Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

BACKGROUND VARIABLES

INTTYPE

Item #:

Cheshire Name:

MRES.INTTYPE

Field Type:
Type Name:

Enumerated
TInttype

Number
1
2
3
4
5
6
7
8
9
10

BKV1005

FieldSize:
Min Value:
Max Value:
Mask:

Label
StandardHadPrev
NewFromFacility
NewFromSupplement
StandardSkippedPrev
LastRndFacSum
LastRndFacBase
SupSmp1stTimeUtil
ExitInterviewHadPrev
ExitInterviewSkippedPrev
SupSmp1stTimeUtilSkipped

5:12:04 PM Monday, April 06, 2009

Page 1 of 283

BACKGROUND VARIABLES

SPALIVE

Item #:

Cheshire Name:

MRES.SPALIVE

Field Type:
Type Name:

Enumerated
TSpalive

Number
1
2
3

BKV1010

FieldSize:
Min Value:
Max Value:
Mask:

Label
Alive

AliveAndInstitute

Deceased

5:12:04 PM Monday, April 06, 2009

Page 2 of 283

BACKGROUND VARIABLES

MREFDATE

Item #:

Cheshire Name:

MRES.MREFDATE

Field Type:
Type Name:

Integer
TMrefdate

FieldSize:
Min Value:
Max Value:
Mask:

BKV1015

6
000101
991231

Number Label
1
[Continuous answer.]
Attribute

5:12:04 PM Monday, April 06, 2009

Page 3 of 283

BACKGROUND VARIABLES

SUMMBDAT

Item #:

Cheshire Name:

MRES.SUMMBDAT

Field Type:
Type Name:

Integer
TMrefdate

FieldSize:
Min Value:
Max Value:
Mask:

BKV1020

6
000101
991231

Number Label
1
[Continuous answer.]
Attribute

5:12:04 PM Monday, April 06, 2009

Page 4 of 283

BACKGROUND VARIABLES

SRPBDAT

Item #:

Cheshire Name:

MRES.SRPBDAT

Field Type:
Type Name:

Integer
TMrefdate

FieldSize:
Min Value:
Max Value:
Mask:

BKV1025

6
000101
991231

Number Label
1
[Continuous answer.]
Attribute

5:12:04 PM Monday, April 06, 2009

Page 5 of 283

BACKGROUND VARIABLES

MRESBDAT

Item #:

Cheshire Name:

MRES.MRESBDAT

Field Type:
Type Name:

Integer
TMrefdate

FieldSize:
Min Value:
Max Value:
Mask:

BKV1030

6
000101
991231

Number Label
1
[Continuous answer.]
Attribute

5:12:04 PM Monday, April 06, 2009

Page 6 of 283

BACKGROUND VARIABLES

MRESEDAT

Item #:

Cheshire Name:

MRES.MRESEDAT

Field Type:
Type Name:

Integer
TMrefdate

FieldSize:
Min Value:
Max Value:
Mask:

BKV1035

6
000101
991231

Number Label
1
[Continuous answer.]
Attribute

5:12:04 PM Monday, April 06, 2009

Page 7 of 283

BACKGROUND VARIABLES

MENDDATE

Item #:

Cheshire Name:

MRES.MENDDATE

Field Type:
Type Name:

Integer
TMrefdate

FieldSize:
Min Value:
Max Value:
Mask:

BKV1040

6
000101
991231

Number Label
1
[Continuous answer.]
Attribute

5:12:04 PM Monday, April 06, 2009

Page 8 of 283

BACKGROUND VARIABLES

MRESRSLT

Item #:

Cheshire Name:

MRES.MRESRSLT

Field Type:
Type Name:

Enumerated
TRslt

Number
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
19
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
56
57
59
60

BKV1042

FieldSize:
Min Value:
Max Value:
Mask:

Label
NotWorked
NoContactMade
EligRNotAvail
Appointment
BrokenAppmnt
TransWinRegion
TransAnotherReg
Tracing
LanguageProblem
Breakoffhostile
Breakofffriendly
InitialRefusal
PartialComplete
PartialRefusal
PendingNursingHomeAction
Other
Complete
UnavailThisRnd
NoProxyAvailable
Unlocatable
IneligForContact
LanguageProblem
Breakoff
FinalRefusal
PartcompRe-field
PartcompNoRe-field
CompleteDeceased
NursingHomeComponent
MovedOutOfArea
DeceasedNoProxyAvailable
Non-completeHoldover
LostEntitlementInCurrentRound
DroppedForDesignReasons
FinalOther
Inter-roundCrossoverCase

5:12:04 PM Monday, April 06, 2009

Page 9 of 283

BACKGROUND VARIABLES

61
68
99

Inter-roundFacToFacCrossoverCase
PartcompRe-fieldFcapiConvR1741
ProblemCase

Attribute
Don't know
Refusal

5:12:04 PM Monday, April 06, 2009

Page 10 of 283

BACKGROUND VARIABLES

RROSTNUM

Item #:

Cheshire Name:

MRES.RROSTNUM

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1043

2
01
99

Number Label
1
[Continuous answer.]

5:12:05 PM Monday, April 06, 2009

Page 11 of 283

BACKGROUND VARIABLES

MCARENUM

Item #:

Cheshire Name:

BASE.MCARENUM

Field Type:
Type Name:

String
TMcareNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1045

12

Number Label
1
[Continuous answer.]

5:12:05 PM Monday, April 06, 2009

Page 12 of 283

BACKGROUND VARIABLES

SAMPTYPE

Item #:

Cheshire Name:

BASE.SAMPTYPE

Field Type:
Type Name:

Enumerated
TSamptype

Number
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34

BKV1050

FieldSize:
Min Value:
Max Value:
Mask:

Label
PrimarySample
ScndrySample1
ScndrySample2
NewSampleRd4
NewSampleRd7
NewSampleRd7Replacement
NewSampleRd10
NewSampleRd13
NewSampleRd16
OrdSampleNational
OrdSampleCaliforniaRisk
OrdSampleCaliforniaNon-risk
OrdSampleFloridaRisk
OrdSampleFloridaNon-risk
NewSampleRd19
R19OrdSampleNational
R19OrdSampleArizonaRisk
R19OrdSampleArizonaNon-risk
R19OrdSamplePhiladelphiaRisk
R19OrdSamplePhiladelphiaNon-risk
NewSampleR22
R22OrdSampleNationalSample
R22OrdSampleDenverRisk
R22OrdSampleDenverNon-risk
R22OrdSampleSFloridaRisk
R22OrdSampleSFloridaNon-risk
R22OrdSampleMinneapolisRisk
R22OrdSampleMinneapolisNon-risk
NewSampleRd25
R25OrdSampleNational
NewSampleRd28
R28DualEligibleSampleFfs
R28DualEligibleSampleMch
R28DualEligibleSamplePace
NewSampleRd31

5:12:05 PM Monday, April 06, 2009

Page 13 of 283

BACKGROUND VARIABLES

35
36

NewSampleRd34
NewSampleRd37

Attribute
Don't know
Refusal

5:12:05 PM Monday, April 06, 2009

Page 14 of 283

BACKGROUND VARIABLES

SPDOBMM

Item #:

Cheshire Name:

BASE.SPDOBMM

Field Type:
Type Name:

Integer
TMonthInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1055

2
01
12

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:05 PM Monday, April 06, 2009

Page 15 of 283

BACKGROUND VARIABLES

SPDOBDD

Item #:

Cheshire Name:

BASE.SPDOBDD

Field Type:
Type Name:

Integer
TDayIntDKRF

FieldSize:
Min Value:
Max Value:
Mask:

BKV1060

2
1
31

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:05 PM Monday, April 06, 2009

Page 16 of 283

BACKGROUND VARIABLES

SPDOBYY

Item #:

Cheshire Name:

BASE.SPDOBYY

Field Type:
Type Name:

Integer
Tyear4DKRF

FieldSize:
Min Value:
Max Value:
Mask:

BKV1065

4
1870
2009

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:05 PM Monday, April 06, 2009

Page 17 of 283

BACKGROUND VARIABLES

EXITRND

Item #:

Cheshire Name:

BASE.EXITRND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1070

2
01
99

Number Label
1
[Continuous answer.]

5:12:05 PM Monday, April 06, 2009

Page 18 of 283

BACKGROUND VARIABLES

SPSEX

Item #:

Cheshire Name:

BASE.SPSEX

Field Type:

Type Name:

Enumerated
TSex

BKV1075

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Male
2
Female
Attribute
Don't know
Refusal

5:12:05 PM Monday, April 06, 2009

Page 19 of 283

BACKGROUND VARIABLES

ADDRROST

Item #:

Cheshire Name:

ADDR.ADDRROST

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1078

2
01
99

Number Label
1
[Continuous answer.]

5:12:05 PM Monday, April 06, 2009

Page 20 of 283

BACKGROUND VARIABLES

ADDRNUM

Item #:

Cheshire Name:

ADDR.ADDRNUM

Field Type:
Type Name:

Integer
TAddrNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1079

3
001
999

Number Label
1
[Continuous answer.]

5:12:05 PM Monday, April 06, 2009

Page 21 of 283

BACKGROUND VARIABLES

ADDRRNDC

Item #:

Cheshire Name:

ADDR.ADDRRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1080

2
01
99

Number Label
1
[Continuous answer.]

5:12:05 PM Monday, April 06, 2009

Page 22 of 283

BACKGROUND VARIABLES

ADDRFNAM

Item #:

Cheshire Name:

ADDR.ADDRFNAM

Field Type:
Type Name:

String
TRostfnam

FieldSize:
Min Value:
Max Value:
Mask:

BKV1085

25

Number Label
1
[Continuous answer.]
Attribute

5:12:05 PM Monday, April 06, 2009

Page 23 of 283

BACKGROUND VARIABLES

ADDRMINI

Item #:

Cheshire Name:

ADDR.ADDRMINI

Field Type:
Type Name:

String
TMini

FieldSize:
Min Value:
Max Value:
Mask:

BKV1090

2

Number Label
1
[Continuous answer.]
Attribute

5:12:05 PM Monday, April 06, 2009

Page 24 of 283

BACKGROUND VARIABLES

ADDRLNAM

Item #:

Cheshire Name:

ADDR.ADDRLNAM

Field Type:
Type Name:

String
TRostlnam

FieldSize:
Min Value:
Max Value:
Mask:

BKV1095

25

Number Label
1
[Continuous answer.]

5:12:05 PM Monday, April 06, 2009

Page 25 of 283

BACKGROUND VARIABLES

STADDR1

Item #:

Cheshire Name:

ADDR.STADDR1

Field Type:
Type Name:

String
TStAddr

FieldSize:
Min Value:
Max Value:
Mask:

BKV1100

45

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:05 PM Monday, April 06, 2009

Page 26 of 283

BACKGROUND VARIABLES

STADDR2

Item #:

Cheshire Name:

ADDR.STADDR2

Field Type:
Type Name:

String
TStAddr

FieldSize:
Min Value:
Max Value:
Mask:

BKV1105

45

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:05 PM Monday, April 06, 2009

Page 27 of 283

BACKGROUND VARIABLES

CITY

Item #:

Cheshire Name:

ADDR.CITY

Field Type:
Type Name:

String
TCity

FieldSize:
Min Value:
Max Value:
Mask:

BKV1110

20

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:06 PM Monday, April 06, 2009

Page 28 of 283

BACKGROUND VARIABLES

STATE

Item #:

Cheshire Name:

ADDR.STATE

Field Type:
Type Name:

String
TStateSt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1115

2

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:06 PM Monday, April 06, 2009

Page 29 of 283

BACKGROUND VARIABLES

ZIPCODE

Item #:

Cheshire Name:

ADDR.ZIPCODE

Field Type:
Type Name:

Integer
TZip

FieldSize:
Min Value:
Max Value:
Mask:

BKV1120

5
0
99999

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:06 PM Monday, April 06, 2009

Page 30 of 283

BACKGROUND VARIABLES

PHONAREA

Item #:

Cheshire Name:

ADDR.PHONAREA

Field Type:
Type Name:

Integer
TareaDKRF

FieldSize:
Min Value:
Max Value:
Mask:

BKV1125

3
100
999

Number Label
1
[Continuous answer.]
Attribute
Empty
Don't know
Refusal

5:12:06 PM Monday, April 06, 2009

Page 31 of 283

BACKGROUND VARIABLES

PHONEXCH

Item #:

Cheshire Name:

ADDR.PHONEXCH

Field Type:
Type Name:

Integer
Texch

FieldSize:
Min Value:
Max Value:
Mask:

BKV1130

3
200
999

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:06 PM Monday, April 06, 2009

Page 32 of 283

BACKGROUND VARIABLES

PHONLOCL

Item #:

Cheshire Name:

ADDR.PHONLOCL

Field Type:
Type Name:

Integer
Tlocl

FieldSize:
Min Value:
Max Value:
Mask:

BKV1135

4
0000
9999

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:06 PM Monday, April 06, 2009

Page 33 of 283

BACKGROUND VARIABLES

PHONAR2

Item #:

Cheshire Name:

ADDR.PHONAR2

Field Type:
Type Name:

Integer
TareaDKRF

FieldSize:
Min Value:
Max Value:
Mask:

BKV1136

3
100
999

Number Label
1
[Continuous answer.]
Attribute
Empty
Don't know
Refusal

5:12:06 PM Monday, April 06, 2009

Page 34 of 283

BACKGROUND VARIABLES

PHONEX2

Item #:

Cheshire Name:

ADDR.PHONEX2

Field Type:
Type Name:

Integer
Texch

FieldSize:
Min Value:
Max Value:
Mask:

BKV1137

3
200
999

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:06 PM Monday, April 06, 2009

Page 35 of 283

BACKGROUND VARIABLES

PHONLO2

Item #:

Cheshire Name:

ADDR.PHONLO2

Field Type:
Type Name:

Integer
Tlocl

FieldSize:
Min Value:
Max Value:
Mask:

BKV1138

4
0000
9999

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:06 PM Monday, April 06, 2009

Page 36 of 283

BACKGROUND VARIABLES

RELASHIP

Item #:

Cheshire Name:

ADDR.RELASHIP

Field Type:
Type Name:

Enumerated
TRelaship

Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
50
51
52
53
54
55
91
92

BKV1140

FieldSize:
Min Value:
Max Value:
Mask:

Label
SamplePerson
Spouse
Son
Daughter
Brother
Sister
Father
Mother
SonLaw
DaughterLaw
Grandson
Granddaughter
Nephew
Niece
Partner
Friendneighbor
Boarder
NurseAide
LegalOfficer
Guardian
OtherRelative
OtherNonRelative

Attribute
Don't know
Refusal

5:12:06 PM Monday, April 06, 2009

Page 37 of 283

BACKGROUND VARIABLES

RELSHPOS

Item #:

Cheshire Name:

ADDR.RELSHPOS

Field Type:
Type Name:

String
TOthrspec

FieldSize:
Min Value:
Max Value:
Mask:

BKV1145

30

Number Label
1
[Continuous answer.]

5:12:06 PM Monday, April 06, 2009

Page 38 of 283

BACKGROUND VARIABLES

EVRESTRT

Item #:

Cheshire Name:

MRES.EVRESTRT

Field Type:
Type Name:

Enumerated
TYesNo

BKV1150

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes
2
No

5:12:06 PM Monday, April 06, 2009

Page 39 of 283

BACKGROUND VARIABLES

SPMOVED

Item #:

Cheshire Name:

HRND.SPMOVED

Field Type:
Type Name:

Enumerated
TYesNoDKRF

BKV1155

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes
2
No
Attribute
Don't know
Refusal

5:12:06 PM Monday, April 06, 2009

Page 40 of 283

BACKGROUND VARIABLES

LASTRESP

Item #:

Cheshire Name:

TEMP

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1160

2
01
99

Number Label
1
[Continuous answer.]

5:12:06 PM Monday, April 06, 2009

Page 41 of 283

BACKGROUND VARIABLES

LASTSTATUS

Item #:

Cheshire Name:

TEMP

Field Type:
Type Name:

Enumerated
TTSpalive

Number
1
2
3
4

BKV1165

FieldSize:
Min Value:
Max Value:
Mask:

Label
Alive

AliveAndInstitute

Deceased

DeceasedInInstitute

5:12:06 PM Monday, April 06, 2009

Page 42 of 283

BACKGROUND VARIABLES

EVNTRNDC

Item #:

Cheshire Name:

EVNT.EVNTRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1168

2
01
99

Number Label
1
[Continuous answer.]

5:12:06 PM Monday, April 06, 2009

Page 43 of 283

BACKGROUND VARIABLES

EVNTDFLG

Item #:

Cheshire Name:

EVNT.EVNTDFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV1170

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:06 PM Monday, April 06, 2009

Page 44 of 283

BACKGROUND VARIABLES

PLANTYPE

Item #:

Cheshire Name:

PLAN.PLANTYPE

Field Type:
Type Name:

Enumerated
TPlantype

Number
1
2
3
4
5
6
7

BKV1180

FieldSize:
Min Value:
Max Value:
Mask:

Label
Medicare
Medicaid
PublicPlan
PrivatePlan
MHMO
Tricare
MPDP

5:12:07 PM Monday, April 06, 2009

Page 45 of 283

BACKGROUND VARIABLES

PLANDFLG

Item #:

Cheshire Name:

PLAN.PLANDFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV1185

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:07 PM Monday, April 06, 2009

Page 46 of 283

BACKGROUND VARIABLES

MHMODFLG

Item #:

Cheshire Name:

PLAN.MHMODFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV1190

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:07 PM Monday, April 06, 2009

Page 47 of 283

BACKGROUND VARIABLES

PLANHIDE

Item #:

Cheshire Name:

PLAN.PLANHIDE

Field Type:
Type Name:

Enumerated
TOnoff

BKV1195

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:07 PM Monday, April 06, 2009

Page 48 of 283

BACKGROUND VARIABLES

LOSEPLFG

Item #:

Cheshire Name:

PLAN.LOSEPLFG

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1200

2
01
99

Number Label
1
[Continuous answer.]

5:12:07 PM Monday, April 06, 2009

Page 49 of 283

BACKGROUND VARIABLES

COVANYTM

Item #:

Cheshire Name:

PLRO.COVANYTM

Field Type:
Type Name:

Enumerated
TCovanytm

Number Label
1
Yes

2
YesNoFurtherData

5:12:07 PM Monday, April 06, 2009

BKV1205

FieldSize:
Min Value:
Max Value:
Mask:

Page 50 of 283

BACKGROUND VARIABLES

COVCURNT

Item #:

Cheshire Name:

PLRO.COVCURNT

Field Type:
Type Name:

Enumerated
TCovcurnt

Number
1
2
3

BKV1210

FieldSize:
Min Value:
Max Value:
Mask:

Label
Yes

No

NoAnsweredYesInError

5:12:07 PM Monday, April 06, 2009

Page 51 of 283

BACKGROUND VARIABLES

CONDAC2

Item #:

Cheshire Name:

COND.CONDAC2

Field Type:
Type Name:

Enumerated
TFlag

BKV1215

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:07 PM Monday, April 06, 2009

Page 52 of 283

BACKGROUND VARIABLES

CONDAC11

Item #:

Cheshire Name:

COND.CONDAC11

Field Type:
Type Name:

Enumerated
TFlag

BKV1220

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:07 PM Monday, April 06, 2009

Page 53 of 283

BACKGROUND VARIABLES

CONDAC23

Item #:

Cheshire Name:

COND.CONDAC23

Field Type:
Type Name:

Enumerated
TFlag

BKV1225

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:07 PM Monday, April 06, 2009

Page 54 of 283

BACKGROUND VARIABLES

ENUMFNAM

Item #:

Cheshire Name:

ENUM.ENUMFNAM

Field Type:
Type Name:

String
TRostlnam

FieldSize:
Min Value:
Max Value:
Mask:

BKV1230

25

Number Label
1
[Continuous answer.]

5:12:07 PM Monday, April 06, 2009

Page 55 of 283

BACKGROUND VARIABLES

ENUMLNAM

Item #:

Cheshire Name:

ENUM.ENUMLNAM

Field Type:
Type Name:

String
TRostlnam

FieldSize:
Min Value:
Max Value:
Mask:

BKV1235

25

Number Label
1
[Continuous answer.]

5:12:07 PM Monday, April 06, 2009

Page 56 of 283

BACKGROUND VARIABLES

HHPREL

Item #:

Cheshire Name:

ENUM.HHPREL

Field Type:
Type Name:

Enumerated
TRelaship

Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
50
51
52
53
54
55
91
92

BKV1240

FieldSize:
Min Value:
Max Value:
Mask:

Label
SamplePerson
Spouse
Son
Daughter
Brother
Sister
Father
Mother
SonLaw
DaughterLaw
Grandson
Granddaughter
Nephew
Niece
Partner
Friendneighbor
Boarder
NurseAide
LegalOfficer
Guardian
OtherRelative
OtherNonRelative

Attribute
Don't know
Refusal

5:12:07 PM Monday, April 06, 2009

Page 57 of 283

BACKGROUND VARIABLES

HHPRELOS

Item #:

Cheshire Name:

ENUM.HHPRELOS

Field Type:
Type Name:

String
TOthrspec

FieldSize:
Min Value:
Max Value:
Mask:

BKV1245

30

Number Label
1
[Continuous answer.]

5:12:07 PM Monday, April 06, 2009

Page 58 of 283

BACKGROUND VARIABLES

HHPAGE

Item #:

Cheshire Name:

ENUM.HHPAGE

Field Type:
Type Name:

Integer
TAge

FieldSize:
Min Value:
Max Value:
Mask:

BKV1250

3
0
121

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:07 PM Monday, April 06, 2009

Page 59 of 283

BACKGROUND VARIABLES

HHPSEX

Item #:

Cheshire Name:

ENUM.HHPSEX

Field Type:

Type Name:

Enumerated
TSex

BKV1255

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Male
2
Female
Attribute
Don't know
Refusal

5:12:07 PM Monday, April 06, 2009

Page 60 of 283

BACKGROUND VARIABLES

EHHDOBMM

Item #:

Cheshire Name:

ENUM.EHHDOBMM

Field Type:
Type Name:

Integer
TMonthInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1260

2
01
12

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:07 PM Monday, April 06, 2009

Page 61 of 283

BACKGROUND VARIABLES

EHHDOBDD

Item #:

Cheshire Name:

ENUM.EHHDOBDD

Field Type:
Type Name:

Integer
TDayDKRF

FieldSize:
Min Value:
Max Value:
Mask:

BKV1265

2
1
31

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:07 PM Monday, April 06, 2009

Page 62 of 283

BACKGROUND VARIABLES

EHHDOBYY

Item #:

Cheshire Name:

ENUM.EHHDOBYY

Field Type:
Type Name:

Integer
Tyear4DKRF

FieldSize:
Min Value:
Max Value:
Mask:

BKV1270

4
1870
2009

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:07 PM Monday, April 06, 2009

Page 63 of 283

BACKGROUND VARIABLES

HHPWORK

Item #:

Cheshire Name:

ENUM.HHPWORK

Field Type:
Type Name:

Enumerated
TWork

BKV1275

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Works
2
DidNotWork
Attribute
Don't know
Refusal

5:12:08 PM Monday, April 06, 2009

Page 64 of 283

BACKGROUND VARIABLES

HHPOWN

Item #:

Cheshire Name:

HRND.HHPOWN

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1280

2
01
99

Number Label
1
[Continuous answer.]

5:12:08 PM Monday, April 06, 2009

Page 65 of 283

BACKGROUND VARIABLES

NOTHHRSN

Item #:

Cheshire Name:

ENUM.NOTHHRSN

Field Type:
Type Name:

Enumerated
Thhreasn

Number
1
2
3
4
5
6
91

BKV1285

FieldSize:
Min Value:
Max Value:
Mask:

Label
Deceased

InstHealthCareFacility

InstOther

PersonMoved

SpMoved

NotInHHError

Other

Attribute
Don't know

Refusal

5:12:08 PM Monday, April 06, 2009

Page 66 of 283

BACKGROUND VARIABLES

USFACNUM

Item #:

Cheshire Name:

ACCS.USFACNUM

Field Type:
Type Name:

Integer
Tprovnum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1290

2
01
99

Number Label
1
[Continuous answer.]

5:12:08 PM Monday, April 06, 2009

Page 67 of 283

BACKGROUND VARIABLES

USDOCNUM

Item #:

Cheshire Name:

ACCS.USDOCNUM

Field Type:
Type Name:

Integer
Tprovnum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1295

2
01
99

Number Label
1
[Continuous answer.]

5:12:08 PM Monday, April 06, 2009

Page 68 of 283

BACKGROUND VARIABLES

USHLPRGO

Item #:

Cheshire Name:

ACCS.USHLPRGO

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1300

2
01
99

Number Label
1
[Continuous answer.]

5:12:08 PM Monday, April 06, 2009

Page 69 of 283

BACKGROUND VARIABLES

HLPRROST

Item #:

Cheshire Name:

HLPR.HLPRROST

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1301

2
01
99

Number Label
1
[Continuous answer.]

5:12:08 PM Monday, April 06, 2009

Page 70 of 283

BACKGROUND VARIABLES

HLPRRND

Item #:

Cheshire Name:

HLPR.HLPRRND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1302

2
01
99

Number Label
1
[Continuous answer.]

5:12:08 PM Monday, April 06, 2009

Page 71 of 283

BACKGROUND VARIABLES

HLPRRESP

Item #:

Cheshire Name:

HLPR.HLPRRESP

Field Type:
Type Name:

Integer
TKeyResp

FieldSize:
Min Value:
Max Value:
Mask:

BKV1303

2
01
99

Number Label
1
[Continuous answer.]

5:12:08 PM Monday, April 06, 2009

Page 72 of 283

BACKGROUND VARIABLES

HLPRUSGO

Item #:

Cheshire Name:

HLPR.HLPRUSGO

Field Type:
Type Name:

Enumerated
TOnoff

BKV1305

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:08 PM Monday, April 06, 2009

Page 73 of 283

BACKGROUND VARIABLES

HLPRREL

Item #:

Cheshire Name:

HLPR.HLPRREL

Field Type:
Type Name:

Enumerated
TRelaship

Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
50
51
52
53
54
55
91
92

BKV1310

FieldSize:
Min Value:
Max Value:
Mask:

Label
SamplePerson
Spouse
Son
Daughter
Brother
Sister
Father
Mother
SonLaw
DaughterLaw
Grandson
Granddaughter
Nephew
Niece
Partner
Friendneighbor
Boarder
NurseAide
LegalOfficer
Guardian
OtherRelative
OtherNonRelative

Attribute
Don't know
Refusal

5:12:08 PM Monday, April 06, 2009

Page 74 of 283

BACKGROUND VARIABLES

HLPRREOS

Item #:

Cheshire Name:

HLPR.HLPRREOS

Field Type:
Type Name:

String
TOthrspec

FieldSize:
Min Value:
Max Value:
Mask:

BKV1315

30

Number Label
1
[Continuous answer.]

5:12:08 PM Monday, April 06, 2009

Page 75 of 283

BACKGROUND VARIABLES

HLPRTELE

Item #:

Cheshire Name:

HLPR.HLPRTELE

Field Type:
Type Name:

Enumerated
TFlag

BKV1320

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:08 PM Monday, April 06, 2009

Page 76 of 283

BACKGROUND VARIABLES

HLPRLHWK

Item #:

Cheshire Name:

HLPR.HLPRLHWK

Field Type:
Type Name:

Enumerated
TFlag

BKV1325

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:08 PM Monday, April 06, 2009

Page 77 of 283

BACKGROUND VARIABLES

HLPRHHWK

Item #:

Cheshire Name:

HLPR.HLPRHHWK

Field Type:
Type Name:

Enumerated
TFlag

BKV1330

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:08 PM Monday, April 06, 2009

Page 78 of 283

BACKGROUND VARIABLES

HLPRMEAL

Item #:

Cheshire Name:

HLPR.HLPRMEAL

Field Type:
Type Name:

Enumerated
TFlag

BKV1335

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:08 PM Monday, April 06, 2009

Page 79 of 283

BACKGROUND VARIABLES

HLPRSHOP

Item #:

Cheshire Name:

HLPR.HLPRSHOP

Field Type:
Type Name:

Enumerated
TFlag

BKV1340

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:08 PM Monday, April 06, 2009

Page 80 of 283

BACKGROUND VARIABLES

HLPRBILS

Item #:

Cheshire Name:

HLPR.HLPRBILS

Field Type:
Type Name:

Enumerated
TFlag

BKV1345

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:09 PM Monday, April 06, 2009

Page 81 of 283

BACKGROUND VARIABLES

HLPRBATH

Item #:

Cheshire Name:

HLPR.HLPRBATH

Field Type:
Type Name:

Enumerated
TFlag

BKV1350

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:09 PM Monday, April 06, 2009

Page 82 of 283

BACKGROUND VARIABLES

HLPRDRES

Item #:

Cheshire Name:

HLPR.HLPRDRES

Field Type:
Type Name:

Enumerated
TFlag

BKV1355

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:09 PM Monday, April 06, 2009

Page 83 of 283

BACKGROUND VARIABLES

HLPREAT

Item #:

Cheshire Name:

HLPR.HLPREAT

Field Type:
Type Name:

Enumerated
TFlag

BKV1360

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:09 PM Monday, April 06, 2009

Page 84 of 283

BACKGROUND VARIABLES

HLPRCHAR

Item #:

Cheshire Name:

HLPR.HLPRCHAR

Field Type:
Type Name:

Enumerated
TFlag

BKV1365

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:09 PM Monday, April 06, 2009

Page 85 of 283

BACKGROUND VARIABLES

HLPRWALK

Item #:

Cheshire Name:

HLPR.HLPRWALK

Field Type:
Type Name:

Enumerated
TFlag

BKV1370

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:09 PM Monday, April 06, 2009

Page 86 of 283

BACKGROUND VARIABLES

HLPRTOIL

Item #:

Cheshire Name:

HLPR.HLPRTOIL

Field Type:
Type Name:

Enumerated
TFlag

BKV1375

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:09 PM Monday, April 06, 2009

Page 87 of 283

BACKGROUND VARIABLES

COVANYTM

Item #:

Cheshire Name:

PLRO.COVANYTM

Field Type:
Type Name:

Enumerated
TCovanytm

Number Label
1
Yes

2
YesNoFurtherData

5:12:09 PM Monday, April 06, 2009

BKV1380

FieldSize:
Min Value:
Max Value:
Mask:

Page 88 of 283

BACKGROUND VARIABLES

COVCURNT

Item #:

Cheshire Name:

PLRO.COVCURNT

Field Type:
Type Name:

Enumerated
TCovcurnt

Number
1
2
3

BKV1385

FieldSize:
Min Value:
Max Value:
Mask:

Label
Yes

No

NoAnsweredYesInError

5:12:09 PM Monday, April 06, 2009

Page 89 of 283

BACKGROUND VARIABLES

PLANDFLG

Item #:

Cheshire Name:

PLAN.PLANDFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV1390

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:09 PM Monday, April 06, 2009

Page 90 of 283

BACKGROUND VARIABLES

MHMODFLG

Item #:

Cheshire Name:

PLAN.MHMODFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV1395

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:09 PM Monday, April 06, 2009

Page 91 of 283

BACKGROUND VARIABLES

LOSEPLFG

Item #:

Cheshire Name:

PLAN.LOSEPLFG

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1400

2
01
99

Number Label
1
[Continuous answer.]

5:12:09 PM Monday, April 06, 2009

Page 92 of 283

BACKGROUND VARIABLES

PLANHIDE

Item #:

Cheshire Name:

PLAN.PLANHIDE

Field Type:
Type Name:

Enumerated
TOnoff

BKV1405

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:09 PM Monday, April 06, 2009

Page 93 of 283

BACKGROUND VARIABLES

MHMOLRND

Item #:

Cheshire Name:

PLAN.MHMOLRND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1410

2
01
99

Number Label
1
[Continuous answer.]

5:12:09 PM Monday, April 06, 2009

Page 94 of 283

BACKGROUND VARIABLES

MIPNUM

Item #:

Cheshire Name:

PLRO.MIPNUM

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1415

2
01
99

Number Label
1
[Continuous answer.]

5:12:09 PM Monday, April 06, 2009

Page 95 of 283

BACKGROUND VARIABLES

PLMIPNUM

Item #:

Cheshire Name:

PLAN.PLMIPNUM

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1420

2
01
99

Number Label
1
[Continuous answer.]

5:12:09 PM Monday, April 06, 2009

Page 96 of 283

BACKGROUND VARIABLES

PLROPLAN

Item #:

Cheshire Name:

PLRO.PLROPLAN

Field Type:
Type Name:

Integer
Tplannum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1425

2
01
99

Number Label
1
[Continuous answer.]

5:12:09 PM Monday, April 06, 2009

Page 97 of 283

BACKGROUND VARIABLES

PLRORND

Item #:

Cheshire Name:

PLRO.PLRORND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1430

2
01
99

Number Label
1
[Continuous answer.]

5:12:09 PM Monday, April 06, 2009

Page 98 of 283

BACKGROUND VARIABLES

DMEMNUM

Item #:

Cheshire Name:

DMEM.DMEMNUM

Field Type:
Type Name:

Integer
TDmemNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1435

2
01
99

Number Label
1
[Continuous answer.]

5:12:09 PM Monday, April 06, 2009

Page 99 of 283

BACKGROUND VARIABLES

DMEMRNDC

Item #:

Cheshire Name:

DMEM.DMEMRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1440

2
01
99

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 100 of 283

BACKGROUND VARIABLES

DMRODMEM

Item #:

Cheshire Name:

DMRO.DMRODMEM

Field Type:
Type Name:

Integer
TDmemNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1445

2
01
99

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 101 of 283

BACKGROUND VARIABLES

DMRORND

Item #:

Cheshire Name:

DMRO.DMRORND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1450

2
01
99

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 102 of 283

BACKGROUND VARIABLES

LOSEDMFG

Item #:

Cheshire Name:

DMEM.LOSEDMFG

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1455

2
01
99

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 103 of 283

BACKGROUND VARIABLES

ENSFLAG

Item #:

Cheshire Name:

ROST.ENSFLAG

Field Type:
Type Name:

Enumerated
TOnoff

BKV1460

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:10 PM Monday, April 06, 2009

Page 104 of 283

BACKGROUND VARIABLES

EVOSEVNT

Item #:

Cheshire Name:

EVOS.EVOSEVNT

Field Type:
Type Name:

Integer
TEvntNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1465

3
001
999

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 105 of 283

BACKGROUND VARIABLES

EVOSNUM

Item #:

Cheshire Name:

EVOS.EVOSNUM

Field Type:
Type Name:

Integer
TSeqNum2

FieldSize:
Min Value:
Max Value:
Mask:

BKV1470

2
01
99

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 106 of 283

BACKGROUND VARIABLES

EVOSRNDC

Item #:

Cheshire Name:

EVOS.EVOSRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1475

2
01
99

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 107 of 283

BACKGROUND VARIABLES

EVNTQUES

Item #:

Cheshire Name:

EVOS.EVNTQUES

Field Type:
Type Name:

String
TEvntQuesString

FieldSize:
Min Value:
Max Value:
Mask:

BKV1480

8

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 108 of 283

BACKGROUND VARIABLES

GETPMMEDS

Item #:

Cheshire Name:

TEMP

Field Type:
Type Name:

Enumerated
TOnoff

BKV1485

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:10 PM Monday, April 06, 2009

Page 109 of 283

BACKGROUND VARIABLES

PMROEVNT

Item #:

Cheshire Name:

PMRO.PMROEVNT

Field Type:
Type Name:

Integer
TEvntNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1490

3
001
999

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 110 of 283

BACKGROUND VARIABLES

PMRORND

Item #:

Cheshire Name:

PMRO.PMRORND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1495

2
01
99

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 111 of 283

BACKGROUND VARIABLES

PMROTYPE

Item #:

Cheshire Name:

PMRO.PMROTYPE

Field Type:
Type Name:

String
TPmroTypeString

FieldSize:
Min Value:
Max Value:
Mask:

BKV1500

2

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 112 of 283

BACKGROUND VARIABLES

XMEDEVNT

Item #:

Cheshire Name:

XMED.XMEDEVNT

Field Type:
Type Name:

Integer
TEvntNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1505

3
001
999

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 113 of 283

BACKGROUND VARIABLES

XMEDEVT2

Item #:

Cheshire Name:

XMED.XMEDEVT2

Field Type:
Type Name:

Integer
TEvntNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1510

3
001
999

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 114 of 283

BACKGROUND VARIABLES

XMEDRNDC

Item #:

Cheshire Name:

XMED.XMEDRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1515

2
01
99

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 115 of 283

BACKGROUND VARIABLES

FIRSTRND

Item #:

Cheshire Name:

BASE.FIRSTRND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1520

2
01
99

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 116 of 283

BACKGROUND VARIABLES

XCONEVNT

Item #:

Cheshire Name:

XCON.XCONEVNT

Field Type:
Type Name:

Integer
TEvntNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1525

3
001
999

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 117 of 283

BACKGROUND VARIABLES

XCONCOND

Item #:

Cheshire Name:

XCON.XCONCOND

Field Type:
Type Name:

Integer
TCondnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1530

2
01
99

Number Label
1
[Continuous answer.]

5:12:10 PM Monday, April 06, 2009

Page 118 of 283

BACKGROUND VARIABLES

XCONRNDC

Item #:

Cheshire Name:

XCON.XCONRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1535

2
01
99

Number Label
1
[Continuous answer.]

5:12:11 PM Monday, April 06, 2009

Page 119 of 283

BACKGROUND VARIABLES

EV95FLG

Item #:

Cheshire Name:

EVNT.EV95FLG

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1540

2
01
99

Number Label
1
[Continuous answer.]

5:12:11 PM Monday, April 06, 2009

Page 120 of 283

BACKGROUND VARIABLES

EVUTSFLG

Item #:

Cheshire Name:

EVNT.EVUTSFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV1545

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:11 PM Monday, April 06, 2009

Page 121 of 283

BACKGROUND VARIABLES

IPSTATUS

Item #:

Cheshire Name:

EVNT.IPSTATUS

Field Type:
Type Name:

Enumerated
TIPStatus

BKV1550

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
StillInHospital
2
Discharged

5:12:11 PM Monday, April 06, 2009

Page 122 of 283

BACKGROUND VARIABLES

PLANSUMM

Item #:

Cheshire Name:

PLAN.PLANSUMM

Field Type:
Type Name:

Enumerated
TOnoff

BKV1555

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:11 PM Monday, April 06, 2009

Page 123 of 283

BACKGROUND VARIABLES

SURGEVNT

Item #:

Cheshire Name:

SURG.SURVEVNT

Field Type:
Type Name:

Integer
TEvntNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1560

3
001
999

Number Label
1
[Continuous answer.]

5:12:11 PM Monday, April 06, 2009

Page 124 of 283

BACKGROUND VARIABLES

SURGNUM

Item #:

Cheshire Name:

SURG.SURGNUM

Field Type:
Type Name:

Integer
TSurgNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1565

2
01
99

Number Label
1
[Continuous answer.]

5:12:11 PM Monday, April 06, 2009

Page 125 of 283

BACKGROUND VARIABLES

SURGPROC

Item #:

Cheshire Name:

SURG.SURGPROC

Field Type:
Type Name:

String
TSrgproc

FieldSize:
Min Value:
Max Value:
Mask:

BKV1570

30

Number Label
1
[Continuous answer.]

5:12:11 PM Monday, April 06, 2009

Page 126 of 283

BACKGROUND VARIABLES

SURGRNDC

Item #:

Cheshire Name:

SURG.SURGRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1575

2
01
99

Number Label
1
[Continuous answer.]

5:12:11 PM Monday, April 06, 2009

Page 127 of 283

BACKGROUND VARIABLES

HHROUND

Item #:

Cheshire Name:

EVNT.HHROUND

Field Type:
Type Name:

Enumerated
THhround

Number
1
2
3

BKV1580

FieldSize:
Min Value:
Max Value:
Mask:

Label
TwoRoundsPrevious

PreviousRound

CurrentRound

5:12:11 PM Monday, April 06, 2009

Page 128 of 283

BACKGROUND VARIABLES

PREVCOM1

Item #:

Cheshire Name:

MRES.PREVCOM1

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1585

2
01
99

Number Label
1
[Continuous answer.]

5:12:11 PM Monday, April 06, 2009

Page 129 of 283

BACKGROUND VARIABLES

PREVCOM2

Item #:

Cheshire Name:

MRES.PREVCOM2

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1590

2
01
99

Number Label
1
[Continuous answer.]

5:12:11 PM Monday, April 06, 2009

Page 130 of 283

BACKGROUND VARIABLES

HEALEVNT

Item #:

Cheshire Name:

HEAL.HEALEVNT

Field Type:
Type Name:

Integer
TEvntNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1595

3
001
999

Number Label
1
[Continuous answer.]

5:12:11 PM Monday, April 06, 2009

Page 131 of 283

BACKGROUND VARIABLES

HEALRNDC

Item #:

Cheshire Name:

HEAL.HEALRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1600

2
01
99

Number Label
1
[Continuous answer.]

5:12:11 PM Monday, April 06, 2009

Page 132 of 283

BACKGROUND VARIABLES

HEROEVNT

Item #:

Cheshire Name:

HERO.HEROHEAL

Field Type:
Type Name:

Integer
TEvntNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1605

3
001
999

Number Label
1
[Continuous answer.]

5:12:11 PM Monday, April 06, 2009

Page 133 of 283

BACKGROUND VARIABLES

HERORND

Item #:

Cheshire Name:

HERO.HERORND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1610

2
01
99

Number Label
1
[Continuous answer.]

5:12:11 PM Monday, April 06, 2009

Page 134 of 283

BACKGROUND VARIABLES

HERODFLG

Item #:

Cheshire Name:

HERO.HERODFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV1615

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:11 PM Monday, April 06, 2009

Page 135 of 283

BACKGROUND VARIABLES

MPTYPE

Item #:

Cheshire Name:

EVNT.MPTYPE

Field Type:
Type Name:

Enumerated
TMptype

Number
1
2
3
4
5
6

BKV1620

FieldSize:
Min Value:
Max Value:
Mask:

Label
MedicalDoctor

HealthPractitioner

MentalHealthPractitioner

Therapist

OtherMedicalPerson

OtherMedicalPlace

5:12:11 PM Monday, April 06, 2009

Page 136 of 283

BACKGROUND VARIABLES

PMRODFLG

Item #:

Cheshire Name:

PMRO.PMRODFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV1625

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:11 PM Monday, April 06, 2009

Page 137 of 283

BACKGROUND VARIABLES

COMPFLAG

Item #:

Cheshire Name:

PMRO.COMPFLAG

Field Type:
Type Name:

Enumerated
TFlag

BKV1630

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Indicated
2
NotIndicated
Attribute
Don't know
Refusal

5:12:11 PM Monday, April 06, 2009

Page 138 of 283

BACKGROUND VARIABLES

RENTRECR

Item #:

Cheshire Name:

EVNT.RENTRECR

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1635

2
01
99

Number Label
1
[Continuous answer.]

5:12:12 PM Monday, April 06, 2009

Page 139 of 283

BACKGROUND VARIABLES

RENTENDR

Item #:

Cheshire Name:

EVNT.RENTENDR

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1640

2
01
99

Number Label
1
[Continuous answer.]

5:12:12 PM Monday, April 06, 2009

Page 140 of 283

BACKGROUND VARIABLES

RBUYCOST

Item #:

Cheshire Name:

EVNT.RBUYCOST

Field Type:
Type Name:

Enumerated
TRbycost

BKV1645

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
StillCollectCost
2
NotCollectCost

5:12:12 PM Monday, April 06, 2009

Page 141 of 283

BACKGROUND VARIABLES

OMETYPE

Item #:

Cheshire Name:

EVNT.OMETYPE

Field Type:
Type Name:

Enumerated
TOmetype

Number
1
2
3
4
5
6
7
8
9
10

BKV1650

FieldSize:
Min Value:
Max Value:
Mask:

Label
Eyeglasses

Hearing

Orthopedic

Diabetic

Ambulance

Prosthesis

Alteration

Oxygen

Kidney

OtherMedicalExpense

5:12:12 PM Monday, April 06, 2009

Page 142 of 283

BACKGROUND VARIABLES

STOMTYPE

Item #:

Cheshire Name:

EVNT.STOMTYPE

Field Type:
Type Name:

Enumerated
TStomtype

Number
1
2
3
4
5
6
7
8
9
10
21
22
23
24
25
26
27
31
32
33
34
35
36
41
42
43
44
45
46
47
48
49
51
52
61

BKV1655

FieldSize:
Min Value:
Max Value:
Mask:

Label
EyeGlasses
Hearing
Orthopedic
Diabetic
Ambulance
Prosthesis
Alterations
Oxygen
Kidney
OtherMedicalExpense
Braces
Cane
Shoes
Crutches
Walker
Wheelchair
Stockings
Elevator
HandrailsNotTub
Ramps
TubHandrails
TubSeat
CarAlteration
Toilet
Tub
Chair
Bed
OstomySupplies
IncontinenceSupplies
Bandages
PulmonaryEquipment
BloodPressureEquipment
OxygenSupplies
OxygenEquipment
KidneySupplies

5:12:12 PM Monday, April 06, 2009

Page 143 of 283

BACKGROUND VARIABLES

62
91

KidneyEquipment
Other

5:12:12 PM Monday, April 06, 2009

Page 144 of 283

BACKGROUND VARIABLES

LASTOXGNTYPE
Cheshire Name:

TEMP

Field Type:
Type Name:

Enumerated
TOxgntype

Number Label
1
Supplies

2
Equipment

5:12:12 PM Monday, April 06, 2009

Item #:

BKV1660

FieldSize:
Min Value:
Max Value:
Mask:

Page 145 of 283

BACKGROUND VARIABLES

LASTKDNYTYPE
Cheshire Name:

TEMP

Field Type:
Type Name:

Enumerated
TKdnytype

Number Label
1
Supplies

2
Equipment

5:12:12 PM Monday, April 06, 2009

Item #:

BKV1665

FieldSize:
Min Value:
Max Value:
Mask:

Page 146 of 283

BACKGROUND VARIABLES

OMSTATUS

Item #:

Cheshire Name:

EVNT.OMSTATUS

Field Type:
Type Name:

Enumerated
TOMStatus

BKV1670

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
AlterationNotComplete
2
AlterationComplete

5:12:12 PM Monday, April 06, 2009

Page 147 of 283

BACKGROUND VARIABLES

PREVPMRO

Item #:

Cheshire Name:

EVNT.PREVPMRO

Field Type:
Type Name:

Enumerated
TOnoff

BKV1675

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:12 PM Monday, April 06, 2009

Page 148 of 283

BACKGROUND VARIABLES

EVNTNUM

Item #:

Cheshire Name:

EVNT.EVNTNUM

Field Type:
Type Name:

Integer
TEvntNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1680

3
001
999

Number Label
1
[Continuous answer.]

5:12:12 PM Monday, April 06, 2009

Page 149 of 283

BACKGROUND VARIABLES

EVNTRNDC

Item #:

Cheshire Name:

EVNT.EVNTRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1685

2
01
99

Number Label
1
[Continuous answer.]

5:12:12 PM Monday, April 06, 2009

Page 150 of 283

BACKGROUND VARIABLES

EVNTTYPE

Item #:

Cheshire Name:

EVNT.EVNTTYPE

Field Type:
Type Name:

String
TEvntTypeString

FieldSize:
Min Value:
Max Value:
Mask:

BKV1690

2

Number Label
1
[Continuous answer.]

5:12:12 PM Monday, April 06, 2009

Page 151 of 283

BACKGROUND VARIABLES

STEVTYPE

Item #:

Cheshire Name:

EVNT.STEVTYPE

Field Type:
Type Name:

Enumerated
TStevtype

Number
1
2
3
4
5
6
7
8
9
10

BKV1695

FieldSize:
Min Value:
Max Value:
Mask:

Label
SL
SD
DU
ER
IP
OP
IU
HP
HF
MP

5:12:12 PM Monday, April 06, 2009

Page 152 of 283

BACKGROUND VARIABLES

EVNTPROV

Item #:

Cheshire Name:

EVNT.EVNTPROV

Field Type:
Type Name:

Integer
Tprovnum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1700

2
01
99

Number Label
1
[Continuous answer.]

5:12:12 PM Monday, April 06, 2009

Page 153 of 283

BACKGROUND VARIABLES

LASTEVNT

Item #:

Cheshire Name:

BASE.LASTEVNT

Field Type:
Type Name:

Integer
TEvntNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1705

3
001
999

Number Label
1
[Continuous answer.]

5:12:12 PM Monday, April 06, 2009

Page 154 of 283

BACKGROUND VARIABLES

ROSTNUM

Item #:

Cheshire Name:

ROST.ROSTNUM

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1710

2
01
99

Number Label
1
[Continuous answer.]

5:12:12 PM Monday, April 06, 2009

Page 155 of 283

BACKGROUND VARIABLES

ROSTRNDC

Item #:

Cheshire Name:

ROST.ROSTRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1715

2
01
99

Number Label
1
[Continuous answer.]

5:12:13 PM Monday, April 06, 2009

Page 156 of 283

BACKGROUND VARIABLES

ROSTREAS

Item #:

Cheshire Name:

ROST.ROSTREAS

Field Type:
Type Name:

Enumerated
TRostreas

Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

BKV1720

FieldSize:
Min Value:
Max Value:
Mask:

Label
SamplePerson

PotentialProxy

InHousehold

AdliadlHelper

Contact

Mip

Owner

PersonWithPhone

AccompanierToSp

AssistantToRespondent

FutureProxy

ArrangesSpHomecare

SuperviseSpHomecare

ReadsSpsStatements

HelpsSpPaperwork

MakesSpsHiDecisions

Attribute
Don't know

Refusal

5:12:13 PM Monday, April 06, 2009

Page 157 of 283

BACKGROUND VARIABLES

PLANNUM

Item #:

Cheshire Name:

PLAN.PLANNUM

Field Type:
Type Name:

Integer
Tplannum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1725

2
01
99

Number Label
1
[Continuous answer.]

5:12:13 PM Monday, April 06, 2009

Page 158 of 283

BACKGROUND VARIABLES

PLANRNDC

Item #:

Cheshire Name:

PLAN.PLANRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1730

2
01
99

Number Label
1
[Continuous answer.]

5:12:13 PM Monday, April 06, 2009

Page 159 of 283

BACKGROUND VARIABLES

PLANTYPE

Item #:

Cheshire Name:

PLAN.PLANTYPE

Field Type:
Type Name:

Enumerated
TPlantype

Number
1
2
3
4
5
6
7

BKV1735

FieldSize:
Min Value:
Max Value:
Mask:

Label
Medicare
Medicaid
PublicPlan
PrivatePlan
MHMO
Tricare
MPDP

5:12:13 PM Monday, April 06, 2009

Page 160 of 283

BACKGROUND VARIABLES

PROVNUM

Item #:

Cheshire Name:

PROV.PROVNUM

Field Type:
Type Name:

Integer
Tprovnum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1740

2
01
99

Number Label
1
[Continuous answer.]

5:12:13 PM Monday, April 06, 2009

Page 161 of 283

BACKGROUND VARIABLES

PROVRNDC

Item #:

Cheshire Name:

PROV.PROVRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1745

2
01
99

Number Label
1
[Continuous answer.]

5:12:13 PM Monday, April 06, 2009

Page 162 of 283

BACKGROUND VARIABLES

PROVTYPE

Item #:

Cheshire Name:

PROV.PROVTYPE

Field Type:
Type Name:

Enumerated
TProvtype

Number
1
2
3
4
5
6
7
8
9
10
11
12
13

BKV1750

FieldSize:
Min Value:
Max Value:
Mask:

Label
Dental

EmergencyRoom

InPatientHospital

OutpatientHospital

Institution

HomeHealthProfessionals

HomeHealthNotHhMembers

MedicalDoctor

HealthPractitioner

MentalHealthPractitioner

Therapist

OtherMedicalPerson

OtherMedicalPlace

Attribute

5:12:13 PM Monday, April 06, 2009

Page 163 of 283

BACKGROUND VARIABLES

PROVSPEC

Item #:

Cheshire Name:

PROV.PROVSPEC

Field Type:
Type Name:

Enumerated
TProvspec

Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
91

BKV1755

FieldSize:
Min Value:
Max Value:
Mask:

Label
Dentist
MedicalDoctor
Audiologist
Chiropractor
ClinicalSocialWorker
Dietitian
HearingTherapist
HomeHealthAide
Homemaker
HospiceWorker
IvTherapist
Nurse
NursePractitioner
NursesAide
OccupationalTherapist
Optometrist
Osteopath
Paramedic
PhysicalTherapist
PhysiciansAssistant
Podiatrist
Psychologist
RespiratoryTherapist
SocialWorker
SpeechTherapist
MentalHealth
XrayTechnician
LicensedPracticalNurse
Acupuncturist
Homeopath
MassageTherapist
Naturopath
LicensedCounselor
LabTechnician
Other

5:12:13 PM Monday, April 06, 2009

Page 164 of 283

BACKGROUND VARIABLES

Attribute
Don't know
Refusal

5:12:13 PM Monday, April 06, 2009

Page 165 of 283

BACKGROUND VARIABLES

EVERSTMT

Item #:

Cheshire Name:

HRND.EVERSTMT

Field Type:
Type Name:

Enumerated
TYesNoDKRF

BKV1760

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes
2
No
Attribute
Don't know
Refusal

5:12:13 PM Monday, April 06, 2009

Page 166 of 283

BACKGROUND VARIABLES

COSTNUM

Item #:

Cheshire Name:

COST.COSTNUM

Field Type:
Type Name:

Integer
TCostNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1765

001
999

Number Label
1
[Continuous answer.]

5:12:13 PM Monday, April 06, 2009

Page 167 of 283

BACKGROUND VARIABLES

COSTRNDC

Item #:

Cheshire Name:

COST.COSTRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1770

2
01
99

Number Label
1
[Continuous answer.]

5:12:13 PM Monday, April 06, 2009

Page 168 of 283

BACKGROUND VARIABLES

COSTTYPE

Item #:

Cheshire Name:

COST.COSTYPE

Field Type:
Type Name:

Enumerated
TCosttype

BKV1775

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
ST
2
NS
Attribute
Don't know
Refusal

5:12:13 PM Monday, April 06, 2009

Page 169 of 283

BACKGROUND VARIABLES

MCREDPCT

Item #:

BKV1780

Cheshire Name:
Field Type:
Type Name:

Integer
TMcredh

FieldSize:
Min Value:
Max Value:
Mask:

0
10

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:13 PM Monday, April 06, 2009

Page 170 of 283

BACKGROUND VARIABLES

COROCOST

Item #:

Cheshire Name:

CORO.COROCOST

Field Type:
Type Name:

Integer
TCostNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1785

001
999

Number Label
1
[Continuous answer.]

5:12:13 PM Monday, April 06, 2009

Page 171 of 283

BACKGROUND VARIABLES

CORORND

Item #:

Cheshire Name:

CORO.CORORND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1790

2
01
99

Number Label
1
[Continuous answer.]

5:12:13 PM Monday, April 06, 2009

Page 172 of 283

BACKGROUND VARIABLES

COSACOST

Item #:

Cheshire Name:

COSA.COSACOST

Field Type:
Type Name:

Integer
TCostNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1795

001
999

Number Label
1
[Continuous answer.]

5:12:14 PM Monday, April 06, 2009

Page 173 of 283

BACKGROUND VARIABLES

COSARNDC

Item #:

Cheshire Name:

COSA.COSARNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1800

2
01
99

Number Label
1
[Continuous answer.]

5:12:14 PM Monday, April 06, 2009

Page 174 of 283

BACKGROUND VARIABLES

MCARENUM

Item #:

Cheshire Name:

BASE.MCARENUM

Field Type:
Type Name:

String
TMcareNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1805

12

Number Label
1
[Continuous answer.]

5:12:14 PM Monday, April 06, 2009

Page 175 of 283

BACKGROUND VARIABLES

NEWMCRRB

Item #:

Cheshire Name:

HRND.NEWMCRRB

Field Type:
Type Name:

String
TMcareNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1810

12

Number Label
1
[Continuous answer.]

5:12:14 PM Monday, April 06, 2009

Page 176 of 283

BACKGROUND VARIABLES

MSCLVER2
Cheshire Name:

Item #:

BKV1815

COSA.MSCLVER2
ST7 claim numbers are stored on one record in SQL and then
transformed to multiple records on COSA in Cheshire.
SQL field = tblCOST.MSCLVER2

Field Type:
Type Name:

String
TMSNCLNUM

FieldSize:
Min Value:
Max Value:
Mask:

63

Number Label
1
[Continuous answer.]
Attribute
Don't know

5:12:14 PM Monday, April 06, 2009

Page 177 of 283

BACKGROUND VARIABLES

COSTPROV

Item #:

Cheshire Name:

COST.COSTPROV

Field Type:
Type Name:

Integer
Tprovnum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1820

2
01
99

Number Label
1
[Continuous answer.]

5:12:14 PM Monday, April 06, 2009

Page 178 of 283

BACKGROUND VARIABLES

EVCHGFLG

Item #:

Cheshire Name:

EVNT.EVCHGFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV1825

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:14 PM Monday, April 06, 2009

Page 179 of 283

BACKGROUND VARIABLES

EVORPFLG

Item #:

Cheshire Name:

EVNT.EVORPFLG

Field Type:
Type Name:

Enumerated
TEvorpflg

BKV1830

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
ORP

2
ORPDataCollected

5:12:14 PM Monday, April 06, 2009

Page 180 of 283

BACKGROUND VARIABLES

XCEVCOST

Item #:

Cheshire Name:

XCEV.XCEVCOST

Field Type:
Type Name:

Integer
TCostNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1835

001
999

Number Label
1
[Continuous answer.]

5:12:14 PM Monday, April 06, 2009

Page 181 of 283

BACKGROUND VARIABLES

XCEVEVNT

Item #:

Cheshire Name:

XCEV.XCEVEVNT

Field Type:
Type Name:

Integer
TEvntNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1840

3
001
999

Number Label
1
[Continuous answer.]

5:12:14 PM Monday, April 06, 2009

Page 182 of 283

BACKGROUND VARIABLES

XCEVRNDC

Item #:

Cheshire Name:

XCEV.XCEVRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1845

2
01
99

Number Label
1
[Continuous answer.]

5:12:14 PM Monday, April 06, 2009

Page 183 of 283

BACKGROUND VARIABLES

DELLINK

Item #:

Cheshire Name:

XCEV.DELLINK

Field Type:
Type Name:

Enumerated
TOnoff

BKV1850

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:14 PM Monday, April 06, 2009

Page 184 of 283

BACKGROUND VARIABLES

STDATQNO

Item #:

Cheshire Name:

COST.STDATQO

Field Type:
Type Name:

Enumerated
TStdatqno

Number
1
2
3
4
5
6
7
8

BKV1855

FieldSize:
Min Value:
Max Value:
Mask:

Label
ST48
ST56OLD
ST57OLD
ST60OLD
ST52
ST56ST60
ST52COLD
ST47A

Attribute
Don't know
Refusal

5:12:14 PM Monday, April 06, 2009

Page 185 of 283

BACKGROUND VARIABLES

TOTALAMT

Item #:

Cheshire Name:

COST.TOTALAMT

Field Type:
Type Name:

Real
TAmt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1860

0
999999.99

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:14 PM Monday, April 06, 2009

Page 186 of 283

BACKGROUND VARIABLES

AREMAING

Item #:

Cheshire Name:

COST.AREMAING

Field Type:
Type Name:

Real
TAmtnor

FieldSize:
Min Value:
Max Value:
Mask:

BKV1865

0
999999.99

Number Label
1
[Continuous answer.]
Attribute
Don't know

5:12:14 PM Monday, April 06, 2009

Page 187 of 283

BACKGROUND VARIABLES

ARWRONG

Item #:

Cheshire Name:

COST.ARWRONG

Field Type:
Type Name:

Enumerated
TYesNoDKRF

BKV1870

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes
2
No
Attribute
Don't know
Refusal

5:12:14 PM Monday, April 06, 2009

Page 188 of 283

BACKGROUND VARIABLES

TCHGPAID

Item #:

Cheshire Name:

CORO.TCHGPAID

Field Type:
Type Name:

Enumerated
TCPTchgpaid3

Number
1
2
3
4

Label
Yes

No

TotalWrong

PaymentsWrong

BKV1875

FieldSize:
Min Value:
Max Value:
Mask:

Attribute
Don't know

Refusal

5:12:14 PM Monday, April 06, 2009

Page 189 of 283

BACKGROUND VARIABLES

TSOPNUM

Item #:

Cheshire Name:

TEMP

Field Type:
Type Name:

Integer
TTSOPNUM

FieldSize:
Min Value:
Max Value:
Mask:

BKV1880

01
99

Number Label
1
[Continuous answer.]

5:12:14 PM Monday, April 06, 2009

Page 190 of 283

BACKGROUND VARIABLES

TSOPTYPE

Item #:

Cheshire Name:

TEMP

Field Type:
Type Name:

Enumerated
TTSoptype

Number
1
2
3
4
5
6
7
8
9
10
11
12

BKV1890

FieldSize:
Min Value:
Max Value:
Mask:

Label
Spfamily

ProvDiscount

PlanNotMHMO

OSOP

VA

Medicare

OtherMilitaryPlanNotVa

MHMO

DM

MedicarePartD

MedicareSubsidy

ExtraHelp

Attribute
Don't know

Refusal

5:12:15 PM Monday, April 06, 2009

Page 191 of 283

BACKGROUND VARIABLES

LOADFLAG

Item #:

Cheshire Name:

TEMP

Field Type:
Type Name:

Enumerated
TOnoff

BKV1895

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:15 PM Monday, April 06, 2009

Page 192 of 283

BACKGROUND VARIABLES

TSOPPTYP

Item #:

Cheshire Name:

TEMP

Field Type:
Type Name:

Enumerated
TPlantype

Number
1
2
3
4
5
6
7

BKV1900

FieldSize:
Min Value:
Max Value:
Mask:

Label
Medicare
Medicaid
PublicPlan
PrivatePlan
MHMO
Tricare
MPDP

5:12:15 PM Monday, April 06, 2009

Page 193 of 283

BACKGROUND VARIABLES

TSOPPLAN

Item #:

Cheshire Name:

TEMP

Field Type:
Type Name:

Integer
Tplannum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1905

2
01
99

Number Label
1
[Continuous answer.]

5:12:15 PM Monday, April 06, 2009

Page 194 of 283

BACKGROUND VARIABLES

TSOPOSOP

Item #:

Cheshire Name:

TEMP

Field Type:
Type Name:

Integer
TOSOPNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1910

01
99

Number Label
1
[Continuous answer.]

5:12:15 PM Monday, April 06, 2009

Page 195 of 283

BACKGROUND VARIABLES

TSOPDISP

Item #:

Cheshire Name:

TEMP

Field Type:
Type Name:

String
TTSOPDisp

FieldSize:
Min Value:
Max Value:
Mask:

BKV1915

15

Number Label
1
[Continuous answer.]

5:12:15 PM Monday, April 06, 2009

Page 196 of 283

BACKGROUND VARIABLES

OSOPHIDE

Item #:

Cheshire Name:

OSOP.OSOPHIDE

Field Type:
Type Name:

Enumerated
TOnoff

BKV1920

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:15 PM Monday, April 06, 2009

Page 197 of 283

BACKGROUND VARIABLES

LOSEOSFG

Item #:

Cheshire Name:

OSOP.LOSEOSFG

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1925

2
01
99

Number Label
1
[Continuous answer.]

5:12:15 PM Monday, April 06, 2009

Page 198 of 283

BACKGROUND VARIABLES

OSOPNUM

Item #:

Cheshire Name:

OSOP.OSOPNUM

Field Type:
Type Name:

Integer
TOSOPNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1930

01
99

Number Label
1
[Continuous answer.]

5:12:15 PM Monday, April 06, 2009

Page 199 of 283

BACKGROUND VARIABLES

OSOPRNDC

Item #:

Cheshire Name:

OSOP.OSOPRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1935

2
01
99

Number Label
1
[Continuous answer.]

5:12:15 PM Monday, April 06, 2009

Page 200 of 283

BACKGROUND VARIABLES

OSOPTEXT

Item #:

Cheshire Name:

OSOP.OSOPTEXT

Field Type:
Type Name:

String
TTSOPText

FieldSize:
Min Value:
Max Value:
Mask:

BKV1940

30

Number Label
1
[Continuous answer.]

5:12:15 PM Monday, April 06, 2009

Page 201 of 283

BACKGROUND VARIABLES

PAYMCOST

Item #:

Cheshire Name:

PAYM.PAYMCOST

Field Type:
Type Name:

Integer
TCostNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1945

001
999

Number Label
1
[Continuous answer.]

5:12:15 PM Monday, April 06, 2009

Page 202 of 283

BACKGROUND VARIABLES

PAYMNUM

Item #:

Cheshire Name:

PAYM.PAYMNUM

Field Type:
Type Name:

Integer
TPAYMNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1950

01
99

Number Label
1
[Continuous answer.]

5:12:15 PM Monday, April 06, 2009

Page 203 of 283

BACKGROUND VARIABLES

PAYMRNDC

Item #:

Cheshire Name:

PAYM.PAYMRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1955

2
01
99

Number Label
1
[Continuous answer.]

5:12:15 PM Monday, April 06, 2009

Page 204 of 283

BACKGROUND VARIABLES

PAYMTYPE

Item #:

Cheshire Name:

PAYM.PAYMTYPE

Field Type:
Type Name:

Enumerated
TTSoptype

Number
1
2
3
4
5
6
7
8
9
10
11
12

BKV1960

FieldSize:
Min Value:
Max Value:
Mask:

Label
Spfamily

ProvDiscount

PlanNotMHMO

OSOP

VA

Medicare

OtherMilitaryPlanNotVa

MHMO

DM

MedicarePartD

MedicareSubsidy

ExtraHelp

Attribute
Don't know

Refusal

5:12:15 PM Monday, April 06, 2009

Page 205 of 283

BACKGROUND VARIABLES

PAYMPLAN

Item #:

Cheshire Name:

PAYM.PAYMPLAN

Field Type:
Type Name:

Integer
Tplannum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1965

2
01
99

Number Label
1
[Continuous answer.]

5:12:15 PM Monday, April 06, 2009

Page 206 of 283

BACKGROUND VARIABLES

PAYMOSOP

Item #:

Cheshire Name:

PAYM.PAYMOSOP

Field Type:
Type Name:

Integer
TOSOPNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1970

01
99

Number Label
1
[Continuous answer.]

5:12:15 PM Monday, April 06, 2009

Page 207 of 283

BACKGROUND VARIABLES

PAYMISHI

Item #:

Cheshire Name:

PAYM.PAYMISHI

Field Type:
Type Name:

Enumerated
TTsopishi

Number
1
2
3
4
5
6
7
8
9
10

BKV1975

FieldSize:
Min Value:
Max Value:
Mask:

Label
Medicaid

PublicPlan

PrivatePlan

NotHIPlanVA

MilitaryPlanNotVA

NotSpsPlan

MHMO

DM

Tricare

MedicarePartD

Attribute
Don't know

Refusal

5:12:15 PM Monday, April 06, 2009

Page 208 of 283

BACKGROUND VARIABLES

PAYMAMT

Item #:

Cheshire Name:

PAYM.PAYMAMT

Field Type:
Type Name:

Real
TTsopamt

FieldSize:
Min Value:
Max Value:
Mask:

BKV1980

0.01
999999.99

Number Label
1
[Continuous answer.]
Attribute
Empty

Don't know

Refusal

5:12:16 PM Monday, April 06, 2009

Page 209 of 283

BACKGROUND VARIABLES

ARCALFLG

Item #:

Cheshire Name:

COST.ARCALFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV1985

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:16 PM Monday, April 06, 2009

Page 210 of 283

BACKGROUND VARIABLES

HSRNDSKP

Item #:

Cheshire Name:

BASE.HSRNDSKP

Field Type:
Type Name:

Enumerated
TOnoff

BKV1990

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:16 PM Monday, April 06, 2009

Page 211 of 283

BACKGROUND VARIABLES

LASTCOST

Item #:

Cheshire Name:

BASE.LASTCOST

Field Type:
Type Name:

Integer
TCostNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV1995

001
999

Number Label
1
[Continuous answer.]

5:12:16 PM Monday, April 06, 2009

Page 212 of 283

BACKGROUND VARIABLES

HHINCFLG

Item #:

BKV2000

Cheshire Name:
Field Type:
Type Name:

Enumerated
TOnoff

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:16 PM Monday, April 06, 2009

Page 213 of 283

BACKGROUND VARIABLES

COROTYPE

Item #:

Cheshire Name:

CORO.COROTYPE

Field Type:
Type Name:

Enumerated
TCorotype

Number
1
2
3

BKV2005

FieldSize:
Min Value:
Max Value:
Mask:

Label
ST
NS
CPS

5:12:16 PM Monday, April 06, 2009

Page 214 of 283

BACKGROUND VARIABLES

TOTALTYP

Item #:

Cheshire Name:

CORO.TOTALTYP

Field Type:
Type Name:

Enumerated
TTotaltyp

BKV2010

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
TotalCharge
2
CoPayment

5:12:16 PM Monday, April 06, 2009

Page 215 of 283

BACKGROUND VARIABLES

NSDATQNO

Item #:

Cheshire Name:

COST.NSDATQNO

Field Type:
Type Name:

Enumerated
TNsdatqno

BKV2015

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
NS5
2
NS6

5:12:16 PM Monday, April 06, 2009

Page 216 of 283

BACKGROUND VARIABLES

NOCHGNUM

Item #:

Cheshire Name:

COST.NOCHGNUM

Field Type:
Type Name:

Integer
TNumlinks

FieldSize:
Min Value:
Max Value:
Mask:

BKV2020

1
100

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:16 PM Monday, April 06, 2009

Page 217 of 283

BACKGROUND VARIABLES

NOCHGVIS

Item #:

Cheshire Name:

COST.NOCHGVIS

Field Type:
Type Name:

Integer
TRvtimes

FieldSize:
Min Value:
Max Value:
Mask:

BKV2025

1
90

Number Label
1
[Continuous answer.]
Attribute
Don't know
Refusal

5:12:16 PM Monday, April 06, 2009

Page 218 of 283

BACKGROUND VARIABLES

EXMCMAIL

Item #:

Cheshire Name:

COST.EXMCMAIL

Field Type:
Type Name:

Enumerated
TExmcmail

Number
1
2
3
4
9

BKV2030

FieldSize:
Min Value:
Max Value:
Mask:

Label
Yes

No

EventEnteredInError

HasStatementForEvent

FlagCostForCps

Attribute
Don't know

Refusal

5:12:16 PM Monday, April 06, 2009

Page 219 of 283

BACKGROUND VARIABLES

RECDSTAT

Item #:

Cheshire Name:

CORO.RECDSTAT

Field Type:
Type Name:

Enumerated
TRecdstat

Number
1
2
3

BKV2035

FieldSize:
Min Value:
Max Value:
Mask:

Label
StatementReceivedAndAvailable

StatementReceivedNotAvailable

StatementNotReceived

Attribute
Don't know
Refusal

5:12:16 PM Monday, April 06, 2009

Page 220 of 283

BACKGROUND VARIABLES

CPSREASN

Item #:

Cheshire Name:

CORO.CPSREASN

Field Type:
Type Name:

Enumerated
TCpsreasn

Number
1
2
3
4
5
6
7
8

Label
NSExpectStatement

NSNoPayms

STNoPayms

NSPaymsLessTotalCharge
STPaymsLessAmtRemain

SPPaidExpectREIM

SPPaidREIMDK

NSExpectStatementDP

BKV2040

FieldSize:
Min Value:
Max Value:
Mask:

Attribute

5:12:16 PM Monday, April 06, 2009

Page 221 of 283

BACKGROUND VARIABLES

TSOPPAYM
Cheshire Name:

Item #:

BKV2045

TEMP
Temporarily stores PAYM.PAYMCOST + PAYM.PAYMNUM
on TSOP.TSOPPAYM.

Field Type:
Type Name:

Integer
TTSOPPAYM

FieldSize:
Min Value:
Max Value:
Mask:

00000
99999

Number Label
1
[Continuous answer.]

5:12:16 PM Monday, April 06, 2009

Page 222 of 283

BACKGROUND VARIABLES

TSOPREIM

Item #:

Cheshire Name:

TEMP

Field Type:
Type Name:

Real
TTsopamt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2050

0.01
999999.99

Number Label
1
[Continuous answer.]
Attribute
Empty

Don't know

Refusal

5:12:16 PM Monday, April 06, 2009

Page 223 of 283

BACKGROUND VARIABLES

ORIGNSEV

Item #:

Cheshire Name:

COST.ORIGNSEV

Field Type:
Type Name:

Integer
TEvntNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV2060

3
001
999

Number Label
1
[Continuous answer.]

5:12:16 PM Monday, April 06, 2009

Page 224 of 283

BACKGROUND VARIABLES

PMSUMFLG

Item #:

Cheshire Name:

PMRO.PMSUMFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV2065

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:16 PM Monday, April 06, 2009

Page 225 of 283

BACKGROUND VARIABLES

PMZEROFG

Item #:

Cheshire Name:

PMRO.PMZEROFG

Field Type:
Type Name:

Enumerated
TOnoff

BKV2070

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:16 PM Monday, April 06, 2009

Page 226 of 283

BACKGROUND VARIABLES

TCHGFLG

Item #:

Cheshire Name:

CORO.TCHGFLG

Field Type:
Type Name:

Enumerated
TTchgflg

BKV2075

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
TotalChargeWasCorrected
2
TotalChargeNotedWrong

5:12:16 PM Monday, April 06, 2009

Page 227 of 283

BACKGROUND VARIABLES

EXCPSFLG

Item #:

Cheshire Name:

COST.EXCPSFLG

Field Type:
Type Name:

Enumerated
TExcpsflg

BKV2080

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
NoLongerUsedInR7
2
NotIndicated
Attribute
Don't know
Refusal

5:12:16 PM Monday, April 06, 2009

Page 228 of 283

BACKGROUND VARIABLES

EXMCRND

Item #:

Cheshire Name:

COST.EXMCRND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2085

2
01
99

Number Label
1
[Continuous answer.]

5:12:17 PM Monday, April 06, 2009

Page 229 of 283

BACKGROUND VARIABLES

REIMNUM

Item #:

Cheshire Name:

REIM.REIMNUM

Field Type:
Type Name:

Integer
TREIMNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV2090

001
999

Number Label
1
[Continuous answer.]

5:12:17 PM Monday, April 06, 2009

Page 230 of 283

BACKGROUND VARIABLES

REIMRNDC

Item #:

Cheshire Name:

REIM.REIMRNDC

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2095

2
01
99

Number Label
1
[Continuous answer.]

5:12:17 PM Monday, April 06, 2009

Page 231 of 283

BACKGROUND VARIABLES

REIMTYPE

Item #:

Cheshire Name:

REIM.REIMTYPE

Field Type:
Type Name:

Enumerated
TReimType

Number
1
2
3
4
5
6
7
8
9
10

BKV2100

FieldSize:
Min Value:
Max Value:
Mask:

Label
Spfamily

ProvDiscount

PlanNotMHMO

OSOP

VA

Medicare

OtherMilitaryPlanNotVa

MHMO

DM

MedicarePartD

5:12:17 PM Monday, April 06, 2009

Page 232 of 283

BACKGROUND VARIABLES

REIMPLAN

Item #:

Cheshire Name:

REIM.REIMPLAN

Field Type:
Type Name:

Integer
Tplannum

FieldSize:
Min Value:
Max Value:
Mask:

BKV2105

2
01
99

Number Label
1
[Continuous answer.]

5:12:17 PM Monday, April 06, 2009

Page 233 of 283

BACKGROUND VARIABLES

REIMOSOP

Item #:

Cheshire Name:

REIM.REIMOSOP

Field Type:
Type Name:

Integer
TOSOPNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV2110

01
99

Number Label
1
[Continuous answer.]

5:12:17 PM Monday, April 06, 2009

Page 234 of 283

BACKGROUND VARIABLES

REIMAMT

Item #:

Cheshire Name:

REIM.REIMAMT

Field Type:
Type Name:

Real
TTsopamt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2115

0.01
999999.99

Number Label
1
[Continuous answer.]
Attribute
Empty

Don't know

Refusal

5:12:17 PM Monday, April 06, 2009

Page 235 of 283

BACKGROUND VARIABLES

NOPYMNT

Item #:

Cheshire Name:

EVNT.NOPYMNT

Field Type:
Type Name:

Enumerated
TOnoff

BKV2120

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:17 PM Monday, April 06, 2009

Page 236 of 283

BACKGROUND VARIABLES

PYMNTRND

Item #:

Cheshire Name:

EVNT.PYMNTRND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2125

2
01
99

Number Label
1
[Continuous answer.]

5:12:17 PM Monday, April 06, 2009

Page 237 of 283

BACKGROUND VARIABLES

BUYENDR

Item #:

Cheshire Name:

EVNT.BUYENDR

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2130

2
01
99

Number Label
1
[Continuous answer.]

5:12:17 PM Monday, April 06, 2009

Page 238 of 283

BACKGROUND VARIABLES

PRVGET

Item #:

Cheshire Name:

PLAN.PRVGET

Field Type:
Type Name:

Enumerated
TPrvget

Number
1
2
3
4
5
6
7
8
9
91

BKV2135

FieldSize:
Min Value:
Max Value:
Mask:

Label
Directly

CurrentEmployer

FormerEmployer

Union

FamilyBusiness

Aarp

DecSpousesEmployer

DecSpousesUnion

ProfessionalOrg

Other

Attribute
Don't know

Refusal

5:12:17 PM Monday, April 06, 2009

Page 239 of 283

BACKGROUND VARIABLES

PRVGETOS

Item #:

Cheshire Name:

PLAN.PRVGETOS

Field Type:
Type Name:

String
TOthrspec

FieldSize:
Min Value:
Max Value:
Mask:

BKV2140

30

Number Label
1
[Continuous answer.]

5:12:17 PM Monday, April 06, 2009

Page 240 of 283

BACKGROUND VARIABLES

PRVBUS
Cheshire Name:

Item #:

BKV2145

NONE
REPLACES THE FOLLOWING CHESHIRE VARIABLES:
PLAN.PRVBUS1
PLAN.PRVBUS2
PLAN.PRVBUS3

Field Type:
Type Name:

Open
TOpen270

FieldSize:
Min Value:
Max Value:
Mask:

135

Number Label
1
[Continuous answer.]

5:12:17 PM Monday, April 06, 2009

Page 241 of 283

BACKGROUND VARIABLES

PREVHERO

Item #:

Cheshire Name:

EVNT.PREVHERO

Field Type:
Type Name:

Enumerated
TOnoff

BKV2150

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:17 PM Monday, April 06, 2009

Page 242 of 283

BACKGROUND VARIABLES

PHONROST

Item #:

Cheshire Name:

HRND.PHONROST

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2155

2
01
99

Number Label
1
[Continuous answer.]

5:12:17 PM Monday, April 06, 2009

Page 243 of 283

BACKGROUND VARIABLES

CONTNUM1

Item #:

Cheshire Name:

HRND.CONTNUM1

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2160

2
01
99

Number Label
1
[Continuous answer.]

5:12:17 PM Monday, April 06, 2009

Page 244 of 283

BACKGROUND VARIABLES

CONTNUM2

Item #:

Cheshire Name:

HRND.CONTNUM2

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2165

2
01
99

Number Label
1
[Continuous answer.]

5:12:17 PM Monday, April 06, 2009

Page 245 of 283

BACKGROUND VARIABLES

FPROXNUM

Item #:

Cheshire Name:

HRND.FPROXNUM

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2170

2
01
99

Number Label
1
[Continuous answer.]

5:12:17 PM Monday, April 06, 2009

Page 246 of 283

BACKGROUND VARIABLES

PLSOPFLG

Item #:

Cheshire Name:

PLAN.PLSOPFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV2175

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:18 PM Monday, April 06, 2009

Page 247 of 283

BACKGROUND VARIABLES

HIMC24FL

Item #:

Cheshire Name:

BASE.HIMC24FL

Field Type:
Type Name:

Enumerated
TOnoff

BKV2180

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:18 PM Monday, April 06, 2009

Page 248 of 283

BACKGROUND VARIABLES

RHELPNUM

Item #:

Cheshire Name:

IRQS.RHELPNUM

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2185

2
01
99

Number Label
1
[Continuous answer.]

5:12:18 PM Monday, April 06, 2009

Page 249 of 283

BACKGROUND VARIABLES

IRQSRND

Item #:

Cheshire Name:

IRQS.IRQSRND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2190

2
01
99

Number Label
1
[Continuous answer.]

5:12:18 PM Monday, April 06, 2009

Page 250 of 283

BACKGROUND VARIABLES

IRQSRESP

Item #:

Cheshire Name:

IRQS.IRQSRESP

Field Type:
Type Name:

Integer
TRespInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2195

2
01
99

Number Label
1
[Continuous answer.]

5:12:18 PM Monday, April 06, 2009

Page 251 of 283

BACKGROUND VARIABLES

PACTRND

Item #:

Cheshire Name:

PACT.PACTRND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2200

2
01
99

Number Label
1
[Continuous answer.]

5:12:18 PM Monday, April 06, 2009

Page 252 of 283

BACKGROUND VARIABLES

PACTRESP

Item #:

Cheshire Name:

PACT.PACTRESP

Field Type:
Type Name:

Integer
TRespInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2205

2
01
99

Number Label
1
[Continuous answer.]

5:12:18 PM Monday, April 06, 2009

Page 253 of 283

BACKGROUND VARIABLES

PDRXRND

Item #:

Cheshire Name:

PDRX.PDRXRND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2210

2
01
99

Number Label
1
[Continuous answer.]

5:12:18 PM Monday, April 06, 2009

Page 254 of 283

BACKGROUND VARIABLES

PDRXRESP

Item #:

Cheshire Name:

PDRX.PDRXRESP

Field Type:
Type Name:

Integer
TRespInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2215

2
01
99

Number Label
1
[Continuous answer.]

5:12:18 PM Monday, April 06, 2009

Page 255 of 283

BACKGROUND VARIABLES

PAYMDFLG

Item #:

Cheshire Name:

PAYM.PAYMDFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV2220

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:18 PM Monday, April 06, 2009

Page 256 of 283

BACKGROUND VARIABLES

DMSOPFLG

Item #:

Cheshire Name:

DMEM.DMSOPFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV2225

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:18 PM Monday, April 06, 2009

Page 257 of 283

BACKGROUND VARIABLES

TSOPDMEM

Item #:

Cheshire Name:

TSOP.TSOPDMEM

Field Type:
Type Name:

Integer
TDmemNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV2230

2
01
99

Number Label
1
[Continuous answer.]

5:12:18 PM Monday, April 06, 2009

Page 258 of 283

BACKGROUND VARIABLES

PAYMDMEM

Item #:

Cheshire Name:

PAYM.PAYMDMEM

Field Type:
Type Name:

Integer
TDmemNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV2235

2
01
99

Number Label
1
[Continuous answer.]

5:12:18 PM Monday, April 06, 2009

Page 259 of 283

BACKGROUND VARIABLES

REIMDMEM

Item #:

Cheshire Name:

REIM.REIMDMEM

Field Type:
Type Name:

Integer
TDmemNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV2240

2
01
99

Number Label
1
[Continuous answer.]

5:12:18 PM Monday, April 06, 2009

Page 260 of 283

BACKGROUND VARIABLES

LASTREIM

Item #:

Cheshire Name:

BASE.LASTREIM

Field Type:
Type Name:

Integer
TDmemNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV2245

2
01
99

Number Label
1
[Continuous answer.]

5:12:18 PM Monday, April 06, 2009

Page 261 of 283

BACKGROUND VARIABLES

PDUNPAID

Item #:

Cheshire Name:

COST.PDUNPAID

Field Type:
Type Name:

Real
TAmtnor

FieldSize:
Min Value:
Max Value:
Mask:

BKV2255

0
999999.99

Number Label
1
[Continuous answer.]
Attribute
Don't know

5:12:18 PM Monday, April 06, 2009

Page 262 of 283

BACKGROUND VARIABLES

HAVESTMT

Item #:

Cheshire Name:

HRND.HAVESTMT

Field Type:
Type Name:

Integer
THavestmt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2260

0
99

Number Label
1
[Continuous answer.]
Attribute

5:12:18 PM Monday, April 06, 2009

Page 263 of 283

BACKGROUND VARIABLES

PROSRMVD

Item #:

Cheshire Name:

HEST.PROSRMVD

Field Type:
Type Name:

Enumerated
TProsrmvd

BKV2265

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
SpsProstateRemoved

2
NotRemovednotVolunteered

5:12:18 PM Monday, April 06, 2009

Page 264 of 283

BACKGROUND VARIABLES

HLPRMOST

Item #:

Cheshire Name:

HLPR.HLPRMOST

Field Type:
Type Name:

Enumerated
TOnoff

BKV2270

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:18 PM Monday, April 06, 2009

Page 265 of 283

BACKGROUND VARIABLES

MOSTADLS

Item #:

Cheshire Name:

ADLS.MOSTADLS

Field Type:
Type Name:

Integer
TRostnumInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2275

2
01
99

Number Label
1
[Continuous answer.]

5:12:18 PM Monday, April 06, 2009

Page 266 of 283

BACKGROUND VARIABLES

IADLRND

Item #:

Cheshire Name:

IADL.IADLRND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2280

2
01
99

Number Label
1
[Continuous answer.]

5:12:19 PM Monday, April 06, 2009

Page 267 of 283

BACKGROUND VARIABLES

IADLRESP

Item #:

Cheshire Name:

IADL.IADLRESP

Field Type:
Type Name:

Integer
TRespInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2285

2
01
99

Number Label
1
[Continuous answer.]

5:12:19 PM Monday, April 06, 2009

Page 268 of 283

BACKGROUND VARIABLES

ADLSRND

Item #:

Cheshire Name:

ADLS.ADLSRND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2290

2
01
99

Number Label
1
[Continuous answer.]

5:12:19 PM Monday, April 06, 2009

Page 269 of 283

BACKGROUND VARIABLES

ADLSRESP

Item #:

Cheshire Name:

ADLS.ADLSRESP

Field Type:
Type Name:

Integer
TRespInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2295

2
01
99

Number Label
1
[Continuous answer.]

5:12:19 PM Monday, April 06, 2009

Page 270 of 283

BACKGROUND VARIABLES

CPREASN

Item #:

Cheshire Name:

COST.CPREASON

Field Type:
Type Name:

Enumerated
TCpsreasn

Number
1
2
3
4
5
6
7
8

Label
NSExpectStatement

NSNoPayms

STNoPayms

NSPaymsLessTotalCharge
STPaymsLessAmtRemain

SPPaidExpectREIM

SPPaidREIMDK

NSExpectStatementDP

BKV2300

FieldSize:
Min Value:
Max Value:
Mask:

Attribute

5:12:19 PM Monday, April 06, 2009

Page 271 of 283

BACKGROUND VARIABLES

CPROUND

Item #:

Cheshire Name:

COST.CPROUND

Field Type:
Type Name:

Integer
TRoundInt

FieldSize:
Min Value:
Max Value:
Mask:

BKV2305

2
01
99

Number Label
1
[Continuous answer.]

5:12:19 PM Monday, April 06, 2009

Page 272 of 283

BACKGROUND VARIABLES

EVERRFLG

Item #:

Cheshire Name:

EVNT.EVERRFLG

Field Type:
Type Name:

Enumerated
TOnoff

BKV2310

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:19 PM Monday, April 06, 2009

Page 273 of 283

BACKGROUND VARIABLES

TOPICKN1

Item #:

Cheshire Name:

KNOW.TOPICKN1

Field Type:
Type Name:

Enumerated
TTOPICKN

Number
1
2
3
4
5
6
7
8
9
10
11
96

BKV2315

FieldSize:
Min Value:
Max Value:
Mask:

Label
HowMuchForMedicalServices

InfoAboutMedicareRxCoverage

MedicareNewBenefits

ServicesMedicareCovers

BenefitsOfMAPlans

MedigapSuppInsurance

Medicaid

ChoosingADoctor

StayingHealthy

QualityofCare

ChoosingNursingHome

DoesntWantInfo

Attribute
Don't know

Refusal

5:12:19 PM Monday, April 06, 2009

Page 274 of 283

BACKGROUND VARIABLES

TOPICKN2

Item #:

Cheshire Name:

KNOW.TOPICKN2

Field Type:
Type Name:

Enumerated
TTOPICKN

Number
1
2
3
4
5
6
7
8
9
10
11
96

BKV2320

FieldSize:
Min Value:
Max Value:
Mask:

Label
HowMuchForMedicalServices

InfoAboutMedicareRxCoverage

MedicareNewBenefits

ServicesMedicareCovers

BenefitsOfMAPlans

MedigapSuppInsurance

Medicaid

ChoosingADoctor

StayingHealthy

QualityofCare

ChoosingNursingHome

DoesntWantInfo

Attribute
Don't know

Refusal

5:12:19 PM Monday, April 06, 2009

Page 275 of 283

BACKGROUND VARIABLES

TOPICKN3

Item #:

Cheshire Name:

KNOW.TOPICKN

Field Type:
Type Name:

Enumerated
TTOPICKN

Number
1
2
3
4
5
6
7
8
9
10
11
96

BKV2325

FieldSize:
Min Value:
Max Value:
Mask:

Label
HowMuchForMedicalServices

InfoAboutMedicareRxCoverage

MedicareNewBenefits

ServicesMedicareCovers

BenefitsOfMAPlans

MedigapSuppInsurance

Medicaid

ChoosingADoctor

StayingHealthy

QualityofCare

ChoosingNursingHome

DoesntWantInfo

Attribute
Don't know

Refusal

5:12:19 PM Monday, April 06, 2009

Page 276 of 283

BACKGROUND VARIABLES

OKMADDR

Item #:

BKV2330

Cheshire Name:
Field Type:
Type Name:

Enumerated
TYesNoDKRF

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes
2
No
Attribute
Don't know
Refusal

5:12:19 PM Monday, April 06, 2009

Page 277 of 283

BACKGROUND VARIABLES

OKHMADDR

Item #:

BKV2335

Cheshire Name:
Field Type:
Type Name:

Enumerated
TYesNo

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes
2
No

5:12:19 PM Monday, April 06, 2009

Page 278 of 283

BACKGROUND VARIABLES

OKHMPHON

Item #:

BKV2340

Cheshire Name:
Field Type:
Type Name:

Enumerated
TYesNo

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes
2
No

5:12:19 PM Monday, April 06, 2009

Page 279 of 283

BACKGROUND VARIABLES

VRFYHOME

Item #:

BKV2345

Cheshire Name:
Field Type:
Type Name:

Number
1
2
3

Enumerated
TVrfyhome

FieldSize:
Min Value:
Max Value:
Mask:

Label
Yes

No

NoLongerHas2ndHome

5:12:19 PM Monday, April 06, 2009

Page 280 of 283

BACKGROUND VARIABLES

VRFYPHON

Item #:

BKV2350

Cheshire Name:
Field Type:
Type Name:

Enumerated
TYesNo

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes
2
No

5:12:19 PM Monday, April 06, 2009

Page 281 of 283

BACKGROUND VARIABLES

EXMCR50

Item #:

Cheshire Name:

COST.EXMCR50

Field Type:
Type Name:

Enumerated
TOnoff

BKV2355

FieldSize:
Min Value:
Max Value:
Mask:

Number Label
1
Yes

5:12:19 PM Monday, April 06, 2009

Page 282 of 283

BACKGROUND VARIABLES

REIMCOST

Item #:

Cheshire Name:

REIM.REIMCOST

Field Type:
Type Name:

Integer
TCostNum

FieldSize:
Min Value:
Max Value:
Mask:

BKV2360

001
999

Number Label
1
[Continuous answer.]

5:12:19 PM Monday, April 06, 2009

Page 283 of 283