag is in addition to the original
‘created - Round 1’ flag.
6. When a medicine from a previous round is selected,
a new event is created since it involves a new
purchase of the medicine. A new purchase requires asking
CP and
the pharmacy. The reason for including all of the
prescribed medicines on the roster is simply to avoid
the interviewer having to type them in again (if the
person is getting refills of the same medicine every
round).
Roster Filter:
Roster Definition:
This item displays the PERSON’S-PRESCRIPTION MEDICINES-ROSTER
for selection and addition of medicines associated with this
HS..
12
Beta
Hospital Stay (HS) Section
Display all medicines on person's roster; no filter.
BOX_04
IF THE CHARGE/PAYMENT (CP) SECTION FOR THIS HOSPITAL STAY IS NOT
COMPLETED, ASK THE CHARGE/PAYMENT (CP) SECTION.
OTHERWISE, GO TO THE EVENT DRIVER (ED) SECTION.
13
| File Type | application/pdf |
| File Title | C:\HS (BETA).snp |
| Author | miller_n |
| File Modified | 2005-08-10 |
| File Created | 2005-08-10 |