MEPS-HC Core Interview

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

Attachment 68 -- HC F1 Help Text

MEPS-HC Core Interview

OMB: 0935-0118

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MEPS FAMES P12R5/P13R3/P14R1 Consolidated Help Text

December 8, 2008

F1 Help Text


CE03

CE04

HEALTH PROBLEM --

Disease, illness, or a problem with the functioning of the body or

organs. Health problems may be either physical or mental.


An example of a health problem is influenza; some of its

symptoms are fever, chills, and dizziness. Health problems may

be either physical or mental. Be sure to record health problems

only; do not record symptoms here unless the respondent cannot

give a condition name.


For this study, pregnancy is also considered a medical condition,

and SHOULD be recorded on the conditions roster. Although not an

illness or impairment, it calls for medical advice and assistance

and is an important element in a study of health care utilization

and costs.



HE01

HE03

HE06

IMPAIRMENT --

Examples include missing limbs, fingers or

other body parts; partial paralysis from an early case of

polio, accident or war wound; stiff joints, deformed fingers or

other physical evidence of arthritis; and vision or hearing

loss.


HELP/SUPERVISION --

Help or supervision from another person includes a range of

behaviors. The concept encompasses:


- personal assistance in physically doing the activity

(including another person doing the entire activity, such

as bathing a person from head to toe);


- instruction (guiding the person through the activity);


- making sure the activity is done correctly, without harm;

and


- staying nearby in case the person needs help in the

activity.



HE04

HELP/SUPERVISION --

Help or supervision from another person includes a range of

behaviors. The concept encompasses:


- personal assistance in physically doing the activity

(including another person doing the entire activity, such

as bathing a person from head to toe);


- instruction (guiding the person through the activity);


- making sure the activity is done correctly, without harm;

and


- staying nearby in case the person needs help in the

activity.



HE07

AIDS/SPECIAL EQUIPMENT --

In the phrase ‘aids or any other special equipment’, the key

word is ‘special’. Special equipment includes any device that

is not used by the general population to perform a specific

activity. There are many kinds of special equipment:


- mobile devices, such as motorized wheelchairs, canes and

walkers;


- special spoons, plate guards, or hand splints used to aid

in feeding;


- orthopedic shoes or braces;


- stationary devices, such as railings and ramps;


- computers or communication boards to assist speech;


- TTY - telephones or telephone amplifiers for hearing

impaired; and


- bathroom rails or bars, bathing benches or chairs.



HE19

LIMITED ABILITY --

Difficulties in performing a task independently. We are only

interested in difficulties that are associated with an

impairment or a PHYSICAL OR MENTAL HEALTH PROBLEM. Limited

activity ability (for example, work activity) means that a

person cannot do the role as long or in the same way as he/she

did previous to the impairment or physical or mental health

problem, but still does it to some extent (as opposed to not

being able to do it at all).


IMPAIRMENT --

Examples include missing limbs, fingers or

other body parts; partial paralysis from an early case of

polio, accident or war wound; stiff joints, deformed fingers or

other physical evidence of arthritis; and vision or hearing

loss.



HE22

LIMITED IN PARTICIPATING --

Difficulties that limit the person’s ability to participate in

the activities. We are only interested in difficulties that

are associated with an impairment or a PHYSICAL OR MENTAL

HEALTH PROBLEM. Limited activity participation (for example,

playing sports) means that a person cannot do the activity as

long or in the same way as he/she did previous to the

impairment or physical or mental health problem, but still does

it to some extent (as opposed to not being able to do it at

all).



HE30

BLIND --

Refers to persons who cannot see at all or who only have light

perception. It also includes persons who are considered legally

blind. Legal blindness is defined as visual acuity of 20/200 or

less in the better eye (WITH the best possible correction) or as

a visual field of 20 degrees or less.



HE37

DEAF --

Refers to inability to hear in BOTH EARS without the use of

hearing aids. Also can include hearing loss greater than 70 dB

(decibels) in the better ear without hearing aids.



DD02

DD05

DD10

HALF DAY OR MORE --

If a person’s work or school day is 9:00 a.m. to 3 p.m., for

example, and he/she stayed home from work or school (because of

a physical or mental health problem) for more than 3 hours of

that time, we consider this as having missed a half day or

more. If a person’s work FOR PAY is usually done at home, or

if a person does housework for pay, include any half days

missed from such work when it is due to illness or injury.


The “a” needs to be removed from this definition at some point. A change to the mark-up was made for P12R3 and P13R1 to make the language in these questions consistent. I decided not to submit a problem sheet for the help text at this time – Lisa 10-30-07. Remove ‘a’ – P12R5, P13R3, P14R1 July 2008.


DD04

DD07

STAY IN BED --

For this question, ‘bed’ means anything used for sleep,

including a sofa, cot, or mattress. If a person was on the

sofa watching TV because he/she was too ill to get around, he/she

would be considered as ‘in bed’. The number of half days or

more in bed should always be equal or less than the number of

days missed from work or school.



DD08

THERE ARE TWO KINDS OF BED DAYS BEING ASKED ABOUT IN THIS QUESTION:

1. All bed days for persons who neither work nor attend

school; and


2. All bed days for persons who work and/or attend school which

occurred on non-work or non-school days (e.g., weekends,

holidays, vacations).


HALF DAY OR MORE --

If a person’s work or school day is 9:00 a.m. to 3 p.m., for

example, and he/she stayed home from work or school (because of

a physical or mental health problem) for more than 3 hours of

that time, we consider this as having missed a half day or

more. If a person’s work FOR PAY is usually done at home, or

if a person does housework for pay, include any half days

missed from such work when it is due to illness or injury.


STAY IN BED --

For this question, ‘bed’ means anything used for sleep,

including a sofa, cot, or mattress. If a person was on the

sofa watching TV because he/she was too ill to get around, he/she

would be considered as ‘in bed’. The number of half days or

more in bed should always be equal or less than the number of

days missed from work or school.



CN01

CN01A

ACCIDENT/INJURY --

Physical problems because of some sort of

external trauma to the body such as a fall or being in an auto

accident. This refers to unexpected and undesirable events.

Accidents may include poisonings, where the condition results

from swallowing, breathing, or coming in contact

with some poisonous substance. Illnesses and other types of

problems due to a natural process in the body,

such as any type of disease, should NOT be included.



PP04

PP05

MEDICAL PROFESSIONALS AND PRACTITIONERS --


MEDICAL DOCTOR -

Include both doctors of medicine (M.D.) and doctors of

osteopathy (D.O.). Specific examples of physicians include:


allergists obstetricians

anesthesiologists ophthalmologists

cardiologists orthopedists

dermatologists otolaryngologists

endocrinologists (ear, nose, & throat doctor)

family practice physicians pediatricians

gastroenterologists psychiatrists

general physicians physiatrist (rehab medicine)

geriatricians radiologists

gynecologists surgeons (any)

internists urologists

neurologists


Types of providers NOT to be counted as medical doctors

are chiropractors, dentists, nurses, optometrists,

paramedics, podiatrists, psychologists.


NURSE -

Includes several types of nursing specialists, such as

registered nurse (RN), licensed practical nurse (LPN),

nurse’s aide, occupational health nurse, community health

nurse, or public health nurse (PHN).


NURSE PRACTITIONER -

A registered nurse (RN) who has completed additional training

beyond basic nursing education. They have qualifications

which permit them to carry out expanded health care evaluation

and decision-making regarding patient care.


PARAMEDIC -

A medical person who is licensed to perform advanced cardiac

life support procedures and other emergency medical

treatment under the direction of a physician.


HEALTH AIDE -

A nursing assistant who provides personal care and home

management services to allow patients to live in their own

homes. They work under the supervision of a physician or

registered nurse and may help patients bathe, exercise, and

dress. They may also check the patient’s temperature, blood

pressure, pulse and respiration rates, and help give

medications.


PHYSICIAN’S ASSISTANT -

A Physician Assistant (PA) is a medical person who provides

health care services with the direction and supervision of a

doctor of medicine (MD) or osteopathic physician (DO).

Physician Assistants train for several years in order to earn

the certification to perform diagnostic, therapeutic,

preventive, and health maintenance services. Not to be

confused with non-medical persons who also ‘assist’ the

physician.


MIDWIFE -

A female who practices the art of aiding in the delivery of

babies.


NURSE MIDWIFE -

A nurse who provides medical care and treatment to ob/gyn

patients under the supervision of a physician or doctor. The

duties of a nurse midwife may include routine gynecological

care, delivering babies, instructing patients in prenatal and

postnatal health practices, instructing patient in the care of

herself and the infant, examinations, etc.


OPTOMETRIST -

A medical person who examines the eyes and vision system for

visual defects, diagnoses eye impairments, prescribes

corrective lenses, and provides other types of treatment. Not

to be confused with an M.D. who specializes in treating eye

diseases, such as an ophthalmologist.


OPHTHALMOLOGIST -

A doctor of medicine (MD) who specializes in treating eye

diseases.


PODIATRIST (FOOT DOCTOR) -

A podiatrist (DPM) (sometimes referred to as a ‘foot doctor’),

is a medical person who deals with examination, diagnosis,

treatment, and prevention of diseases, conditions, and

malfunctions affecting the human foot and its related

structures.


CHIROPRACTOR -

Medical persons who practice a system of medicine based on the

principles that the nervous system largely determines the

state of health and that disease results from nervous system

malfunctioning. Treatment consists primarily of the

adjustment and manipulation of parts of the body, especially

the spinal column.


ACUPUNCTURIST -

Persons who use a technique for relieving pain, treating

medical conditions, inducing regional anesthesia, or improving

general well-being, in which thin needles are inserted into

the body at specific points.


PHYSICAL THERAPIST -

Medical person who is concerned with the treatment of

musculoskeletal disorders with physical agents and methods --

such as massage, manipulation, therapeutic exercises, cold,

heat, hydrotherapy, electric stimulation, and light -- to

assist in rehabilitating patients and in restoring normal

function after an illness or injury.


SPEECH THERAPIST -

A medical person trained in the application and use of

techniques aimed at improving language and speech disorders.


OCCUPATIONAL THERAPIST -

Medical persons who are concerned with improving the person’s

ability to perform self help tasks, tasks that are associated

with employment activities, or tasks that allow an individual

to more fully enjoy and participate in leisure time

activities. Occupational therapy is used in retraining

individuals after illnesses and accidents, as well as

providing ongoing help to persons with more permanent

disabilities from stroke, paralysis or deterioration from

degenerative diseases such as arthritis or multiple sclerosis.


AUDIOLOGIST -

Medical persons who evaluate and treat patients with impaired

hearing and balance. This includes the fitting and dispensing

of hearing aids.


PHYSIATRIST -

Medical doctor who specializes in rehabilitation medicine.

Frequently directs a team of medical professionals which can

include occupational and physical therapists.


MENTAL HEALTH PROFESSIONALS --


PSYCHIATRIST -

A physician who specializes in dealing with the prevention,

diagnosis, and treatment of mental, addictive, and emotional

disorders, such as psychoses, depression, anxiety disorders,

substance abuse disorders, developmental disabilities, sexual

dysfunctions, and adjustment reactions.


PSYCHOLOGIST -

A non-physician who specializes in the counseling and testing

of persons with mental, addictive, or emotional disorders.


PSYCHIATRIC SOCIAL WORKER -

A psychiatric social worker is a social worker who usually

works in a psychiatric hospital, residential treatment center,

psychiatric unit of a general hospital, or a mental health

center. A psychiatric social worker assists individuals and

their families in dealing with social, emotional, and

environmental problems resulting from mental illness or

disability. A psychiatric social worker serves as a link

between the patient, psychiatrist, clinical psychologist,

family, and community.


A Licensed Clinical Social Worker (LCSW) is another type of

psychiatric social worker. An LCSW may practice at any one of

the above sites, but may also have his or her own private

practice and may bill independently.


Include visits to other social workers or counselors if the

visit would be reimbursed by insurance. That is, if there is

a charge for the service that an insurance company would pay

for, the service should be included.


MENTAL HEALTH THERAPIST -

A person trained to diagnose and treat emotional or mental

health problems, including, psychiatrists, psychologists,

counselors, social workers, etc.


MEDICAL FACILITY OR CLINIC --


HEALTH CLINIC -

Refers to a facility where medical care and advice are given

by doctors, nurses, or other medical persons, but is not

located at a hospital.


WALK-IN SURGI-CLINIC/CENTER -

A facility performing minor surgical procedures on an

outpatient basis, and NOT located in, or affiliated with a

hospital (i.e. NOT an outpatient department at a hospital).


COMPANY CLINIC -

A company doctor’s office or medical facility which is

operated principally for the employees (and sometimes their

dependents).



SCHOOL CLINIC -

A clinic which is operated principally for students (and

sometimes their dependents) who are enrolled at a college or

university.


INFIRMARY -

A place for care of sick or injured people, especially a small

hospital or dispensary in an institution such as a school or

other institution.


NEIGHBORHOOD HEALTH CLINIC -

A free-standing facility located where it will be easy for

patients to go, which provides diagnostic and treatment

services. Neighborhood health clinics are frequently

maintained by government agencies or private organizations.


FAMILY PLANNING CENTER -

A facility that provides social, educational, or medical

services and supplies to help individuals determine family

size or prevent unplanned pregnancies. This may include birth

control counseling and referral, abortion services and

referral, pregnancy testing, sterilization counseling,

venereal disease referrals, public education service, and

infertility counseling and referrals.


MENTAL HEALTH FACILITY -

A facility that provides the diagnosis, treatment, and care of

patients with mental disorders.


DENTAL CARE --


DENTIST -

Medical persons whose primary occupation is caring for teeth,

gums, and jaws. Dental care includes general work such as

fillings, cleaning, extraction, and also specialized work such

as root canals, fittings for braces, etc.


DENTAL SURGEON/ ORAL SURGEON -

A dental surgeon is a specialist who deals with diseases,

injuries, and defects of the mouth and jaw through invasive

procedures. Includes specialties like endodontists,

prosthodontists and orthodontists.


An oral and maxillofacial surgeon (OMFS) is a surgical specialty devoted to the well-defined anatomical region of the mouth, jaws and the face as well as associated structures. Most oral surgeons are initially qualified in dentistry and have undergone a further 4-6 years of specialty surgical training.


ORTHODONTIST -

A dental specialist who deals with preventing and correcting

irregular teeth through devices such as braces and retainers.


DENTAL HYGIENIST -

A person who is licensed to give certain dental services under

the supervision of a dentist. These services include: teeth

cleaning, x-rays, applying medications, and educating in

dental matters.


DENTAL TECHNICIAN -

A person who works in a dental laboratory and prepares

dentures and other appliances such as orthodontic devices and

crowns to fit dental prescriptions.


DENTAL ASSISTANT -

A person who assists a dentist in patient care, and may

perform other functions in the dental office or laboratory.

Most dental assistants are trained by the dentist.


PP06

PP07

TYPES OF HOSPITAL SERVICES --


HOSPITAL STAY -

A visit to a hospital where a person is admitted to the

hospital. While most in-patient stays are 24-hours or longer,

a person need not have stayed overnight to have been

admitted” to a hospital; it is possible to be admitted and

discharged on the same day.


EMERGENCY ROOM VISIT -

Any visit made during the person’s reference period to a

hospital emergency room.


EMERGENCY ROOM -

A medical department at a hospital that is open 24 hours a day

where no appointment is necessary in order to receive care.

Medical care may be administered by a physician, nurse,

physician assistant, or other medical provider. Do NOT

include ‘urgent care centers’, which are owned by, or

affiliated with a hospital. Visits made to that type of

facility should be coded as an outpatient department visit.


OUTPATIENT DEPARTMENT VISIT -

Any visit made during the person’s reference period to a

hospital outpatient department.


OUTPATIENT DEPARTMENT –

A unit of a hospital, a facility, or ‘urgent care center’

owned by or affiliated with a hospital. The outpatient

department provides health and medical services to individuals

who do not require hospitalization overnight and may also

provide general primary care.


Do NOT include ‘urgent care centers’ which are not owned by,

or affiliated with a hospital. Urgent care centers which are

NOT affiliated with or owned by a hospital should be coded as

a Medical Provider visit. Include visits made to outpatient

departments for medical tests only.


Examples of outpatient departments include:


- well-baby clinics/pediatric OPD;

- obesity clinics;

- eye, ear, nose, and throat clinics;

- cardiology clinic;

- internal medicine department;

- family planning clinics;

- alcohol and drug abuse clinics;

- physical therapy clinics; and

- radiation therapy clinics.


TYPES OF LONG TERM CARE FACILITIES --


CONVALESCENT HOME -

A nursing facility for patients who are recovering from severe

illnesses or injuries, or who require continued care for an

ongoing illness that is not in an acute stage. This is not

the same as a retirement home.


NURSING HOME -

An institution that provides continuous nursing and other

services to patients who are not acutely ill, but who need

nursing and personal services as inpatients. A nursing home

has permanent facilities and an organized professional staff.


NURSING HOME UNIT OF A HOSPITAL -

A-hospital based skilled nursing facility. This unit is

usually part of a larger facility or campus. Skilled care is

the performance of an injection or other medical procedure

with a sufficient mastery of the specific technique in order

to make the risk to the patient negligible. This proficiency

can be general as in the case of a trained health worker or

acquired specifically for use at this type of place.


INTERMEDIATE CARE FACILITIES -

A place that offers residents help with activities such as

bathing and dressing, but do not provide 24-hour nursing

services. (Some residents at a residential care facility may

not require such assistance, but it must be available to

them.) This type of place can be certified by Medicare.


BOARD AND CARE HOMES -

A place that offers residents help with activities such as

bathing and dressing, but do not provide 24-hour nursing

services. (Some residents at a residential care facility may

not require such assistance, but it must be available to

them.)


PSYCHIATRIC INSTITUTION -

A residential facility that provides diagnostic and treatment

services to patients with mental or emotional disorders.

Psychiatric hospitals or psychiatric units or wards in

hospitals should be coded as a type of hospital service, not

long term care.


FACILITY FOR THE INTELLECTUALLY DISABLED -

A facility which houses and tends to the daily needs of

individuals who have been diagnosed with impaired learning

ability and vocational limitations. Do not include ‘day care’

facilities for the intellectually disabled.


GROUP HOMES -

A place that offers residents help with activities such as

bathing and dressing, but do not provide 24-hour nursing

services. (Some residents at a residential care facility may

not require such assistance, but it must be available to

them.) This is typically a family type setting which

encourages individual participation in household roles and

facilitates self-care goals in conjunction with day placement

activities and other services. A group home may be Medicaid

certified.


LONG TERM CARE PLACE THAT PROVIDES HOSPICE CARE -

A type of program that provides care and support services to

the terminally ill. The intent is to allow the patient to

live as fully as possible. Care and support may come from a

variety of sources such as family, volunteers, nurses, social

workers, the clergy, as well as physicians.


Do NOT include hospice care services delivered at the

patient’s home.


LONG TERM CARE PLACE THAT PROVIDES RESPITE CARE -

Care received for only a limited time by severely disabled or

impaired persons (e.g., quadriplegics, developmentally

disabled children or Alzheimer patients) in a long-term care

place (e.g., a nursing home) or another person’s home, as a

way of providing an interval of rest or relief to family

members who are the usual primary caregivers at home. This

question is interested in eliciting only care received at

long-term care places.


ASSISTED LIVING -

This is a newer organization of care or help for elderly

persons particularly, but can also be found for persons with

disabilities.



PP08

PP09

PP23

PP24

SKILLED MEDICAL CARE --

Home care from a nurse, any type of therapist, a doctor, a social

worker, or anyone else providing nursing or medical care.


PERSONAL CARE --

Home care services including bathing, dressing, or help getting

around the house either paid or unpaid.


HOUSEHOLD CHORE SERVICES --

Help in the home with services like cooking or cleaning either

paid or unpaid.


COMPANIONSHIP--

Services such as reading, talking, or going for a walk, a drive,

or to a restaurant either paid or unpaid.



PP12

PP13

PP27

PP28

EYEGLASSES --

Devices worn outside the eye to correct vision problems. A

magnifying glass for reading is not considered glasses.


CONTACT LENSES --

A curved shell of glass or plastic worn directly against the eye

to correct vision problems.


INSULIN --

A chemical used in the treatment of diabetes. Typically, insulin

is administered with a syringe by the patient.


SYRINGES(DIABETIC SUPPLIES)--

An instrument used to inject insulin into the body for treatment

of diabetes.


TEST PAPER(TEST STRIPS)--

Pre-treated paper, prescribed by a physician, used to gauge the

level of sugar present in the body at a given time.


OTHER DIABETIC EQUIPMENT OR SUPPLIES --

Any other type of diabetic equipment or supplies not listed here

that is typically prescribed by a physician; for example, a blood

glucose monitor machine, glucose meter, insulin pumps, lancets,

alcohol swabs or control solution.



PP13A

PP13B

PP29

PP30

EV03A

EV03AOV

ED06A

ED06AOV

AMBULANCE SERVICES -

Any charges associated with the use of an emergency vehicle used for

transporting patients to a health care facility after injury or

illness. Includes three basic types of emergency transportation:

ground or surface, helicopter, or airplane.


ORTHOPEDIC ITEMS -

Items used to prevent, correct, or assist with disorders of the

musculoskeletal system (e.g., skeleton, joints, muscles, ligaments,

etc.). Orthopedic items include, but are not limited to, corrective

shoes and inserts, braces, crutches, canes, walkers, wheelchairs,

and scooters.


HEARING DEVICES -

Items used to correct or assist with impaired hearing. Hearing

devices include, but are not limited to, hearing aids, amplifiers

for a telephone, adaptive speech equipment, and speech synthesizers


PROSTHESES -

An artificial replacement for a missing body part, such as an hand,

arm or leg, eye that is used for functional and/or cosmetic reasons


BATHROOM AIDS -

Items used to assist in the process of bathing, showering, or using

the toilet. Bathroom aids include, but are not limited to, portable

commodes, raised toilet seats, portable tub seats, handrails, or

other bathing equipment.


MEDICAL EQUIPMENT -

Includes durable medical items used to assist with an impairment or

physical health problem. Medical equipment includes, but is not

limited to, hospital beds, lifts (used to help the person out of

chairs), monitors (used to measure body functions such as heart

rate, blood pressure, or breathing, intercom systems used to listen

to person, etc.), special chairs, oxygen, bed pans, adaptive feeding

equipment, vaporizers, and nebulizers.


DISPOSABLE SUPPLIES -

Includes disposable medical items used in the treatment of a health

problem. Disposable supplies include, but are not limited to,

ostomy supplies, bandages, dressings, tape, diapers, catheters,

syringes, and IV supplies.


ALTERATIONS/MODIFICATIONS -

Alterations or modifications to the person’s home or automobile to

help him/her function better with his/her impairment or physical

problem. Examples of changes to the home include ramps, handrails,

elevators, or stair lifts. Examples of changes to the automobile

include special controls, mirrors, doors, or wheelchair lifts.



PP15

PP16

DENTIST --

Medical persons whose primary occupation is caring for teeth,

gums, and jaws. Dental care includes general work such as

fillings, cleaning, extraction, and also specialized work such as

root canals, fittings for braces, etc.


DENTAL SURGEON/ORAL SURGEON --

A dental surgeon is a specialist who deals with diseases,

injuries, and defects of the mouth and jaw through invasive

procedures. Includes specialties like endodontists,

prosthodontists and orthodontists.

An oral and maxillofacial surgeon (OMFS) is a surgical specialty devoted to the well-defined anatomical region of the mouth, jaws and the face as well as associated structures. Most oral surgeons are initially qualified in dentistry and have undergone a further 4-6 years of specialty surgical training.



ORTHODONTIST --

A dental specialist who deals with preventing and correcting

irregular teeth through devices such as braces and retainers.


DENTAL HYGIENIST --

A person who is licensed to give certain dental services under

the supervision of a dentist. These services include: teeth

cleaning, x-rays, applying medications, and educating in dental

matters.


DENTAL TECHNICIAN --

A person who works in a dental laboratory and prepares

dentures and other appliances such as orthodontic devices and

crowns to fit dental prescriptions.


DENTAL ASSISTANT --

A person who assists a dentist in patient care, and may

perform other functions in the dental office or laboratory.

Most dental assistants are trained by the dentist.



PP17

PP18

MEDICAL DOCTOR --

Include both doctors of medicine (M.D.) and doctors of osteopathy

(D.O.). Specific examples of physicians include:


allergists obstetricians

anesthesiologists ophthalmologists

cardiologists orthopedists

dermatologists otolaryngologists

endocrinologists (ear, nose, & throat doctor)

family practice physicians pediatricians

gastroenterologists psychiatrists

general physicians physiatrist (rehab medicine)

geriatricians radiologists

gynecologists surgeons (any)

internists urologists

neurologists


Types of providers NOT to be counted as medical doctors are

chiropractors, dentists, nurses, optometrists, paramedics,

podiatrists, psychologists.


NURSE --

Includes several types of nursing specialists, such as registered

nurse (RN), licensed practical nurse (LPN), nurse’s aide,

occupational health nurse, community health nurse, or public

health nurse (PHN).


NURSE PRACTITIONER --

A registered nurse (RN) who has completed additional training

beyond basic nursing education. They have qualifications which

permit them to carry out expanded health care evaluation and

decision-making regarding patient care.


NURSE MIDWIFE --

A nurse who provides medical care and treatment to ob/gyn

patients under the supervision of a physician or doctor. The

duties of a nurse midwife may include routine gynecological care,

delivering babies, instructing patients in prenatal and postnatal

health practices, instructing patient in the care of herself and

the infant, examinations, etc.


PHYSIATRIST --

Medical doctor who specializes in rehabilitation medicine.

Frequently directs a team of medical professionals which can

include occupational and physical therapists.


PSYCHIATRIST --

A physician who specializes in dealing with the prevention,

diagnosis, and treatment of mental, addictive, and emotional

disorders, such as psychoses, depression, anxiety disorders,

substance abuse disorders, developmental disabilities, sexual

dysfunctions, and adjustment reactions.


PSYCHOLOGIST --

A non-physician who specializes in the counseling and testing of

persons with mental, addictive, or emotional disorders.



PP19

PP20

HOSPITAL STAY --

A visit to a hospital where a person is admitted to the hospital.

While most in-patient stays are 24-hours or longer, a person need

not have stayed overnight to have been “admitted” to a hospital;

it is possible to be admitted and discharged on the same day.



EMERGENCY ROOM VISIT --

Any visit made during the person’s reference period to a hospital

emergency room.


EMERGENCY ROOM –

A medical department at a hospital that is open 24 hours a day

where no appointment is necessary in order to receive care.

Medical care may be administered by a physician, nurse, physician

assistant, or other medical provider. Do NOT include ‘urgent

care centers’, which are owned by, or affiliated with a hospital.

Visits made to that type of facility should be coded as an

outpatient department visit.



OUTPATIENT DEPARTMENT VISIT --

Any visit made during the person’s reference period to a hospital

outpatient department.


OUTPATIENT DEPARTMENT -

A unit of a hospital, a facility, or ‘urgent care center’

owned by or affiliated with a hospital. The outpatient

department provides health and medical services to individuals

who do not require hospitalization overnight and may also

provide general primary care.


Do NOT include ‘urgent care centers’ which are not owned by,

or affiliated with a hospital. Urgent care centers which are

NOT affiliated with or owned by a hospital should be coded as

a Medical Provider visit. Include visits made to outpatient

departments for medical tests only.


Examples of outpatient departments include:

- well-baby clinics/pediatric OPD;

- obesity clinics;

- eye, ear, nose, and throat clinics;

- cardiology clinic;

- internal medicine department;

- family planning clinics;

- alcohol and drug abuse clinics;

- physical therapy clinics; and

- radiation therapy clinics.



PP21

PP22

MEDICAL PROFESSIONALS AND PRACTITIONERS --


PARAMEDIC -

A medical person who is licensed to perform advanced cardiac

life support procedures and other emergency medical treatment

under the direction of a physician.


HEALTH AIDE -

A nursing assistant who provides personal care and home

management services to allow patients to live in their own

homes. They work under the supervision of a physician or

registered nurse and may help patients bathe, exercise, and

dress. They may also check the patient’s temperature, blood

pressure, pulse and respiration rates, and help give

medications.


PHYSICIAN’S ASSISTANT -

A Physician Assistant (PA) is a medical person who provides

health care services with the direction and supervision of a

doctor of medicine (MD) or osteopathic physician (DO).

Physician Assistants train for several years in order to earn

the certification to perform diagnostic, therapeutic,

preventive, and health maintenance services. Not to be

confused with non-medical persons who also ‘assist’ the

physician.


MIDWIFE -

A female who practices the art of aiding in the delivery of

babies.


OPTOMETRIST -

A medical person who examines the eyes and vision system for

visual defects, diagnoses eye impairments, prescribes

corrective lenses, and provides other types of treatment. Not

to be confused with an M.D. who specializes in treating eye

diseases, such as an ophthalmologist.


OPHTHALMOLOGIST -

A doctor of medicine (MD) who specializes in treating eye

diseases.


PODIATRIST (FOOT DOCTOR) -

A podiatrist (DPM) (sometimes referred to as a ‘foot doctor’),

is a medical person who deals with examination, diagnosis,

treatment, and prevention of diseases, conditions, and

malfunctions affecting the human foot and its related

structures.


CHIROPRACTOR -

Medical persons who practice a system of medicine based on the

principles that the nervous system largely determines the

state of health and that disease results from nervous system

malfunctioning. Treatment consists primarily of the

adjustment and manipulation of parts of the body, especially

the spinal column.


ACUPUNCTURIST -

Persons who use a technique for relieving pain, treating

medical conditions, inducing regional anesthesia, or improving

general well-being, in which thin needles are inserted into

the body at specific points.


PHYSICAL THERAPIST -

Medical person who is concerned with the treatment of

musculoskeletal disorders with physical agents and methods --

such as massage, manipulation, therapeutic exercises, cold,

heat, hydrotherapy, electric stimulation, and light -- to

assist in rehabilitating patients and in restoring normal

function after an illness or injury.


SPEECH THERAPIST -

A medical person trained in the application and use of

techniques aimed at improving language and speech disorders.



OCCUPATIONAL THERAPIST -

Medical persons who are concerned with improving the person’s

ability to perform self help tasks, tasks that are associated

with employment activities, or tasks that allow an individual

to more fully enjoy and participate in leisure time

activities. Occupational therapy is used in retraining

individuals after illnesses and accidents, as well as

providing ongoing help to persons with more permanent

disabilities from stroke, paralysis or deterioration from

degenerative diseases such as arthritis or multiple sclerosis.


AUDIOLOGIST -

Medical persons who evaluate and treat patients with impaired

hearing and balance. This includes the fitting and dispensing

of hearing aids.



MEDICAL FACILITY OR CLINIC --


HEALTH CLINIC -

Refers to a facility where medical care and advice are given

by doctors, nurses, or other medical persons, but is not

located at a hospital.


WALK-IN SURGI-CLINIC/CENTER -

A facility performing minor surgical procedures on an

outpatient basis, and NOT located at a hospital (i.e. NOT an

outpatient department at a hospital).


COMPANY CLINIC -

A company doctor’s office or medical facility which is

operated principally for the employees (and sometimes their

dependents).


SCHOOL CLINIC -

A clinic which is operated principally for students (and

sometimes their dependents) who are enrolled at a college or

university.


INFIRMARY -

A place for care of sick or injured people, especially a small

hospital or dispensary in an institution such as a school or

other institution.


NEIGHBORHOOD HEALTH CLINIC -

A free-standing facility located where it will be easy for

patients to go, which provides diagnostic and treatment

services. Neighborhood health clinics are frequently

maintained by government agencies or private organizations.

FAMILY PLANNING CENTER -

A facility that provides social, educational, or medical

services and supplies to help individuals determine family

size or prevent unplanned pregnancies. This may include birth

control counseling and referral, abortion services and

referral, pregnancy testing, sterilization counseling,

venereal disease referrals, public education service, and

infertility counseling and referrals.


MENTAL HEALTH FACILITY -

A facility that provides the diagnosis, treatment, and care of

patients with mental disorders.


MENTAL HEALTH PROFESSIONALS --


PSYCHIATRIC SOCIAL WORKER -

A psychiatric social worker is a social worker who usually

works in a psychiatric hospital, residential treatment center,

psychiatric unit of a general hospital, or a mental health

center. A psychiatric social worker assists individuals and

their families in dealing with social, emotional, and

environmental problems resulting from mental illness or

disability. A psychiatric social worker serves as a link

between the patient, psychiatrist, clinical psychologist,

family, and community.


A Licensed Clinical Social Worker (LCSW) is another type of

psychiatric social worker. An LCSW may practice at any one of

the above sites, but may also have his or her own private

practice and may bill independently.


Include visits to other social workers or counselors if the

visit would be reimbursed by insurance. That is, if there is

a charge for the service that an insurance company would pay

for, the service should be included.


MENTAL HEALTH THERAPIST -

A person trained to diagnose and treat emotional or mental

health problems, including, psychiatrists, psychologists,

counselors, social workers, etc.



PP25

PP26

CONVALESCENT HOME --

A nursing facility for patients who are recovering from severe

illnesses or injuries, or who require continued care for an

ongoing illness that is not in an acute stage. This is not the

same as a retirement home.



NURSING HOME --

An institution that provides continuous nursing and other services

to patients who are not acutely ill, but who need nursing and

personal services as inpatients. A nursing home has permanent

facilities and an organized professional staff.


NURSING HOME UNIT OF A HOSPITAL --

A hospital based skilled nursing facility. This unit is

usually part of a larger facility or campus. Skilled care is

the performance of an injection or other medical procedure

with a sufficient mastery of the specific technique in order

to make the risk to the patient negligible. This proficiency

can be general as in the case of a trained health worker or

acquired specifically for use at this type of place.


INTERMEDIATE CARE FACILITIES --

A place that offers residents help with activities such as

bathing and dressing, but do not provide 24-hour nursing

services. (Some residents at a residential care facility may

not require such assistance, but it must be available to them.)

This type of place can be certified by Medicare.


BOARD AND CARE HOMES --

A place that offers residents help with activities such as

bathing and dressing, but do not provide 24-hour nursing

services. (Some residents at a residential care facility may

not require such assistance, but it must be available to them.)


PSYCHIATRIC INSTITUTION --

A residential facility that provides diagnostic and treatment

services to patients with mental or emotional disorders.

Psychiatric hospitals or psychiatric units or wards in hospitals

should be coded as a type of hospital service, not long term care.


FACILITY FOR THE INTELLECTUALLY DISABLED --

A facility which houses and tends to the daily needs of

individuals who have been diagnosed with impaired learning

ability and vocational limitations. Do not include ‘day care’

facilities for the intellectually disabled.


GROUP HOMES --

A place that offers residents help with activities such as

bathing and dressing, but do not provide 24-hour nursing

services. (Some residents at a residential care facility may

not require such assistance, but it must be available to them.)

This is typically a family type setting which encourages

individual participation in household roles and facilitates

self-care goals in conjunction with day placement activities

and other services. A group home may be Medicaid certified.


LONG TERM CARE PLACE THAT PROVIDES HOSPICE CARE --

A type of program that provides care and support services to the

terminally ill. The intent is to allow the patient to live as

fully as possible. Care and support may come from a variety of

sources such as family, volunteers, nurses, social workers, the

clergy, as well as physicians.


Do NOT include hospice care services delivered at the patient’s

home.


LONG TERM CARE PLACE THAT PROVIDES RESPITE CARE --

Care received for only a limited time by severely disabled or

impaired persons (e.g., quadriplegics, developmentally disabled

children or Alzheimer patients) in a long-term care place (e.g., a

nursing home) or another person’s home, as a way of providing an

interval of rest or relief to family members who are the usual

primary caregivers at home. This question is interested in

eliciting only care received at long-term care places.


ASSISTED LIVING -

This is a newer organization of care or help for elderly persons

particularly, but can also be found for persons with disabilities.



EV02

HOSPITAL STAY --

A visit to a hospital where a person is admitted to the hospital.

While most in-patient stays are 24-hours or longer, a person need

not have stayed overnight to have been “admitted” to a hospital;

it is possible to be admitted and discharged on the same day.



EMERGENCY ROOM VISIT --

Any visit made during the person’s reference period to a hospital

emergency room.


EMERGENCY ROOM –

A medical department at a hospital that is open 24 hours a day

where no appointment is necessary in order to receive care.

Medical care may be administered by a physician, nurse, physician

assistant, or other medical provider. Do NOT include ‘urgent care

centers’, which are owned by, or affiliated with a hospital.

Visits made to that type of facility should be coded as an

outpatient department visit.



OUTPATIENT DEPARTMENT VISIT --

Any visit made during the person’s reference period to a hospital

outpatient department.



OUTPATIENT DEPARTMENT –

A unit of a hospital, a facility, or ‘urgent care center’

owned by or affiliated with a hospital. The outpatient

department provides health and medical services to individuals

who do not require hospitalization overnight and may also

provide general primary care.


Do NOT include ‘urgent care centers’ which are not owned by,

or affiliated with a hospital. Urgent care centers which are

NOT affiliated with or owned by a hospital should be coded as

a Medical Provider visit. Include visits made to outpatient

departments for medical tests only.


Examples of outpatient departments include:


- well-baby clinics/pediatric OPD;

- obesity clinics;

- eye, ear, nose, and throat clinics;

- cardiology clinic;

- internal medicine department;

- family planning clinics;

- alcohol and drug abuse clinics;

- physical therapy clinics; and

- radiation therapy clinics.



MEDICAL PROVIDER VISIT --

Any visit made during the person’s reference period to a specific

setting of care where a medical provider was seen. Settings of

care can include: a private doctor’s office, a clinic, a health

maintenance organization (HMO), an independent laboratory or X-ray

facility or an ‘urgent care center’ not owned by or affiliated

with a hospital.


MEDICAL PROVIDER - A doctor, nurse, or any other medical person or

place that delivers medical or health related care.


DENTAL CARE VISIT --

Any visit made during the person’s reference period to a dental

care provider for the purpose of dental care.


DENTAL CARE PROVIDER - Medical persons whose primary occupation is

caring for teeth, gums, and jaws. Dental care includes general

work such as fillings, cleaning, extractions, and also specialized

work such as root canals, fittings for braces, etc.


HOME HEALTH VISIT --

Visits to the home from persons (e.g. nurses, home health aids,

social workers, therapists, or medical doctors) who provide help

to a person who has a health problem or condition.



Non-medical services such as cleaning or cooking may be included

if the service is provided because a person has a health problem.

Such a person can be paid or unpaid, such as a friend, neighbor,

relative or volunteer.


OTHER MEDICAL EXPENSES EVENT –


COLLECTED AT ALL ROUNDS:


Any purchase made during the reference period of one of the

following types of medical supplies:


1. GLASSES OR CONTACT LENSES - The actual purchase of the

item during the reference period; eye exams should be

classified as a medical provider visit.


2. INSULIN - Any purchases of this drug during the reference

period.


3. OTHER DIABETIC EQUIPMENT OR SUPPLIES - Any purchases of

any diabetic supplies or equipment, other than insulin,

made during the reference period. Include purchases of

supplies prescribed by a physician such as syringes,

test paper or strips, blood glucose monitors, glucose

meters, insulin pumps, lancets, alcohol swabs or control

solution. Even if during the reference period, a person

purchased or obtained multiple items from a single group,

for example, glasses AND contact lenses, create only one

OM event in CAPI.


COLLECTED DURING ROUNDS 3 AND 5 ONLY:


4. Such medical expenses as hearing devices, ambulance

services, wheelchairs, bathroom aids, prostheses, etc. are

collected only in Rounds 3 and 5.

These types of additional medical expenses are collected

for a longer reference period, (between January 1st and

December 31st )i.e., once per year.


If, during the calendar year, the person purchased or obtained

multiple items from a single group, such as oxygen AND a hospital

bed (both considered medical equipment), create only one OM event

in CAPI.

If a person obtained multiple items from different groupings, such

as a portable commode (bathroom aids) AND a wheelchair (orthopedic

items) during the calendar year, then two OM events should be

created in CAPI.


INSTITUTIONAL/LONG TERM CARE STAY EVENT --

When an RU member is admitted to one of the following types of

health care institutions:


CONVALESCENT/NURSING HOME -

A nursing facility for patients who are recovering from severe

illnesses or injuries, or who require continued care for an

ongoing illness that is not in an acute stage. This is not

the same as a retirement home.


PSYCHIATRIC INSTITUTION -

A residential facility that provides diagnostic and treatment

services to patients with mental or emotional disorders.

Psychiatric hospitals or psychiatric units or wards in

hospitals should be coded as a type of hospital service, not

long term care.


FACILITY FOR THE INTELLECTUALLY DISABLED -

A facility which houses and tends to the daily needs of

individuals who have been diagnosed with impaired learning

ability and vocational limitations. This does not include

‘day care’ facilities for the intellectually disabled.


HOSPICE CARE -

A type of program that provides care and support services to

the terminally ill. The intent is to allow the patient to

live as fully as possible. Care and support may come from a

variety of sources such as family, volunteers, nurses, social

workers, the clergy, as well as physicians. Do NOT include

hospice care services delivered at the patient’s home.


RESPITE CARE -

Care received for only a limited time by severely disabled or

impaired persons (e.g., quadriplegics, developmentally

disabled children, or Alzheimer patients) in a long-term care

place (e.g., a nursing home) or another person’s home, as a

way of providing an interval of rest or relief to family

members who are the usual primary caregivers at home.


EV06

FRIEND/NEIGHBOR --

A medical or non-medical person providing some type of home health

services to the RU member. This person must fulfill the following

requirements:


1. Friend/neighbor was not paid.

2. Friend/neighbor is not part of the RU or DU.

3. Friend/neighbor is not related to the RU member receiving

the care.

4. Friend/neighbor is not providing the care because of an

affiliation with a volunteer group.


RELATIVE --

A medical or non-medical person providing some type of home health

services to the RU member. This person must fulfill the following

requirements:


1. Relative is not part of the RU or DU.

2. Relative is RELATED to the RU member receiving the care.

3. Relative is not providing the care because of an

affiliation with a volunteer group.

4. Relative can be either paid or not-paid.



VOLUNTEER --

A medical or non-medical person providing some type of home health

services to the RU member. This person must fulfill the following

requirements:


1. Volunteer was not paid.

2. Volunteer is not part of the RU or DU.

3. Volunteer is not related to the RU member receiving

the care.

4. Volunteer has an affiliation with a volunteer group

that provides home care services to the RU member.


OTHER-PAID --

A medical or non-medical person, group or agency providing some

type of home health services to the RU member. Any type of

provider who was PAID (other than a relative) should be included

in this group.


MEAL DELIVERY SERVICE --

Any public or private services that ONLY provide meals to

individuals at home. For example, Meals-on-Wheels.


HOME HEALTH CARE includes services received due to a health problem or

condition. These services may be medical (e.g., physical therapy;

checking temperature, blood pressure, and pulse and respiration rates;

or helping to give medications) or personal (e.g., cleaning, repairs,

cooking, or companionship).



EV07OV1

EV07OV2

MOTHER --

A female parent.


FATHER --

A male parent.


SISTER --

A female relative having the same parent(s) as another.


BROTHER --

A male relative having the same parent(s) as another.


GRANDPARENT --

A parent of one’s mother or father.


GRANDCHILD --

A child of one’s daughter or son.


AUNT --

The sister of one’s father or mother or the wife of one’s uncle.


UNCLE --

The brother of one’s father or mother or the husband of one’s

aunt.


NIECE --

A daughter of one’s brother or sister.


NEPHEW --

A son of one’s brother or sister.


COUSIN --

A child of one’s uncle, aunt, or cousin.



EV10

EV10OV

COMPANION --

Persons who care for elderly, disabled, or convalescent

persons by attending to the patient’s personal needs, reading

aloud, playing cards, or other games to entertain the RU

member because of the RU member’s health problem.


DOMESTIC WORKER --

Persons who provide cleaning, cooking, or other household

chores services for the RU member because of his or her health

problem.


HOUSE CLEANER --

Persons who provide cleaning services for the RU member

because of his or her health problem.


HEALTH PROFESSIONAL --

A person whose job is to provide medical treatment, nursing

care, or therapy to persons with health problems. Examples

include medical doctors, nurses, and physical therapists.


HOMEMAKER --

Persons who advise or help the RU member in dealing with

problems, such as nutrition, cleanliness, and household

utilities because of his or her health problem.


HOME HEALTH AIDE --

A certified health care worker who provides personal care and

home management services to allow patients to live in their own

homes. Working under the supervision of a physician or registered

nurse, the home health aide may provide any of the following

services: patient bathing, exercise, dressing, assisting the

patient with medications, checking patient temperature, blood

pressure, respiration, and pulse.



NURSE’S AIDE --

Persons who may perform any combination of tasks, and may be

directed by nursing and medical staff, to care for patients at

home. Their duties may include bathing patients; giving alcohol

rubs; measuring and recording the intake and output of liquids;

taking and recording temperature, pulse and respiration rates;

examining equipment to detect maintenance needs and notifying the

supervisor of these needs.


PERSONAL CARE ATTENDANT --

Non-medical persons who are usually paid (but can be unpaid) who

help a disabled persons perform activities of daily living

including: bathing, dressing, meal preparation, feeding, paying

bills, and transportation.



EV11

EV11OV

DIETITIAN/NUTRITIONIST --

Persons concerned with the application of the principles of

nutrition to plan and supervise the preparation and serving of

meals. Includes planning menus and diets for special nutritional

requirements; participating in research; or instructing in the

field of nutrition.


HOME HEALTH AIDE --

A certified health care worker who provides personal care and

home management services to allow patients to live in their own

homes. Working under the supervision of a physician or

registered nurse, the home health aide may provide any of the

following services: patient bathing, exercise, dressing,

assisting the patient with medications, checking patient

temperature, blood pressure, respiration, and pulse.


HOSPICE WORKER --

A person who provides health and personal care in the home to

persons who are dying. They may administer medical treatments,

help people bathe, dress, and eat, or help them manage their

household affairs.


I.V./INFUSION THERAPIST --

A person who administers, monitors, and maintains equipment which

is used to provide medication or nutrition intravenously (placed

in a person’s body by inserting a needle into a vein). The needle

is attached to a tube and bag, and is left in place for an

extended period of time. The bag is replaced when empty.


MEDICAL DOCTOR --

Include both doctors of medicine (M.D.) and doctors of osteopathy

(D.O.). Specific examples of physicians include:


allergists obstetricians

anesthesiologists ophthalmologists

cardiologists orthopedists

dermatologists otolaryngologists

endocrinologists (ear, nose, & throat doctor)

family practice physicians pediatricians

gastroenterologists psychiatrists

general physicians physiatrist (rehab medicine)

geriatricians radiologists

gynecologists surgeons (any)

internists urologists

neurologists


Types of providers NOT to be counted as medical doctors are

chiropractors, dentists, nurses, optometrists, paramedics,

podiatrists, psychologists.


NURSE --

Includes several types of nursing specialists, such as registered

nurse (RN), licensed practical nurse (LPN), nurse’s aide,

occupational health nurse, community health nurse, or public

health nurse (PHN).


NURSE PRACTITIONER --

A registered nurse (RN) who has completed additional training

beyond basic nursing education. They have qualifications which

permit them to carry out expanded health care evaluation and

decision-making regarding patient care.


NURSE’S AIDE --

Persons who may perform any combination of tasks, and may be

directed by nursing and medical staff, to care for patients at

home. Their duties may include bathing patients; giving alcohol

rubs; measuring and recording the intake and output of liquids;

taking and recording temperature, pulse and respiration rates;

examining equipment to detect maintenance needs and notifying the

supervisor of these needs.



OCCUPATIONAL THERAPIST --

Medical persons who are concerned with improving the person’s

ability to perform self help tasks, tasks that are associated

with employment activities, or tasks that allow an individual

to more fully enjoy and participate in leisure time activities.

Occupational therapy is used in retraining individuals after

illnesses and accidents, as well as providing ongoing help to

persons with more permanent disabilities from stroke, paralysis

or deterioration from degenerative diseases such as arthritis or

multiple sclerosis.


PERSONAL CARE ATTENDANT --

Non-medical persons who are usually paid (but can be unpaid) who

help a disabled persons perform activities of daily living

including: bathing, dressing, meal preparation, feeding, paying

bills, and transportation.


PHYSICAL THERAPIST --

Medical person who is concerned with the treatment of

musculoskeletal disorders with physical agents and methods -- such

as massage, manipulation, therapeutic exercises, cold, heat,

hydrotherapy, electric stimulation, and light -- to assist in

rehabilitating patients and in restoring normal function after an

illness or injury.


RESPIRATORY THERAPIST --

Respiratory therapists (RT) specialize in the assessment and

treatment of breathing disorders resulting from chronic lung

problems (e.g. asthma, bronchitis, emphysema,COPD), as well as

breathing disorders stemming from other conditions such as heart

attack, stroke, or trauma. Respiratory therapists are specialists

in airway management, mechanical ventilation, acid/base balance,

and critical care medicine.


SOCIAL WORKER --

A person who assists patients and their families in handling

social, environmental, and emotional problems associated with

illness or injury. Can include social work specialists, such as a

medical or psychiatric social worker.


SPEECH THERAPIST --

A medical person trained in the application and use of techniques

aimed at improving language and speech disorders.



PV01

PERSON --

The provider works individually, that is, the provider is not

associated with any group practice, HMO, clinic, etc.


FACILITY --

The provider is either a place, such as a hospital, clinic,

emergency room, laboratory, etc., or the provider is an individual

who is associated with a group practice, HMO, clinic, etc.


This category does not include individual providers or facilities

all working at the same location, such as a ‘medical building’

which houses several INDEPENDENTLY functioning medical offices,

laboratories, doctors, etc.



HS02

EMERGENCY ROOM --

A medical department at a hospital that is open 24 hours a day

where no appointment is necessary in order to receive care.

Medical care may be administered by a physician, nurse, physician

assistant, or other medical provider. Do NOT include ‘urgent care

centers’, which are owned by, or affiliated with a hospital.

Visits made to that type of facility should be coded as an

outpatient department visit.



ED07

HOSPITAL STAY --

A visit to a hospital where a person is admitted to the hospital.

While most in-patient stays are 24-hours or longer, a person need

not have stayed overnight to have been “admitted” to a hospital;

it is possible to be admitted and discharged on the same day.


EMERGENCY ROOM VISIT --

Any visit made during the person’s reference period to a hospital

emergency room.


EMERGENCY ROOM –

A medical department at a hospital that is open 24 hours a day

where no appointment is necessary in order to receive care.

Medical care may be administered by a physician, nurse, physician

assistant, or other medical provider. Do NOT include ‘urgent care

centers’, which are owned by, or affiliated with a hospital.

Visits made to that type of facility should be coded as an

outpatient department visit.



OUTPATIENT DEPARTMENT VISIT --

Any visit made during the person’s reference period to a hospital

outpatient department.


OUTPATIENT DEPARTMENT -

A unit of a hospital, a facility, or ‘urgent care center’

owned by or affiliated with a hospital. The outpatient

department provides health and medical services to individuals

who do not require hospitalization overnight and may also

provide general primary care.

Do NOT include ‘urgent care centers’ which are not owned by,

or affiliated with a hospital. Urgent care centers which are

NOT affiliated with or owned by a hospital should be coded as

a Medical Provider visit. Include visits made to outpatient

departments for medical tests only.


Examples of outpatient departments include:

- well-baby clinics/pediatric OPD;

- obesity clinics;

- eye, ear, nose, and throat clinics;

- cardiology clinic;

- internal medicine department;

- family planning clinics;

- alcohol and drug abuse clinics;

- physical therapy clinics; and

- radiation therapy clinics.


MEDICAL PROVIDER VISIT --

Any visit made during the person’s reference period to a specific

setting of care where a medical provider was seen. Settings of

care can include: a private doctor’s office, a clinic, a health

maintenance organization (HMO), an independent laboratory or X-ray

facility or an ‘urgent care center’ not owned by or affiliated

with a hospital.


MEDICAL PROVIDER - A doctor, nurse, or any other medical person or

place that delivers medical or health related care.



DENTAL CARE VISIT --

Any visit made during the person’s reference period to a dental

care provider for the purpose of dental care.


DENTAL CARE PROVIDER - Medical persons whose primary occupation is

caring for teeth, gums, and jaws. Dental care includes general

work such as fillings, cleaning, extractions, and also specialized

work such as root canals, fittings for braces, etc.



HS05

OPERATION OR SURGICAL PROCEDURE --

Choose this category only if the surgical procedure best

describes the reason for the hospital admission. A woman who

gave birth by cesarean section should not be coded under

operation or surgical procedure because her primary purpose for

entering the hospital was to give birth. An operation or

surgical procedure includes any procedure which involves

cutting into the skin, including stitching of cuts and wounds.

For this question, surgery includes the following:


- cutting of tissue or scraping of internal parts as in

curettage of the uterus (e.g., abortions);


- insertion of instruments in body openings for internal

examination and treatment such as bronchoscopy,

proctoscopy, cystoscopy, cardiac catheterization (also

called angiography), laparoscopy, and introduction of

tubes for drainage;


- diagnostic biopsy including aspiration or needle biopsies;

and

- dental surgery.


Injections, transfusions and routine blood tests are not

considered surgery here, nor are pumping or washing out the

stomach or bowels.


TREATMENT OR THERAPY FOR A MEDICAL CONDITION, NOT INCLUDING

SURGERY --

The application of non-surgical remedies to counteract the

effects of a disease or health care problem. Some examples are

therapeutic radiation and chemotherapy. Therapy for MENTAL

health problems should not be included.


DIAGNOSTIC TESTS ONLY --

This category will be chosen if the main reason for the

hospital stay is for the administration of examinations or

tests to detect the presence of a disease or physical problem.

Exclude hospital stays resulting from the treatment of a

disease or physical problem.


GIVE BIRTH TO A BABY - NORMAL OR CESAREAN SECTION (MOTHER) --

Hospital stay due to the emergence and separation of offspring

from the body of the mother. Includes normal childbirth

(delivery of baby through the birth canal) and cesarean

section (surgical operation for delivering a baby by cutting

through the mother’s abdominal and uterine walls).


TO BE BORN (BABY) --

This category is for the newborn BABY’S hospital stay.

PREGNANCY RELATED COMPLICATIONS --

Code this category only to capture a hospital stay due to a reason

related to a woman’s pregnancy, where the result was NOT a live

birth. This could include reasons such as stillbirth, miscarriage,

placenta previa, or other pregnancy-related complications that

resulted in a hospital-stay admission. If the result was a live

birth, regardless of any related complication, use the code ‘GIVE

BIRTH TO A BABY’



HS06

OPERATIONS/SURGICAL PROCEDURES --

Any procedure which involves cutting into the skin, including

stitching of cuts and wounds. For this question, surgery

includes the following:


- cutting of tissue or scraping of internal parts as in

curettage of the uterus (e.g., abortions);


- insertion of instruments in body openings for internal

examination and treatment such as bronchoscopy,

proctoscopy, cystoscopy, cardiac catheterization (also

called angiography), laparoscopy, and introduction of

tubes for drainage;


- diagnostic biopsy including aspiration or needle biopsies;

and


- dental surgery.


Injections, transfusions and routine blood tests are NOT

considered surgery here, nor are pumping or washing out the

stomach or bowels.



HS06A

VAGINAL DELIVERY --

Delivery of an infant through the normal openings of the uterus

and vagina.


CAESAREAN SECTION --

Surgical operation for delivering a baby by cutting through the

mother’s abdominal and uterine walls.



HS06B


EPIDURAL/SPINAL --

Both terms refer to the injection of a local anesthesia into

the spinal column in order to anesthetize the abdominal and

pelvic area during childbirth. The purpose of an epidural or

spinal is to decrease the amount of pain the mother feels

during childbirth.



HS08

ER08

OP14

MV14

DN05

PRESCRIBED MEDICINE --

Prescribed medicines are those ordered by a physician or other

authorized medical person through a written or verbal

prescription for a pharmacist to fill. Prescription medicines

can also be given by a medical provider directly to a patient

to take home, such as free samples. (Free samples are collected

separately in the Prescribed Medicine Section at question PM06.)


Prescription medicines do NOT include:


- medicines administered to the patient DURING THE EVENT as

part of the treatment (such as an antibiotic shot for an

infection, a flu shot, or a medicine taken orally).


- diaphragms and IUDs (Intra-Uterine Devices);


- prescriptions for eye glasses or contact lenses, or


- over-the-counter medications that do not have a written

prescription from a doctor.


Some state laws require prescriptions for certain over-the-

counter medicines. Sometimes physicians write a prescription

for over-the-counter drugs such as aspirin. Therefore,

consider any medicine a prescribed medicine if the respondent

reports it as prescribed. If it is an over-the-counter drug,

however, the prescription must be a written one to be filled by

a pharmacist, not just an oral instruction. If in doubt, probe

whether the patient got a WRITTEN prescription to fill at a

pharmacy. If there is still any doubt, report the medicine as a

prescription medicine.



ER01

OP04

MV03

MV06

MEDICAL DOCTOR --

Include both doctors of medicine (M.D.) and doctors of

osteopathy (D.O.). Specific examples of physicians include:


allergists obstetricians

anesthesiologists ophthalmologists

cardiologists orthopedists

dermatologists otolaryngologists

endocrinologists (ear, nose, & throat doctor)

family practice physicians pediatricians

gastroenterologists psychiatrists

general physicians physiatrist (rehab medicine)

geriatricians radiologists

gynecologists surgeons (any)

internists urologists

neurologists


Types of providers NOT to be counted as medical doctors are

chiropractors, dentists, nurses, optometrists, paramedics,

podiatrists, psychologists.



ER02

The purpose of this question is to identify the BEST category of

care the person received during this visit to the emergency room.

Code only one response.


DIAGNOSIS OR TREATMENT FOR A HEALTH PROBLEM --

DIAGNOSIS is an examination or test to detect the presence of a

disease or other physical problem. TREATMENT is any procedure

to counteract the effects of a disease or health care problem.


An example of a visit for ‘diagnosis and treatment’ is a person

who had a fever and a sore throat: the provider DIAGNOSED the

condition as the flu, and recommended TREATMENT of bed rest and

aspirin.


Even if the provider determines the person does NOT have a

health condition or if the provider is unable to determine what

the problem is, the visit was for purposes of diagnosis

regardless of the outcome of the examination.


If the only care received during the visit was tests such as

blood work or x-rays, consider this ‘diagnosis or treatment for

a health problem’ even if there is no known condition. For

example, if a woman has a baseline mammogram, this is

considered ‘diagnosis’ even if no condition is suspected or

discovered.


EMERGENCY (E.G., ACCIDENT OR INJURY) --

Refers to immediate care intended to assess and address an

acute problem that has the patient in extreme discomfort or

threatens his/her life.


PSYCHOTHERAPY OR MENTAL HEALTH COUNSELING --

A treatment technique for certain forms of mental disorders

relying principally on verbal communications between the mental

health professional and the patient. Can be individual,

family, and/or group therapies. Include care provided by any

type of health professional so long as treatment is for MENTAL

health. Does NOT include visits with clergy to discuss

personal problems. Any other professional mental health

therapist such as a psychiatrist, psychologist, counselor,

social worker, etc. would be included.


FOLLOW-UP OR POST-OPERATIVE VISIT --

Includes visits to check on patient’s progress after some type of

surgery or other medical treatment. This includes visits to

verify that patient has fully recovered, to remove stitches or a

cast, or to adjust medications.


VISION EXAM --

A test of the patient’s eyesight, either to determine whether

any correction by glasses/contact lenses is needed, or to

determine if a different degree of correction is needed.


PREGNANCY RELATED (INCLUDING PRENATAL CARE AND DELIVERY)--

Consultations and examinations relating to pregnancy, i.e.,

prenatal (or before delivery) and postnatal (or after delivery)

care of the mother up to six weeks after childbirth.


This category also includes normal childbirth (delivery of the

baby through the birth canal) and cesarean section (surgical

operation for delivering a baby by cutting through the mother’s

abdominal and uterine walls).


ER05

ER05OV1

OP11

OP11OV1

MV11

MV11OV1

LABORATORY TESTS --

The non-invasive collection of samples of blood, urine, or any

other body fluids, tissues, or other substances to be examined

by a medical person in order to get more information about the

patient’s condition. This includes the collection of stool

samples, or cells from smears like Pap tests. Test should be

coded here if the specimen was collected during the particular

event, regardless of where or when the specimens were examined.


THROAT SWAB –-

A doctor or other health professional wipes the back of the

patient’s throat with a long cotton swab. The swab is then tested

in the office or sent to an outside laboratory. This may also be

known as a throat culture or strep screen.


SONOGRAM OR ULTRASOUND --

A photographic image of an internal region of the body obtained

from the reflection patterns of high frequency sound waves.


X-RAYS --

A photographic image of a person’s skeleton and internal organs

obtained by exposing the patient to a limited amount of

radiation. ‘X-ray’ here means simple x-rays which do not

involve ingestion of any substance or any more complicated

imaging equipment. This process is used to diagnose broken

bones, lung disease, etc. This category includes barium x-

rays.


MAMMOGRAM --

An x-ray photograph of the breasts, usually used to detect

breast cancer.


MRI OR CATSCAN --

An MRI (magnetic resonance imaging) is a non-invasive process

that generates electronic images of specific atoms and

molecular structures inside the human body such as cells,

tissues, and organs. The process uses a magnetic field outside

the body to generate images.


A CATSCAN is a computerized x-ray image of the internal body

structures, displayable in various cross-sections. This is also

referred to as CT imaging.


EKG OR ECG --

These are both abbreviations for electrocardiogram which is a

graphic record of the electrical activity of the heart.


EEG --

EEG is an abbreviation for electroencephalogram which is a

graphic record of the electrical activity of the brain .


VACCINATION --

A shot or oral medication given to the patient to prevent

him/her from contracting a communicable disease.


ANESTHESIA --

The loss of sensation induced by an anesthetic and limited to a

specific area (local anesthesia) or involving a loss of

consciousness (general anesthesia).


OTHER DIAGNOSTIC TEST --

Include any other non-invasive test performed with chemicals or

machines on body tissue or fluid samples and any test of range

of motion, sensitivity, etc. performed by a medical person

directly on a patient.



ER06

OP12

MV12

FF06

SURGICAL PROCEDURE --

Any procedure which involves cutting into the skin, including

stitching of cuts and wounds. For this question, surgery

includes the following:


- cutting of tissue or scraping of internal parts as in

curettage of the uterus (e.g., abortions);


- insertion of instruments in body openings for internal

examination and treatment such as bronchoscopy,

proctoscopy, cystoscopy, cardiac catheterization (also

called angiography), laparoscopy, and introduction of

tubes for drainage;


- diagnostic biopsy including aspiration or needle biopsies;

and


- dental surgery.


Injections, transfusions, and routine blood tests are NOT

considered surgery here, nor are pumping or washing out the

stomach or bowels.



OP05

CHIROPRACTOR --

Medical persons who practice a system of medicine based on the

principles that the nervous system largely determines the state

of health and that disease results from nervous system

malfunctioning. Treatment consists primarily of the adjustment

and manipulation of parts of the body, especially the spinal

column.


DENTIST/DENTAL CARE PERSON --

Medical persons whose primary occupation is caring for teeth,

gums, and jaws. Dental care includes general work such as

fillings, cleaning, extractions, and also specialized work such

as root canals, fittings for braces, etc.


MIDWIFE --

A female who practices the art of aiding in the delivery of

babies.


NURSE/NURSE PRACTITIONER --

The term NURSE includes several types of nursing specialists,

such as registered nurse (RN), licensed practical nurse (LPN),

nurse’s aid, occupational health nurse, community health nurse,

or public health nurse (PHN).


A NURSE PRACTITIONER is a registered nurse (RN) who has

completed additional training beyond basic nursing education.

They have qualifications which permit them to carry out

expanded health care evaluation and decision-making regarding

patient care.


OPTOMETRIST --

A medical person who examines the eyes and vision system for

visual defects, diagnoses eye impairments, prescribes

corrective lenses, and provides other types of treatment. Not

to be confused with medical doctors who specialize in treating

eye diseases, such as ophthalmologists.


PODIATRIST --

A podiatrist (DPM) (sometimes referred to as a ‘foot doctor’),

is a medical person who deals with examination, diagnosis,

treatment, and prevention of diseases, conditions, and

malfunctions affecting the human foot and its related

structures.


PHYSICIAN’S ASSISTANT --

A Physician’s Assistant (PA) is a medical person who provides

health care services with the direction and supervision of a

doctor of medicine (MD) or osteopathic physician (DO).

Physician’s Assistants train for several years in order to earn

the certification to perform diagnostic, therapeutic, preventive,

and health maintenance services. Not to be confused with non-

medical persons who also ‘assist’ the physician.


PHYSICAL THERAPIST --

Medical person who is concerned with the treatment of

musculoskeletal disorders with physical agents and methods -- such

as massage, manipulation, therapeutic exercises, cold, heat,

hydrotherapy, electric stimulation, and light -- to assist in

rehabilitating patients and in restoring normal function after an

illness or injury.


OCCUPATIONAL THERAPIST --

Medical persons who are concerned with improving the person’s

ability to perform self help tasks, tasks that are associated

with employment activities, or tasks that allow an individual

to more fully enjoy and participate in leisure time activities.

Occupational therapy is used in retraining individuals after

illnesses and accidents, as well as providing ongoing help to

persons with more permanent disabilities from stroke, paralysis

or deterioration from degenerative diseases such as arthritis or

multiple sclerosis.


PSYCHOLOGIST --

A non-physician who specializes in the counseling and testing of

persons with mental, addictive, or emotional disorders.


SOCIAL WORKER --

A person who assists patients and their families in handling

social, environmental, and emotional problems associated with

illness or injury. Can include social work specialists, such

as a medical or psychiatric social worker.


TECHNICIAN --

A person with the knowledge and skill to carry out a specific

technical medical procedure, such as an x-ray technician.


ACUPUNCTURIST --

Usually a medical person who uses a technique for relieving pain,

treating medical conditions, inducing regional anesthesia, or

improving general well-being, in which thin needles are inserted

into the body at specific points. Acupuncture can also be

practiced by medical doctors (MD’s).



MASSAGE THERAPIST --

A person who treats a health problem through manipulation,

methodical pressure, friction or kneading of the body.


HOMEOPATHIC/NATUROPATHIC/HERBALIST/OTHER ALTERNATIVE/COMPLEMENTARY

CARE PROVIDER --


HOMEOPATHIC – A person who treats health problems based

on a system of medicine based on the principle of ‘like

cures like.’ Substances that cause the symptoms of a

particular health problem are used in very small doses to

treat the problem.


NATUROPATHIC – A person who treats health problems based

on the curative abilities of nature’s elements, such as

sun, water, air and earth. Many naturopathic physicians

also use modern medical methods in conjunction with

naturopathic therapies.


HERBALIST – A person who uses plant-based substances to

prevent or treat a health problem or to maintain good

health. Herbal remedies are available in many forms,

including pills, liquids and crèmes.


ALTERNATIVE/COMPLEMENTARY CARE – Approaches to health

care that are different from those typically practiced by

medical doctors in the U.S. Included in this type of

care are acupuncture, nutritional advice or lifestyle

diets, massage therapy, herbal remedies, bio-feedback

training, meditation, imagery, or relaxation techniques,

homeopathic treatment, spiritual healing or prayer,

hypnosis, and traditional medicine, such as Chinese,

Ayurvedic, American Indian, etc.



OP07

MV07

GENERAL CHECKUP --

A visit to determine the general state of a person’s health.

Includes physical examinations required to obtain employment, for

college entrance, to obtain insurance, periodic (yearly) general

checkups, visits to the well-baby clinic, etc. NOT included are

visits for a checkup or examination for a SPECIFIC CONDITION such

as TB or a heart condition.


DIAGNOSIS OR TREATMENT FOR A HEALTH PROBLEM --

DIAGNOSIS is an examination or test to detect the presence of a

disease or other physical problem. TREATMENT is any procedure

to counteract the effects of a disease or health care problem.


An example of a visit for ‘diagnosis and treatment’ is a person

who had a fever and a sore throat: the provider DIAGNOSED the

condition as the flu, and recommended TREATMENT of bed rest and

aspirin.


Even if the provider determines a person in fact does NOT have

a health condition, the visit was for purposes of diagnosis

regardless of the outcome of the examination.


If the only care received during the visit was tests such as

blood work or x-rays, consider this ‘diagnosis or treatment for

a health problem’ even if there is no known condition. For

example, if a woman has a baseline mammogram, this is

considered ‘diagnosis’ even if no condition is suspected or

discovered.


EMERGENCY (E.G., ACCIDENT OR INJURY) --

Refers to immediate care intended to assess and address an acute

problem that has the patient in extreme discomfort or threatens

his/her life.


PSYCHOTHERAPY OR MENTAL HEALTH COUNSELING --

A treatment technique for certain forms of mental disorders

relying principally on verbal communications between the mental

health professional and the patient. Can be individual, family,

and/or group therapies. Include care provided by any type of

health professional so long as treatment is for MENTAL health.

Does NOT include visits with clergy to discuss personal problems.

Any other professional mental health therapist such as a

psychiatrist, psychologist, counselor, social worker, etc. would

be included.


FOLLOW-UP OR POST-OPERATIVE VISIT --

Includes visits to check on patient’s progress after some type of

surgery or other medical treatment. This includes visits to

verify that patient has fully recovered, to remove stitches or a

cast, or to adjust medications.


IMMUNIZATIONS OR SHOTS --

IMMUNIZATIONS are oral medications or shots given to the patient

to prevent the patient from contracting a communicable disease.


SHOTS are hypodermic injections. This category includes allergy

shots.


VISION EXAM --

A test of the patient’s eyesight, either to determine whether any

correction by glasses/contact lenses is needed, or to determine if

a different degree of correction is needed.


PREGNANCY RELATED (INCLUDING PRENATAL CARE AND DELIVERY)--

Consultations and examinations relating to pregnancy, i.e.,

prenatal (or before delivery) and postnatal (or after delivery)

care of the mother up to six weeks after childbirth.


This category also includes normal childbirth (delivery of the

baby through the birth canal) and cesarean section (surgical

operation for delivering a baby by cutting through the mother’s

abdominal and uterine walls).


WELL CHILD EXAM --

One of a series of routine examinations of an infant given to

monitor the infant’s growth and development. If an infant goes

only for an immunization, code as ‘immunization or shots’. If

the immunization is part of a well child visit, code as ‘well

child exam’. This term applies not just to infants, but toddlers,

pre-schoolers and often older children.


OP10

OP10OV1

MV10

MV10OV1

PHYSICAL THERAPY --

The use of means such as exercise, massage, light, cold, heat,

electricity, and mechanical devices in the prevention,

diagnosis, and treatment of diseases, injuries, and other

physical disorders. Physical therapy does not include the use

of X-rays or other types of radiation. Physiotherapy is the

same as physical therapy.


OCCUPATIONAL THERAPY --

Treatment which helps improve a person’s ability to do various

tasks which are constructive and often will permit gainful

employment or participation in household or leisure activities.

Occupational therapy is used over a long period with disabled

individuals, but is also used on a short-term basis in re-training

individuals after illnesses and accidents.


SPEECH THERAPY --

The examination and treatment of defects and diseases of the

voice, of speech and of spoken language, as well as the use of

appropriate substitutional devices and treatment.


CHEMOTHERAPY --

The treatment of disease through the use of drugs or chemicals

Designed to have a toxic effect upon the disease-producing

microorganism, or to selectively destroy cancerous tissue.


RADIATION THERAPY --

The treatment of disease through the use of external radiation

designed to have a toxic effect upon the disease-producing

microorganism, or to selectively destroy cancerous tissue.


KIDNEY DIALYSIS --

The process whereby a patient is connected to an artificial

kidney machine called a dialyzer or hemodialyzer, which

performs the functions of healthy kidneys. Kidney dialysis is

used in patients with kidney (or renal) failure and may be

carried out in the hospital or, in certain circumstances, in

the home. Kidney dialysis is also referred to as hemodialysis,

dialysis, or renal dialysis.


IV (INTRAVENOUS) THERAPY --

IV therapy (intravenous therapy) is the administration of

liquid substances like fluids or medications directly into

a vein. IV therapy can be delivered intermittently or

continuously.


DRUG OR ALCOHOL TREATMENT --

Any program of drug therapy or isolation used to help a patient

withdraw from drug or alcohol dependency. An example of this

kind of treatment is the prescription of a drug such as

methadone to wean the patient from a harder drug.


ALLERGY SHOT --

A shot designed to make the patient immune to the cause of an

allergy they have.


PSYCHOTHERAPY/COUNSELING --

A treatment technique for certain forms of mental disorders

relying principally on verbal communications between the mental

health professional and the patient. Can be individual,

family, and/or group therapies. Include care provided by any

type of health professional so long as treatment is for MENTAL

health. Does NOT include visits with clergy to discuss

personal problems. Any other professional mental health

therapist such as a psychiatrist, psychologist, counselor,

social worker, etc. would be included.


SHOTS, OTHER THAN ALLERGY –-

Drug or medicine that was injected into the body by a shot.  For

example:  antibiotics, steroids, pain killers, or vitamins. This

category does not include vaccines or allergy shots.



OP19

MV16

The purpose of this question is to identify any ‘repeat visits’ that

were made, that is where the person visited the same provider more

than once for the same condition.


REPEAT VISITS --

Any visit to the same medical provider for the same condition

and services with the same charge as another visit.



OP20

MV17

COST THE SAME AMOUNT --

Sometimes the respondent will not know the actual charge for any

(or some) of the visits, but always makes the same copayment for

each visit. As long as the visits were for the same condition(s)

and/or the same services were received at each visit, code this

question as ‘YES’ (visits were all for the same amount).



MV04

CHIROPRACTOR --

Medical persons who practice a system of medicine based on the

principles that the nervous system largely determines the state

of health and that disease results from nervous system

malfunctioning. Treatment consists primarily of the adjustment

and manipulation of parts of the body, especially the spinal

column.


DENTIST/DENTAL CARE PERSON --

Medical persons whose primary occupation is caring for teeth,

gums, and jaws. Dental care includes general work such as

fillings, cleaning, extractions, and also specialized work such

as root canals, fittings for braces, etc.


MIDWIFE --

A female who practices the art of aiding in the delivery of

babies.


NURSE/NURSE PRACTITIONER --

The term NURSE includes several types of nursing specialists,

such as registered nurse (RN), licensed practical nurse (LPN),

nurse’s aid, occupational health nurse, community health nurse,

or public health nurse (PHN).


A NURSE PRACTITIONER is a registered nurse (RN) who has

completed additional training beyond basic nursing education.

They have qualifications which permit them to carry out

expanded health care evaluation and decision-making regarding

patient care.


OPTOMETRIST --

A medical person who examines the eyes and vision system for

visual defects, diagnoses eye impairments, prescribes

corrective lenses, and provides other types of treatment. Not

to be confused with medical doctors who specialize in treating

eye diseases, such as ophthalmologists.


PODIATRIST --

A podiatrist (DPM) (sometimes referred to as a ‘foot doctor’),

is a medical person who deals with examination, diagnosis,

treatment, and prevention of diseases, conditions, and

malfunctions affecting the human foot and its related

structures.


PHYSICIAN’S ASSISTANT --

A Physician’s Assistant (PA) is a medical person who provides

health care services with the direction and supervision of a

doctor of medicine (MD) or osteopathic physician (DO).

Physician’s Assistants train for several years in order to earn

the certification to perform diagnostic, therapeutic, preventive,

and health maintenance services. Not to be confused with non-

medical persons who also ‘assist’ the physician.


PHYSICAL THERAPIST --

Medical person who is concerned with the treatment of

musculoskeletal disorders with physical agents and methods -- such

as massage, manipulation, therapeutic exercises, cold, heat,

hydrotherapy, electric stimulation, and light -- to assist in

rehabilitating patients and in restoring normal function after an

illness or injury.


OCCUPATIONAL THERAPIST --

Medical persons who are concerned with improving the person’s

ability to perform self help tasks, tasks that are associated

with employment activities, or tasks that allow an individual

to more fully enjoy and participate in leisure time activities.

Occupational therapy is used in retraining individuals after

illnesses and accidents, as well as providing ongoing help to

persons with more permanent disabilities from stroke, paralysis

or deterioration from degenerative diseases such as arthritis or

multiple sclerosis.


PSYCHOLOGIST --

A non-physician who specializes in the counseling and testing

of persons with mental, addictive, or emotional disorders.


SOCIAL WORKER --

A person who assists patients and their families in handling

social, environmental, and emotional problems associated with

illness or injury. Can include social work specialists, such

as a medical or psychiatric social worker.


TECHNICIAN --

A person with the knowledge and skill to carry out a specific

technical medical procedure, such as an x-ray technician.



RECEPTIONIST, CLERK, SECRETARY --

A person who assists a medical person in performing clerical

tasks, such as scheduling appointments, filing and maintaining

medical records, billing, and answering the telephone.


ACUPUNCTURIST --

Usually a medical person who uses a technique for relieving pain,

treating medical conditions, inducing regional anesthesia, or

improving general well-being, in which thin needles are inserted

into the body at specific points. Acupuncture can also be

practiced by medical doctors (MD’s).


MASSAGE THERAPIST --

A person who treats a health problem through manipulation,

methodical pressure, friction or kneading of the body.


HOMEOPATHIC/NATUROPATHIC/HERBALIST/OTHER ALTERNATIVE/COMPLEMENTARY

CARE PROVIDER --


HOMEOPATHIC – A person who treats health problems based

on a system of medicine based on the principle of ‘like

cures like.’ Substances that cause the symptoms of a

particular health problem are used in very small doses to

treat the problem.


NATUROPATHIC – A person who treats health problems based

on the curative abilities of nature’s elements, such as

sun, water, air and earth. Many naturopathic physicians

also use modern medical methods in conjunction with

naturopathic therapies.


HERBALIST – A person who uses plant-based substances to

prevent or treat a health problem or to maintain good

health. Herbal remedies are available in many forms,

including pills, liquids and crèmes.


ALTERNATIVE/COMPLEMENTARY CARE – Approaches to health

care that are different from those typically practiced by

medical doctors in the U.S. Included in this type of

care are acupuncture, nutritional advice or lifestyle

diets, massage therapy, herbal remedies, bio-feedback

training, meditation, imagery, or relaxation techniques,

homeopathic treatment, spiritual healing or prayer,

hypnosis, and traditional medicine, such as Chinese,

Ayurvedic, American Indian, etc.



MV13

ARTHROSCOPIC (VISUALIZATION OF JOINTS) SURGERY --

Surgery involving arthroscopy. Arthroscopy is direct joint

visualization by means of an arthroscope.


CLEANING OR MEDICAL TREATMENT OF WOUND, INFECTION, OR BURN --

Removal of foreign material and dead or damaged tissue from

wounds, infections, or burns.


REMOVAL OF DISEASED TISSUE (EXCISION OF LESION) --

Cutting away or taking out a circumscribed area of

pathologically altered tissue, an injury or wound, or a single

infected patch in a skin disease.


STITCHES (WOUND SUTURE) --

Operation or uniting parts by stitching them together. Suture

is the thread for sewing up wounds or surgical incisions.

Stitches fashioned from the thread are also called sutures.

The stitching process is known as suturing.


EAR TUBES (TYMPANOSTOMY TUBES) --

Tubes placed through the ear drum (tympanic membrane) to allow

ventilation of the middle ear as part of the treatment of ear

infections (otitis media with effusion).



DN03

GENERAL DENTIST --

A general dentist conducts routine examinations, fills

cavities, extracts teeth (except for wisdom teeth), and

performs services not done by the specialists listed in the

other parts of this question.


DENTAL HYGIENIST --

A person who is licensed to give certain dental services under

the supervision of a dentist. These services include: teeth

cleaning, x-rays, applying medications, and educating in dental

matters.


DENTAL TECHNICIAN --

A person who works in a dental laboratory and prepares dentures

and other appliances such as orthodontic devices and crowns to

fit dental prescriptions.


DENTAL SURGEON/ORAL SURGEON --

A dental surgeon is a specialist who deals with diseases,

injuries, and defects of the mouth and jaw through invasive

procedures. Includes specialties like endodontists,

prosthodontists and orthodontists.


An oral and maxillofacial surgeon (OMFS) is a surgical specialty devoted to the well-defined anatomical region of the mouth, jaws and the face as well as associated structures. Most oral surgeons are initially qualified in dentistry and have undergone a further 4-6 years of specialty surgical training.



ORTHODONTIST --

A dental specialist who deals with preventing and correcting

irregular teeth through devices such as braces and retainers.



ENDODONTIST --

A dental specialist who performs root canal work and otherwise

deals with diseases of the dental pulp and roots.


PERIODONTIST --

A dental specialist who deals with diseases in the bone,

connective tissue, and gums surrounding and supporting the

teeth.



DN04

DN04OV

DIAGNOSTIC OR PREVENTATIVE:


GENERAL EXAM, CHECKUP OR CONSULTATION --

Refers to the activity performed by either a dentist or a

dental hygienist to determine whether cavities or gum disease

have developed, or whether examination by a specialist may be

necessary.


CLEANING, PROPHYLAXIS, OR POLISHING --

Refers to activities performed by a dentist or dental

hygienist to maintain healthy teeth and prevent cavities.

Cleaning includes scraping tartar deposits off teeth, both

above and below the gumline.


X-RAYS, RADIOGRAPHS AND BITEWINGS --

All are different names for photographic images of the teeth

obtained through the use of small amounts of radiation.

These images are used to discover hidden cavities and flaws

in teeth.


FLUORIDE TREATMENT --

The application of a solution containing the chemical

fluoride, which is intended to make the teeth more resistant

to tooth decay.


SEALANT (PLASTIC COATINGS ON BACK TEETH) --

The application of a material to close fissures, grooves, or

pits on the chewing surfaces of back teeth.


RESTORATIVE OR ENDODONTIC:


FILLINGS --

A substance of plastic, amalgam, gold, etc. which is used to

close a cavity in a decayed tooth. The substance is placed

directly into the cleaned cavity and then shaped to match the

rest of the tooth.


INLAYS --

A filling of metal, porcelain, or the like which is first

shaped to fit a cavity and then cemented into it. The inlay

is prepared outside of the patient’s mouth.


CROWNS OR CAPS --

An artificial substitute for the part of a tooth above the

gumline. Can be made of gold, porcelain, etc.


ROOT CANAL --

A procedure in which the pulp of an injured or dead tooth is

removed and replaced with a filling in order to save the

tooth.


PERIODONTIC (GUM TREATMENT):


PERIODONTAL SCALING, ROOT PLANING, OR GUM SURGERY --

Procedures or surgeries that treat diseases in the bone,

connective tissue, and gums surrounding and supporting the

teeth.


PERIODONTAL RECALL VISIT (PERIODIC OR REGULAR) --

Refers to periodontal treatment that occurs on a periodic or

regular basis.


ORAL SURGERY:


EXTRACTION, TOOTH PULLED --

Removal of a tooth; includes both adult and baby teeth.


IMPLANTS --

Metal posts permanently imbedded in the jawbone to which

false teeth are attached.


ABSCESS OR INFECTION TREATMENT --

Refers to care for a localized area of the gum surrounding a

tooth.


OTHER ORAL SURGERY --

Includes surgical procedures on the jaw.


PROSTHETICS:


FIXED BRIDGES --

A fixed replacement for one or several natural teeth,

attached at each end to a natural tooth.


DENTURES OR REMOVABLE PARTIAL DENTURES --

False teeth that are removable from the mouth.


RELINING OR REPAIR OF BRIDGES OR DENTURES --

Includes replacing false teeth and repairing the supporting

structure for false teeth, including the portion covering the

gums.


ORTHODONTICS:


ORTHODONTIA, BRACES, OR RETAINERS --

Refers to services and appliances fitted to some or all teeth

to correct irregularly spaced teeth.


ADDITIONAL PROCEDURES:


BONDING, WHITENING, OR BLEACHING --

Processes used to improve the appearance of teeth by either

using chemical to whiten them or by applying an overlay to

cover stained or discolored teeth.


TREATMENT FOR TMD (TEMPOROMANDIBULAR DISORDERS) OR

TMJ (TEMPOROMANDIBULAR JOINT) --

TMD refers to various problems associated with the TMJ, which

connects the lower jaw to the skull. The major symptom is

pain in the jaws, face, head or neck, which may be associated

with dislocations, difficulty opening the mouth and decreased

jaw function. Numerous therapies may be performed. Most are

conservative (moist heat, massage, mouthguards, medication,

bite adjustments). Some persons receive extensive

reconstruction of teeth with crowns, or surgery on the jaw

and jaw point.



HH01

CERTIFIED NURSING ASSISTANT (CNA) --

Persons who provide general nursing care to patients at home.

These person must have received training in order to be certified

to perform these duties. Duties may include things such as

administering prescribed medicines and treatment in accordance

with approved nursing techniques. They may record significant

conditions and reactions and notify their supervisor of the

patient’s condition and reaction to drugs, treatments, and

significant incidents. They may also take the patient’s

temperature, pulse, blood pressure, and other vital signs to

detect deviations from normal.


COMPANION --

Persons who care for elderly, disabled, or convalescent persons

by attending to the patient’s personal needs, reading aloud,

playing cards, or other games to entertain the RU member because

of the RU member’s health problem.



DIETITIAN/NUTRITIONIST --

Persons concerned with the application of the principles of

nutrition to plan and supervise the preparation and serving of

meals. Includes planning menus and diets for special nutritional

requirements; participating in research; or instructing in the

field of nutrition.


HOME HEALTH/HOME CARE AIDE --

A health worker who provides personal care and home management

services to allow patients to live in their own homes. A home

health aide may work under the supervision of a physician or

registered nurse and may help patients bathe, exercise, and dress.

He or she may check the patient’s temperature, blood pressure, and

pulse and respiration rates; give massages and help give

medications.


HOSPICE WORKER --

A person who provides health and personal care in the home to

persons who are dying. They may administer medical treatments,

help people bathe, dress, and eat, or help them manage their

household affairs.

HOMEMAKER --

Persons who advise or help the RU member in dealing with problems,

such as nutrition, cleanliness, and household utilities because of

his or her health problem.


I.V./INFUSION THERAPIST --

A person who administers, monitors, and maintains equipment which

is used to provide medication or nutrition intravenously (placed

in a person’s body by inserting a needle into a vein). The needle

is attached to a tube and bag, and is left in place for an

extended period of time. The bag is replaced when empty.


MEDICAL DOCTOR --

Include both doctors of medicine (M.D.) and doctors of osteopathy

(D.O.). Specific examples of physicians include:


allergists obstetricians

anesthesiologists ophthalmologists

cardiologists orthopedists

dermatologists otolaryngologists

endocrinologists (ear, nose, & throat doctor)

family practice physicians pediatricians

gastroenterologists psychiatrists

general physicians physiatrist (rehab medicine)

geriatricians radiologists

gynecologists surgeons (any)

internists urologists

neurologists


Types of providers NOT to be counted as medical doctors are

chiropractors, dentists, nurses, optometrists, paramedics,

podiatrists, psychologists.


NURSE --

Includes several types of nursing specialists, such as registered

nurse (RN), licensed practical nurse (LPN), nurse’s aide,

occupational health nurse, community health nurse, or public

health nurse (PHN).


NURSE PRACTITIONER --

A registered nurse (RN) who has completed additional training

beyond basic nursing education. They have qualifications which

permit them to carry out expanded health care evaluation and

decision-making regarding patient care.


NURSE’S AIDE --

Persons who may perform any combination of tasks, and may be

directed by nursing and medical staff, to care for patients at

home. Their duties may include bathing patients; giving alcohol

rubs; measuring and recording the intake and output of liquids;

taking and recording temperature, pulse and respiration rates;

examining equipment to detect maintenance needs and notifying the

supervisor of these needs.


OCCUPATIONAL THERAPIST --

Medical persons who are concerned with improving the person’s

ability to perform self help tasks, tasks that are associated

with employment activities, or tasks that allow an individual

to more fully enjoy and participate in leisure time activities.

Occupational therapy is used in retraining individuals after

illnesses and accidents, as well as providing ongoing help to

persons with more permanent disabilities from stroke, paralysis

or deterioration from degenerative diseases such as arthritis or

multiple sclerosis.


PERSONAL CARE ATTENDANT --

Non-medical persons who are usually paid (but can be unpaid) who

help a disabled persons perform activities of daily living

including: bathing, dressing, meal preparation, feeding, paying

bills, and transportation.


PHYSICAL THERAPIST --

Medical person who is concerned with the treatment of

musculoskeletal disorders with physical agents and methods -- such

as massage, manipulation, therapeutic exercises, cold, heat,

hydrotherapy, electric stimulation, and light -- to assist in

rehabilitating patients and in restoring normal function after an

illness or injury.


RESPIRATORY THERAPIST --

Respiratory therapists (RT) specialize in the assessment and

treatment of breathing disorders resulting from chronic lung

problems (e.g. asthma, bronchitis, emphysema,COPD), as well as

breathing disorders stemming from other conditions such as heart

attack, stroke, or trauma. Respiratory therapists are specialists

in airway management, mechanical ventilation, acid/base balance,

and critical care medicine.


SOCIAL WORKER --

A person who assists patients and their families in handling

social, environmental, and emotional problems associated with

illness or injury. Can include social work specialists, such as a

medical or psychiatric social worker.


SPEECH THERAPIST --

A medical person trained in the application and use of techniques

aimed at improving language and speech disorders.


HH03

HOSPITALIZATION --

A medical event when a person is admitted to a hospital. Note

that a person need not have stayed overnight to be considered

‘hospitalized’ or ‘admitted’ to a hospital. A person may be

admitted and discharged on the same day.


HH04

HEALTH PROBLEM --

Diseases or ailments. A disease is an illness or disorder

of the function of the body or of certain tissues, organs, or

systems, which is characterized by an identifiable group of

symptoms. An ailment is a mild mental or physical disorder.

An example of a health problem is influenza; some of its

symptoms are fever, chills, and dizziness. Health problems may

be either physical or mental.


Be sure to record health problems only; do not record symptoms

here unless the respondent cannot give a condition name.



HH06

MEDICAL TREATMENT EXAMPLES --


- Changing bandages

- Wound care

- Giving medication

- Taking blood pressure

- Giving shots or injections

- Other medical treatments


MEDICAL THERAPY EXAMPLES --


- Physical - Art

- Occupational - Orientation and Mobility

- Infusion - Music

- Respiratory - Dance

- Speech - Corrective

- Mental Health - Industrial

- Horticultural



PM04

Make sure that the prescribed medicine reported by the respondent

for this question has not already been reported in a prior question.


PRESCRIPTIONS --

Prescribed medicines are those ordered by a physician or other

authorized medical person through a written or verbal

prescription for a pharmacist to fill. Prescription medicines

can also be given by a medical provider directly to a patient

to take home, such as free samples. (Free samples are collected

separately in the Prescribed Medicine Section at question PM06.)


Prescription medicines do NOT include:


- medicines administered to the patient DURING THE EVENT as

part of the treatment (such as an antibiotic shot for an

infection, a flu shot, or a medicine taken orally).


- diaphragms and IUDs (Intra-Uterine Devices);

- prescriptions for eye glasses or contact lenses, or


- over-the-counter medications that do not have a written

prescription from a doctor.


Some state laws require prescriptions for certain over-the-counter

medicines. Sometimes physicians write a prescription for over-

the-counter drugs such as aspirin. Therefore, consider any

medicine a prescribed medicine if the respondent reports it as

prescribed. If it is an over-the-counter drug, however, the

prescription must be a written one to be filled by a

pharmacist, not just an oral instruction. If in doubt, probe

whether the patient got a WRITTEN prescription to fill at a

pharmacy. If there is still any doubt, report the medicine as a

prescription medicine.


REFILLS --

A medicine is refilled for the person whose name appears on the

prescription label. Usually, prescriptions have specified

limits to the number of times they can be refilled.


Even if the medicine ends up being taken by someone else,

record only the person the prescription was written for.



PM06

FREE SAMPLES --

Limited amounts of a prescription medication which are given out

by doctors to patients free of charge, sometimes in lieu of a

written or verbal prescription.



PM16

MAIL-ORDER --

Refers to a service that delivers prescriptions through either

the mail, a rapid mail service such as Federal Express, or

through United Parcel Service (UPS).


IN ANOTHER STORE --

Pharmacies that are located within another store, such as a

department or grocery store. Pharmacies located within a K-

mart or Wal-mart are common examples of this type of pharmacy.


IN AN HMO/CLINIC/HOSPITAL --

Pharmacies that are located within an HMO, clinic, or hospital

facility.


DRUG STORE --

An independent or chain retail store where the primary business

is the service provided by the pharmacy.


ON-LINE PHARMACY –-

An independent or chain retail store which fills prescriptions

over the internet. A person accesses and places their order with

this type of pharmacy through a website.



CP01A (NEW HELP DEF.)-Appr. by AHRQ 10/07 for P13R1, P12, R3 and P11, R5 and beyond.

======

HEALTH INSURANCE OR ANOTHER SOURCE OF COVERAGE –


Any individual, company, or organization, besides the person or family, that made any payments to the pharmacy for the prescription medicines received. This includes: health insurance companies, HMOs, Medicare, Medicaid, SCHIP (State Children’s Health Insurance Program) or other types of public health programs. This also includes other types of coverage which may sometimes pay for prescription medicines, such as employers, car or home owner’s insurance, worker’s compensation policies, etc.



CP01B


SOURCE –


Any individual, company, or organization, besides the person or family, that made any payments to the pharmacy for the prescription medicines received. This includes health insurance companies, HMOs, employers, car or home owner’s insurance,

worker’s compensation policies, Medicare, Medicaid, SCHIP (State Children’s Health Insurance Program) or other types of public programs, etc.


For this question please enter the USUAL source of payment for the person’s prescription medicines during the reference period. For example, if the person obtained three prescribed medicines, and two were paid for by their regular insurance company and one was paid for by their car insurance policy, their USUAL source of payment for their prescribed medicines would be their regular insurance company.



CP01

FAMILY SENDS IN CLAIM FORMS --

The RU member or family must pay the full amount of the

prescription ‘up-front’ to the pharmacy or prescription mail-order

firm. The family later completes a claim form so his or her

insurance company will reimburse all or a portion of the

prescription cost.


PHARMACY AUTOMATICALLY FILES CLAIMS --

The RU member of family has some type of insurance that will cover

the cost of prescription drugs. The family pays only a portion of

the full cost of the prescription or does not have to pay any

portion of the cost. The pharmacy will then file the insurance

claims for the family and is reimbursed for the remainder of the

prescription charge directly from the insurance company.


NOT EITHER TYPE OF SITUATION --

This includes all other types of payment arrangements not

described above. For example, the person must pay the full amount

of the prescription with no reimbursement from any insurer, you

would code this category.



CP02

CP02OV

COPAYMENT --

A fixed sum that a person pays for health services, regardless of

the actual charge (the insurer pays the rest of the actual

charge). For example, the person may pay $10 for each office

visit, $75 for each day in the hospital, and $5 for each drug

prescription.



CP03

CHARGE --

The dollar amount ASKED (‘charged’) for a service by a health

care provider. This may not be the actual amount PAID to the

provider.



CP04

COPAYMENT --

A fixed sum that a person pays for health services, regardless of

the actual charge (the insurer pays the rest of the actual

charge). For example, the person may pay $10 for each office

visit, $75 for each day in the hospital, and $5 for each drug

prescription.


TOTAL CHARGE --

The total dollar amount asked (‘charged’) for a service by a

health care provider. This includes any amounts that are paid

by health insurance or other sources, and may include charges

for procedures such as x-rays, lab tests, or diagnostic

procedures if performed during the visit to the provider.

CP05

ANYTHING IN WRITING --

A document that indicates the charges for services provided by

a medical provider. This usually takes the form of a bill or

statement listing the charges for a particular service or item.

Also include receipts for payments.



CP06

=====

Updates to Help Text at CP06 and CP07 made for Panel 12, Panel 13,

and Panel 14. Please update Panel 12 at this point


PAID AT TIME OF VISIT --

The charge was paid at the time of the visit to the provider, and the person may not have received a bill.


MADE A COPAYMENT --

A co-payment is a fixed sum that a person pays for health services regardless of the actual charge (the insurer pays the rest of the actual charge). For example, the person may pay $10 for each office visit, $75 for each day in the hospital, and $5 for each drug prescription.


BILL SENT DIRECTLY TO OTHER SOURCE --

This situation normally applies where the provider or the person sends the bill to the insurance company in order for the insurance company to pay the health care provider.


BILL HAS NOT ARRIVED --

The person expects to receive a bill from the health care provider as to the charges owed, however this bill has not arrived.


NO BILL SENT: HMO PLAN --

No bill was sent to the person since the charges were paid by the person’s Health Maintenance Organization (HMO) or the services were received at an HMO facility. HMOs are organizations that have responsibility for providing comprehensive health care services in exchange for a fixed periodic payment. With an HMO, a person must generally receive their care from HMO physicians; otherwise the expense is not covered unless the person was referred by the HMO or there was a medical emergency. With an HMO, the cost of a visit is covered in full or you have to pay a small amount. HMOs can be sponsored by the government, medical schools, hospitals, employers, labor unions, consumer groups, insurance companies, and hospital-medical plans.


NO BILL SENT: VA (Veterans Administration) / CHAMPVA --

No bill was sent to the person since the charges were paid by either the Veterans Administration (VA), which provides medical services to veterans of the Armed Forces (particularly those with service-connected disabilities) or The Civilian Health and Medical Program of the Department of Veteran's Affairs (CHAMPVA), which provides health coverage to dependents and survivors of disabled or deceased veterans


NO BILL SENT: MILITARY FACILITY --

No bill was sent to the person because care was obtained at a military hospital or clinic located on a military base.


NO BILL SENT: PUBLIC ASSISTANCE/MEDICAID/SCHIP --

The charges were paid by public assistance, Medicaid or a State Children’s Health Insurance Program (SCHIP). Medicaid is a federally-assisted, state-administered program that offers health benefits to low income persons on public assistance. The program also may cover the aged, the blind, and the disabled who are in financial need. Medicaid may be known by different names in different states.


The Children's Health Insurance Program (SCHIP) is a program which gives each state permission to offer health insurance for children, up to age 19, who are not already insured and for uninsured families with limited income and resources who earn too much to qualify for Medicaid. SCHIP is a state administered program and may be known by different names in different states.


NO BILL SENT: WORKER’S COMPENSATION --

Worker’s compensation is a system, required by law, of compensating workers injured or disabled in connection with work. The system establishes the liability of an employer for injuries or sickness that arise over and in the course of employment. The liability is created without regard to the fault or negligence of the employer. The benefits under this system generally include hospital and other medical payments and compensation for loss of income.


NO BILL SENT: SCHOOL, EMPLOYER, OR OTHER PRIVATE HEALTH CENTER/CLINIC --

No bill was sent because the care was provided by a school clinic, an employer clinic, or some other private health center or clinic. Care received in these types of clinics are usually provided as benefits to the recipient and the cost of the care is paid covered by the school, employer, or private health center.


NO BILL SENT: PUBLIC CLINIC/HEALTH CENTER OR PRIVATE CHARITY (INCLUDE COMMUNITY AND MIGRANT HEALTH CENTER AND FEDERALLY QUALIFIED HEALTH CENTERS) --

No bill was sent by the health care provider since the person went to a provider providing health care at no charge. These providers can include community and migrant health centers or Federally-qualified health centers, among others.


NO BILL SENT: INDIAN HEALTH SERVICE –

No bill was sent because the person went to a provider employed by, or under contract to, the Indian Health Service (IHS), the agency responsible for providing federal health services to American Indians and Alaska Natives.


NO CHARGE: TELEPHONE CALL --

No bill was sent by the health care provider because the provider does not charge for consultation received over the telephone.


FREE FROM PROVIDER (PROFESSIONAL COURTESY/FREE SAMPLE)--

The provider provided the services as a professional courtesy extended from one provider to another or to family members or office staff. This can also include free samples of medicine, or the donation of a provider’s services. This does NOT include visits to public or ‘free’ clinics where the services are covered by public and/or private funding sources. Such situations should be coded as ‘10’ No Bill Sent: Public clinic/health center or private charity.


GOVERNMENT-FINANCED RESEARCH AND CLINICAL TRIALS --

This includes all charges that were paid by the government or a research institute in return for the person’s participation in medical research. The research may take the form of clinical trials of an experimental medication, which are part of the government’s medical approval process. The person’s participation does not necessarily involve a specific health condition.


INCLUDED WITH OTHER CHARGES --

This normally applies to a ‘flat fee’ situation where the person is charged a ‘lump sum’ for a variety of services or a series of visits which relate to the same condition.


FLAT FEE --

A situation where the person is charged a ‘lump sum’ for a variety of services or a series of visits which relate to the same condition.



CP07OV1

========


Updates to Help Text at CP06 and CP07 are for Panel 12, 13, and

14. Please update Panel 12 at this time.


HMO --

HMOs are organizations that have responsibility for providing comprehensive health care services in exchange for fixed periodic payment. With an HMO, a person must generally receive their care from HMO physicians; otherwise the expense is not covered by the HMO unless the person was referred by the HMO or there was a medical emergency. With an HMO, the cost of a visit is typically covered in full or you have to pay a fixed amount of money per visit. HMOs can be sponsored by the government, medical schools, hospitals, employers, labor unions, consumer groups, insurance companies, and hospital-medical plans.


VA (Veterans Administration) / CHAMPVA ----

The Veterans Administration, or VA, provides medical assistance to veterans of the Armed Forces, particularly those with service-connected disabilities.


The Civilian Health and Medical Program of the Department of Veteran's Affairs (CHAMPVA), provides health coverage to dependents and survivors of disabled or deceased veterans.


TRICARE--

TRICARE is a health care program for active duty and retired members of the uniformed services, their families, and survivors. TRICARE offers eligible beneficiaries three choices for their healthcare; TRICARE Prime - where military treatment facilities are the principal source of healthcare; TRICARE Extra - a preferred provider option; and TRICARE Standard - a fee-for-service option (the old CHAMPUS Program). TRICARE for life covers uniformed service beneficiaries who have attained the age of 65, are Medicare-eligible, and have purchased Medicare Part B.


OTHER MILITARY --

Includes any health care received on military bases by current active duty personnel and their dependents and retired Armed Forces members and their dependents or survivors.


PUBLIC ASSISTANCE/MEDICAID/SCHIP --

Public assistance refers to the government agencies concerned with providing aid to persons suffering from poverty, unemployment, etc. Their health care is provided through Medicaid. Medicaid is a federally-assisted, state-administered program that offers health benefits to low income persons on public assistance. The program also may cover the aged, the blind, and the disabled who are in financial need. Medicaid may be known by different names in different states.


The Children's Health Insurance Program (SCHIP) is a program which gives each state permission to offer health insurance for children, up to age 19, who are not already insured and for uninsured families with limited income and resources who earn too much to qualify for Medicaid. SCHIP is a state administered program and may be known by different names in different states.


WORKER’S COMPENSATION --

A system, required by law, of compensating workers injured or disabled in connection with work. The system establishes the liability of an employer for injuries or sickness that arise over and in the course of employment. The liability is created without regard to the fault or negligence of the employer. The benefits under this system generally include hospital and other medical payments and compensation for loss of income.


PRIVATE INSURANCE COMPANY --

A corporation primarily engaged in the business of selling insurance policies to the public.


INDIAN HEALTH SERVICE –

The Indian Health Service (IHS), an agency within the Department of Health and Human Services, is responsible for providing federal health services to American Indians and Alaska Natives.



CP08

TOTAL CHARGE --

The total dollar amount asked (‘charged’) for a service by a

health care provider. This includes any amounts that are paid

by health insurance or other sources, and may include charges

for procedures such as x-rays, lab tests, or diagnostic

procedures if performed during the visit to the provider.


FLAT FEE --

A situation where the person is charged a ‘lump sum’ for a

variety of services or a series of visits which relate to the

same condition.



CP09

CP09OV1

WHAT MAKES UP TOTAL CHARGE --

The total dollar amount asked (‘charged’) for a service by a

health care provider. This includes:


- any amounts that are paid by health insurance or other

sources,


- any charges for procedures such as x-rays, lab tests, or

diagnostic procedures if performed during the visit to the

provider.


If the bill or statement lists charges for procedures separate

from other charges for the visit and are not included in the

total charge, add those charges to the others to obtain one

‘total charge’ that includes ALL charges that are associated

with the visit. However, if the person has a SEPARATE bill or

statement for procedures such as x-rays or lab work, do NOT

include those charges in the total charge for the visit. These

charges will be recorded at a different screen.


FLAT FEE --

A situation where the person is charged a ‘lump sum’ for a

variety of services or a series of visits which relate to the

same condition.



CP10

SET AMOUNT --

An amount a provider charges for a visit no matter what the

specific services provided during a particular visit were. A

possible example of this are regular visits to a physical

therapist for treatment: the specific treatment may be

different from visit to visit yet the charge is always the

same.


COPAYMENT --

A fixed sum that a beneficiary pays for health services,

regardless of the actual charge (the insurer pays the rest of

the actual charge). For example, the beneficiary may pay $10

for each office visit, $75 for each day in the hospital, and $5

for each drug prescription.



CP11

CP11OV1

CP11OV2

AMOUNTS TO INCLUDE --

Any and all amounts paid directly (e.g., out-of-pocket, up-front)

to the provider/pharmacy/place for the care or services received.

This includes all amounts that may have been reimbursed later by

any provider or insurance company.



CP12

SOURCE --

Any person, company, or organization, besides the person or

family, that made any payments to the provider/pharmacy/place for

the care or services received. This includes health insurance

companies, HMOs, employers, car or home owner’s insurance,

worker’s compensations policies, Medicare, Medicaid, SCHIP (State

Children’s Health Insurance Program) or other types of public

programs, etc.


This source should have paid the provider/pharmacy/place DIRECTLY,

that is, the family should not be paid in the anticipation that

they would in turn pay the provider. If this is the case,

consider it a reimbursement, not a direct payment.



ALREADY PAID --

The person or family assumes the source has sent in the payment to

the provider/pharmacy/place for the care or services received.



CP13OV

CP24OV

CP26OV

PAYMENTS MADE DIRECTLY TO PROVIDER --

Any source that has paid the provider/pharmacy/place DIRECTLY,

that is, the family was not paid by the source in the anticipation

that the family would in turn pay the provider. If this is the

case, consider it a reimbursement, not a direct payment.


A SOURCE is any person, company, or organization, besides the

person or family, that made any payments to the provider/pharmacy/

place for the care or services received. This includes health

insurance companies, HMOs, employers, car or home owner’s

insurance, worker’s compensations policies, Medicare, Medicaid,

SCHIP (State Children’s Health Insurance Program)or other types of

public programs, etc.



CP14

SOURCE --

Any person, company, or organization, besides the person or

family, that made any reimbursement to the family for the care or

services received. This includes health insurance companies,

HMOs, employers, car or home owner’s insurance, worker’s

compensations polices, Medicare, Medicaid, SCHIP (State

Children’s Health Insurance Program) or other types of public

programs, etc.


REIMBURSEMENT --

Repayment by a third party (usually an insurance company) for

charges a person pays for health care services covered by the

person’s health insurance plan. For example, the terms of a

person’s health insurance plan may require that a person pay

the pharmacy directly for a prescription and then request a

‘reimbursement’ from his/her insurance company for all or a

percentage of the total amount paid.



CP15OV

CP18

REIMBURSEMENT --

Repayment by a third party (usually an insurance company) for

charges a person pays for health care services covered by the

person’s health insurance plan. For example, the terms of a

person’s health insurance plan may require that a person pay

the pharmacy directly for a prescription and then request a

‘reimbursement’ from his/her insurance company for all or a

percentage of the total amount paid.


DISAPPROVED --

A charge not covered by a third party payer.



CP38

PROVIDER NAME --

In some instances, a provider may have more than one name.

This question is asking if the paperwork (i.e., bill or

statement) indicates that the provider is listed under another

name. For example, a respondent may report that the hospital’s

name is the University of Chicago Hospital when the bill

indicates that the patient was seen at Wyler Children’s

Hospital.



RE02

RE06

RESPONDENT RULES --

BEST/PREFERRED RESPONDENT:

The best or preferred respondent for the interview is the person

who is most knowledgeable about the family’s health care and who

is keeping records about health care use and expenses since

January 1st.


For ROUND 1, this is likely to be the person who was the

respondent for the NHIS interview and, in most cases, was the

person contacted on the advance contact effort.


For ROUNDS 2-5, the best respondent is the person who was

respondent for the previous round’s interview.


SELECTING A NEW RU MEMBER AS RESPONDENT:

If you need to select a new respondent for the RU, select an RU

member who is at least 18 years old or older and knowledgeable

about the family’s health care use and expenses. Always encourage

all adult RU members to assist with the interview, especially if

there is a specific RU member for whom the selected respondent

cannot provide all health information. Keep in mind that a new

respondent may also be a new member of the RU. Verify that the

person is a member of the RU before selecting ‘RU member’ for

respondent type.


PROXY RESPONDENTS:

In a small number of cases it may not be possible to conduct an

interview with an RU member. Examples include:


- A single person RU consisting of an elderly respondent with

impaired memory or who is unable to focus on the interview.


- An RU where all members have died and/or entered an

institution on or after the first day of the reference period

(for Round 1, this date is January 1st; for Rounds 2-5,

this date is the date of the previous round’s interview).


In cases where a proxy respondent is necessary, try to determine

who outside the RU could provide information about the medical

care and expenses for the RU member(s). The proxy respondent must

be someone 18 years or older who can provide information about the

RU member(s) health care use and expenses during the person’s

reference period.


BEFORE YOU COMPLETE THE INTERVIEW WITH A PROXY, YOU MUST OBTAIN

APPROVAL FROM YOUR SUPERVISOR.


NOTE: If Round 1 and the only RU member died or entered an

institution BEFORE January 1st, DO NOT CONTINUE WITH THE

INTERVIEW. Verify the date of death or institutionalization and

close out the case.


RE09

LOCATING ADDRESS --

The locating address is where the RU members actually live. This

will not necessarily be the same as the address where their mail

is received or as their legal or voting residence. It is the

address you will use to locate the RU for the in-person interview.

Try to obtain as complete an address as possible, verifying or

obtaining house numbers and apartment numbers when necessary. If

the locating address is a description (for example, brick house

with green shutters and front porch), probe the respondent for the

actual address, such as the one the post office uses to deliver

mail to the home. Be sure to verify all parts of the address,

including the zip code. If the respondent reports that there is a

separate mailing address (for example, a post office box), tell

the respondent that you will be asking for the mailing address at

the end of the interview.



RE10

RE10OV1

RE10OV2

RE10OV3

RE10OV4

RE40

RE40OV1

RE40OV2

RE40OV3

RE40OV3

RE40OV4

RE40OV5

RE66H

RE66HOV1

RE66HOV2

RE66HOV3

RE66HOV4

RE66HOV5

RE74

RE74OV1

RE74OV2

RE74OV3

RE74OV4

RE74OV5

RE110

RE110OV1

RE110OV2

RE110OV3

RE110OV4

RE110OV5

RE110OV6

RE110OV7

RE111A

RE111AO1

RE111AO2

RE111AO3

RE111AO4

RE111AO5

RE111AO6

RE111AO7

PM14

PM14OV1

PM14OV2

PM14OV3

PM14OV4

PM14OV5

PM14OV6

PM14OV7

PM14OV8

PM15

EM08

EM08OV0

EM08OV1

EM08OV2

EM08OV3

EM08OV4

EM08OV5

EM08OV6

EM08OV7

EM08OV8

EM09

EM09OV1

EM09OV2

EM09OV3

EM09OV4

EM09OV5

EM09OV6

EM09OV7

EM09OV8

EM14

EM14OV0

EM14OV1

EM14OV2

EM14OV3

EM14OV4

EM14OV5

EM14OV6

EM14OV7

EM14OV8

EM15

EM15OV1

EM15OV2

EM15OV3

EM15OV4

EM15OV5

EM15OV6

EM15OV7

EM15OV8

EM21A

EM21AOV1

EM21AOV2

EM21AOV3

EM22

EM22OV0

EM22OV1

EM22OV2

EM22OV3

EM22OV4

EM22OV5

EM22OV6

EM22OV7

EM22OV8

EM23

EM23OV1

EM23OV2

EM23OV3

EM24

EM24OV1

EM24OV2

EM24OV3

EM24OV4

EM24OV5

EM24OV6

EM24OV7

EM24OV8

EM30A

EM30AOV1

EM30AOV2

EM30AOV3

EM31

EM31OV0

EM31OV1

EM31OV2

EM31OV3

EM31OV4

EM31OV5

EM31OV6

EM31OV7

EM31OV8

EM32

EM32OV1

EM32OV2

EM32OV3

EM33

EM33OV1

EM33OV2

EM33OV3

EM33OV4

EM33OV5

EM33OV6

EM33OV7

EM33OV8

EM43A

EM43AOV1

EM43AOV2

EM43AOV3

EM44

EM44OV0

EM44OV1

EM44OV2

EM44OV3

EM44OV4

EM44OV5

EM44OV6

EM44OV7

EM44OV8

EM45

EM45OV1

EM45OV2

EM45OV3

EM46

EM46OV1

EM46OV2

EM46OV3

EM46OV4

EM46OV5

EM46OV6

EM46OV7

EM46OV8

EM56A

EM56AOV1

EM56AOV2

EM56AOV3

EM57

EM57OV0

EM57OV1

EM57OV2

EM57OV3

EM57OV4

EM57OV5

EM57OV6

EM57OV7

EM57OV8

EM58

EM58OV1

EM58OV2

EM58OV3

EM59

EM59OV1

EM59OV2

EM59OV3

EM59OV4

EM59OV5

EM59OV6

EM59OV7

EM59OV8

EM73A

EM73AOV1

EM73AOV2

EM73AOV3

EM74

EM74OV0

EM74OV1

EM74OV2

EM74OV3

EM74OV4

EM74OV5

EM74OV6

EM74OV7

EM74OV8

EM75

EM75OV1

EM75OV2

EM75OV3

EM76

EM76OV1

EM76OV2

EM76OV3

EM76OV4

EM76OV5

EM76OV6

EM76OV7

EM76OV8

EM85A

EM85AOV1

EM85AOV2

EM85AOV3

EM86

EM86OV0

EM86OV1

EM86OV2

EM86OV3

EM86OV4

EM86OV5

EM86OV6

EM86OV7

EM86OV8

EM87

EM87OV1

EM87OV2

EM87OV3

EM88

EM88OV1

EM88OV2

EM88OV3

EM88OV4

EM88OV5

EM88OV6

EM88OV7

EM88OV8

EM120

EM120OV0

EM120OV1

EM120OV2

EM120OV3

EM120OV4

EM120OV5

EM120OV6

EM120OV7

EM120OV8

EM121

EM121OV1

EM121OV2

EM121OV3

EM121OV4

EM121OV5

EM121OV6

EM121OV7

EM121OV8

HP06

HP06OV1

HP06OV2

HP06OV3

HP06OV4

HP06OV5

HP06OV6

HP06OV7

HP06OV8

HP08

HP08OV1

HP08OV2

HP08OV3

HP08OV4

HP08OV5

HP08OV6

HP08OV7

HP08OV8

PD04

PD06

PD18

PD18OV1

PD18OV2

PD18OV3

PD18OV4

PD18OV5

PD18OV6

PD18OV7

PD18OV8

PD18OV9

PD18OV10

PD18OV11

PD18OV12

CL47

CL47OV1

CL47OV2

CL47OV3

CL47OV4

CL49

CL49OV1

CL49OV2

CL49OV3

CL49OV4

CL49OV5

CL49OV6

CL49OV7

CL51

CL51OV1

CL51OV2

CL51OV3

CL51OV4

CL51OV5

CL51OV6

CL51OV7

CL51OV8

CL51OV9

CL51OV10

CL55

CL55OV1

CL55OV2

CL55OV3

CL55OV4

CL55OV5

CL55OV6

CL55OV7

CL55OV8

CL55OV9

CL55OV10

CL59

CL59OV1

CL59OV2

CL59OV3

CL59OV4

CL59OV5

CL59OV6

CL59OV7

CL61B

CL61BOV3

CL61BOV4

CL61BOV5

CL61BOV6

CL61BOV7

CL61BOV8

CL61BOV9


STATE ABBREVIATIONS --

Alabama: AL

Alaska: AK

Arizona: AZ

Arkansas: AR

California: CA

Colorado: CO

Connecticut: CT

Delaware: DE

District of Columbia: DC

Florida: FL

Georgia: GA

Hawaii: HI

Idaho: ID

Illinois: IL

Indiana: IN

Iowa: IA

Kansas: KS

Kentucky: KY

Louisiana: LA

Maine: ME

Maryland: MD

Massachusetts: MA

Michigan: MI

Mississippi: MS

Minnesota: MN

Missouri: MO

Montana: MT

Nebraska: NE

Nevada: NV

New Hampshire: NH

New Jersey: NJ

New Mexico: NM

New York: NY

North Carolina: NC

North Dakota: ND

Oklahoma: OK

Ohio: OH

Oregon: OR

Pennsylvania: PA

Rhode Island: RI

South Carolina: SC

South Dakota: SD

Tennessee: TN

Texas: TX

Utah: UT

Vermont: VT

Virginia: VA

Washington: WA

West Virginia: WV

Wisconsin: WI

Wyoming: WY

Foreign Country: FC

Please use the code ‘FC’ anytime the respondent indicates that

the address, provider, job, pharmacy, etc. was not in one of

the 50 states. Record the name of the city or province, and

the country name in the city field. Record ‘FC’ in the state

field. For example, if your respondent lives in Buffalo, NY

and reported that he or she worked in Toronto, Canada, you

would record ‘Toronto, Canada’ in the city field and ‘FC’ in

the state field.



RE13OV

RE13OV1

MARRIED --

Refers to legal marriage. This includes common law marriages in

states where common law marriages are recognized (i.e., if state

law considers them married, we consider them married).


WIDOWED --

Spouse is deceased.


DIVORCED --

Legal cancellation of marriage.


SEPARATED --

Legal or informal separation due to marital discord. It is

necessary to probe further when a person is reported as

‘separated’ -- if the spouse is absent for reasons other than

marital discord, the ‘married’ category applies.


A person is considered NEVER MARRIED if s/he has never been LEGALLY

married. If the person has had informal unions in the past but has

never had a legal marriage, s/he is included in this category even

if s/he considered themselves as living together as married partners.

If the respondent asks what is meant by marriage, tell him or her that

we are only interested in LEGAL married status for this question.

However, accept what the respondent tells you here without attempting

to reconcile the response with information given previously concerning

the marital status of the person. For example, if a respondent tells

you here that he is married, but when you collected relationship

information he told you that the woman he is living with is his

‘partner’, you would code him here as married and continue to the next

person in the RU without questioning his response. An answer

indicating that an RU member is ‘single’ or ‘not married’ should be

probed to determine if s/he has been married in the past or not.



RE14

RE15

RE15OV1

RE15OV2

RE66E

RE96B1

RE96B2

RE94A

RE95

RE95A

RE95B

RE95E

RE96B

FULL-TIME ACTIVE DUTY (WITH THE ARMED FORCES) --

This includes:

- Persons on full-time active duty in the Army, Navy, Air Force,

Marine Corps, or Coast Guard unit presently activated as part

of the regular Armed Forces.


- Persons in the Reserve Forces or National Guard called up to

active duty service for a period of three months or longer.



RE19

INSTITUTIONALIZED IN A HEALTH CARE FACILITY --

A person is institutionalized in a health care facility if s/he is

living in a facility that provides continuous nursing and personal

care (i.e., provides 24 hour nursing care and is staffed with

trained medical personnel).. Institutions that provide this type

of care include:


Nursing Homes --

An institution that provides continuous nursing and other

services to patients who are not acutely ill, but who need

nursing and personal services as inpatients. A nursing home

has permanent facilities and an organized professional staff.


Other Long-Term Care Institutions (Excluding Community-Based

Hospitals) --

An institution, other than a nursing home or a community

based hospital, that provides long-term care. Long-term care

is care for patients, regardless of age, who have chronic

diseases or disabilities, and who require preventative,

diagnostic, therapeutic, and supportive services over long

periods of time. Long term care may call on a variety of

health care professionals (such as physicians, nurses,

physical therapists, and social workers) as well as non-

professionals (family, others) and may be delivered in a

health care or other institution.



RE19A

LIVING WITH THIS FAMILY --

Person is living with this family at the time of the current round

interview. This is the person’s usual place of residence where

the person plans to live for the foreseeable future.


USUAL PLACE OF RESIDENCE SOMEWHERE ELSE --

Person is not living with the family at the time of the current

round interview, but has usual place of residence somewhere else.

This could include living in another household or living in a

military facility.


DECEASED --

The person is no longer living at the time of the current round

interview.


RE19B

RE19BOV

RE19BOV1

RE19BOV2

RE19BOV3

RE19BOV4

RE19C

RE19COV

RE19COV1

RE19COV2

RE19COV3

RE19COV4

RE19D

RE19DOV1

RE19DOV2

LEAVE THE HEALTH CARE FACILITY --

The person must have been discharged from or have formally left

the health care facility because the person is deceased or because

the person is now living somewhere other than the health care

facility. If the person has only temporarily left the health care

facility to visit family or for a stay in the hospital, do not

count this as having left the facility.



RE19E

INSTITUTIONALIZED IN A HEALTH CARE FACILITY --

A person is institutionalized in a health care facility if s/he is

living in a facility that provides continuous nursing and personal

care (i.e., provides 24 hour nursing care and is staffed with

trained medical personnel). Institutions that provide this type

of care include:


Nursing Homes --

An institution that provides continuous nursing and other

services to patients who are not acutely ill, but who need

nursing and personal services as inpatients. A nursing home

has permanent facilities and an organized professional staff.


Other Long-Term Care Institutions (Excluding Community-Based

Hospitals) --

An institution, other than a nursing home or a community

based hospital, that provides long-term care. Long-term care

is care for patients, regardless of age, who have chronic

diseases or disabilities, and who require preventative,

diagnostic, therapeutic, and supportive services over long

periods of time. Long term care may call on a variety of

health care professionals (such as physicians, nurses,

physical therapists, and social workers) as well as non-

professionals (family, others) and may be delivered in a

health care or other institution.


INSTITUTIONALIZED IN A NON-HEALTH CARE FACILITY --

A person is institutionalized in a non-health care facility if

s/he is living in a correctional facility. Non-health care

facilities include:


Homes for juvenile delinquents, jails, and prisons.


STUDENT UNDER 24 LIVING AWAY AT SCHOOL IN GRADES 1-12 --

A person under 24 years old who usually lives in the household,

but at the time of this interview lives at a boarding school or

academy in grades 1-12. Grades 1-12 includes elementary school,

middle school, high school (both junior and senior high school).

The school can be public, private, military, or parochial.


STUDENT UNDER 24 LIVING AWAY AT POST-SECONDARY SCHOOL --

A person under 24 years old who usually lives in the household,

but at the time of this interview lives away at post-secondary

school. If the person returns to the RU on weekends, school

holidays or vacations, we still consider him/her as “living away

at school”. Post-secondary school includes:


Colleges or Universities --

Junior college, community college, four-year college or

university, nursing school or seminary where a college degree

is offered, and graduate school or professional school that

is attended after obtaining a degree from a 4-year

institution.


Other Training Schools after High School --

Secretarial school, mechanical or computer training school,

nursing school where a college degree is NOT offered, and any

other vocational, trade, or business school where a college

degree is not offered. The person need NOT have obtained a

high school diploma or equivalency to attend this type of

school.


ANOTHER HOUSEHOLD - CURRENTLY NOT FULL-TIME MILITARY --

Person is living in another household and is not on full-time

active duty in the Armed Forces on the date of the current round

interview. This includes persons who are living in a different

household, either inside the U.S. or outside the U.S. DO NOT

include persons who are living in an institution or are living

away at school, either grades 1-12 or post-secondary, in this

category.


It is important to determine if the person being asked about is

on full-time active duty in the military (i.e., the Armed Forces

of the United States) on the date of the current round interview.

DO NOT include persons who are on full-time active duty in the

military in this category. See definition of full-time active

duty in the Armed Forces below.


ANOTHER HOUSEHOLD/MILITARY FACILITY - CURRENTLY FULL-TIME MILITARY --

Person is living in another household or military facility and is

on full-time active duty in the Armed Forces on date of the

current round interview. This includes persons who are living in

another household or in a military facility, either inside the

U.S. or outside the U.S. DO NOT include persons who are living in

an institution or were living away at school, either grades 1-12

or post-secondary, in this category.


It is important to determine if the person being asked about is

on full-time active duty in the military (i.e., the Armed Forces

of the United States) on the date of the current round interview

interview. Include only persons who ARE on full-time active duty

in the military in this category.


Person who are considered to be ON FULL-TIME ACTIVE DUTY IN THE

ARMED FORCES includes:


- Persons on full-time active duty in the Army, Navy, Air Force,

Marine Corps, or Coast Guard unit presently activated as part

of the regular Armed Forces.


- Persons in the Reserve Forces or National Guard called up to

active duty service for a period of three months or longer.



RE19F

RE37

RE73B

LIVING WITHIN U.S. --

This includes all the states in the United States, including

Hawaii and Alaska. It does NOT include the U.S. territories such

as Puerto Rico, Guam, or the U.S. Virgin Islands.


LIVING OUTSIDE U.S. --

This includes all countries other than the United States as well

as territories such as Puerto Rico, Guam, and the U.S. Virgin

Islands. Hawaii and Alaska are considered INSIDE the

United States.



RE19G

RE56

RE80

GRADES 1-12 --

Includes elementary school, middle school, and high school (both

junior and senior high school). The school can be public,

private, military, or parochial.


COLLEGE OR UNIVERSITY --

Junior college, community college, four-year college or

university, nursing school or seminary where a college degree is

offered, and graduate school or professional school that is

attended after obtaining a degree from a 4-year institution.

OTHER TRAINING SCHOOL AFTER HIGH SCHOOL --

Secretarial school, mechanical or computer training school,

nursing school where a college degree is NOT offered, and any

other vocational, trade, or business school where a college degree

is not offered. The person need NOT have obtained a high school

diploma or equivalency to attend this type of school.



RE19H


RE19HOV

RE38

RE38OV1

RE66K

RE73C

RE73COV1


ANOTHER HOUSEHOLD -- If the full-time active duty armed forces person

lives in any place of private residence including apartments,

townhouses, houses, co-ops, mobile homes, boarding rooms, etc. OR the

full-time active duty armed forces member is living with at least one

civilian, key RU member in military housing, code person as living in

another household.


MILITARY FACILITY -- If person lives in any building or grounds on an

Army, Air Force, Navy, Marine, or Coast Guard base, military training

school or academy (Army (West Point), Air Force, Naval or Coast Guard

academies); or any other facility owned exclusively for military

purposes WITHOUT at least one civilian, key RU member, code person as

living in military facility.


LIVING WITHIN U.S. --

This includes all the states in the United States, including

Hawaii and Alaska. It does NOT include the U.S. territories such

as Puerto Rico, Guam, or the U.S. Virgin Islands.


LIVING OUTSIDE U.S. --

This includes all countries other than the United States as well

as territories such as Puerto Rico, Guam, and the U.S. Virgin

Islands. Hawaii and Alaska are considered INSIDE the

United States.



RE21

HH MEMBERSHIP RULES --

Persons are considered members of this RU if they are related to

the reference person by blood, marriage, living together as

married, adoption or foster care relationship and meet the

following criteria:


- have no other permanent address elsewhere, or


- spend most of the year in this dwelling unit even though they

may have another residence.

Consider persons who are just temporarily away (in a hospital,

away on a business trip, or on vacation) as still in this RU.


A student living away at school in grades 1 through 12 will be

included in this RU’s interview, but should be coded as having

left the RU at this question. Later in the interview, you will

code the reason this person is no longer in the RU as ‘Student

Under 24 Living Away at School in Grades 1-12’. This will tell

CAPI to keep the person as a current RU member.


A student living away at post-secondary school should also be

coded as no longer in the RU. However, post-secondary students

will be removed from the RU and interviewed separately. You will

code this person as ‘Student Under 24 Living Away at Post-

Secondary School’ later in the interview.


ROUND 1 ONLY: During Round 1 you may learn that a person listed

as a member of the household at the time of the NHIS was

listed incorrectly. That is, he or she did not meet the

rules of household membership for this RU at the time of the

NHIS. For example, the person may have been just visiting

at the time of the NHIS, but had a primary residence

elsewhere or the person may not be related to the reference

person. If either situation applies, enter code 3

‘Incorrectly listed in RU during NHIS’ for this person.


ROUND 2 - 5 ONLY: During Rounds 2-5 you may learn that a person

listed as a member of the household at the time of the

previous round’s interview was listed incorrectly. That is,

he or she did not meet the rules of household membership for

this RU at the time of the interview. For example, the

person may have been just visiting at the time of the

interview, but had a primary residence elsewhere or the person

may not be related to the reference person. If either

situation applies, enter code 3‘Incorrectly listed in RU

during previous interview’ for this person.



RE35

DECEASED --

The person is no longer living.



INSTITUTIONALIZED --

A person is institutionalized if s/he is living in a facility that

provides continuous nursing and personal care (i.e., provides 24

hour nursing care and is staffed with trained medical personnel)

or if s/he is living in a correctional facility. Institutions

include:


Nursing Homes --

An institution that provides continuous nursing and other

services to patients who are not acutely ill, but who need

nursing and personal services as inpatients. A nursing home

has permanent facilities and an organized professional staff.


Other Long-Term Care Institutions (Excluding Community-Based

Hospitals) --

An institution, other than a nursing home or a community

based hospital, that provides long-term care. Long-term care

is care for patients, regardless of age, who have chronic

diseases or disabilities, and who require preventative,

diagnostic, therapeutic, and supportive services over long

periods of time. Long term care may call on a variety of

health care professionals (such as physicians, nurses,

physical therapists, and social workers) as well as non-

professionals (family, others) and may be delivered in a

health care or other institution.


Other Non-Health Care Institutions --

This includes homes for juvenile delinquents, and jails or

prisons.


STUDENT UNDER 24 LIVING AWAY AT SCHOOL IN GRADES 1-12 --

A person under 24 years old who usually lives in the household,

but at the time of this interview lives at a boarding school or

academy in grades 1-12. Grades 1-12 includes elementary school,

middle school, high school (both junior and senior high school).

The school can be public, private, military, or parochial.


STUDENT UNDER 24 LIVING AWAY AT POST-SECONDARY SCHOOL --

A person under 24 years old who usually lives in the household,

but at the time of this interview lives away at post-secondary

school. If the person returns to the RU on weekends, school

holidays or vacations, we still consider him/her as “living away

at school”. Post-secondary school includes:


Colleges or Universities --

Junior college, community college, four-year college or

university, nursing school or seminary where a college degree

is offered, and graduate school or professional school that

is attended after obtaining a degree from a 4-year

institution.


Other Training Schools after High School --

Secretarial school, mechanical or computer training school,

nursing school where a college degree is NOT offered, and any

other vocational, trade, or business school where a college

degree is not offered. The person need NOT have obtained a

high school diploma or equivalency to attend this type of

school.


MOVED - CURRENTLY NOT IN MILITARY --

This includes persons who have moved out of the household to other

households, either inside the U.S. or outside the U.S. DO NOT

include persons who moved to an institution or are living away at

school, either grades 1-12 or post-secondary, in this category.


It is important to determine if the person being asked about is

currently on full-time active duty in the military (i.e., the

Armed Forces of the United States). DO NOT include persons who

are currently on full-time active duty in the military in this

category. See definition of full-time active duty in the Armed

Forces below.


MOVED - CURRENTLY ON FULL-TIME ACTIVE DUTY IN ARMED FORCES --

This includes persons who have moved out of the household to

another household or to a military facility, either inside the

U.S. or outside the U.S. DO NOT include persons who moved to an

institution or are living away at school, either grades 1-12 or

post-secondary, in this category.


It is important to determine if the person being asked about is

currently on full-time active duty in the military (i.e., the

Armed Forces of the United States). Include only persons who ARE

currently on full-time active duty in the military in this

category.


Person who are considered to be CURRENTLY ON FULL-TIME ACTIVE DUTY

IN THE ARMED FORCES includes:


- Persons on full-time active duty in the Army, Navy, Air Force,

Marine Corps, or Coast Guard unit presently activated as part

of the regular Armed Forces.


- Persons in the Reserve Forces or National Guard called up to

active duty service for a period of three months or longer.



RE36

RE66G

RE73A

NURSING HOME --

An institution that provides continuous nursing and other services

to patients who are not acutely ill, but who need nursing and

personal services as inpatients. A nursing home has permanent

facilities and an organized professional staff.


OTHER LONG-TERM HEALTH CARE INSTITUTION (EXCLUDE COMMUNITY BASED

HOSPITAL) --

An institution, other than a nursing home or a community based

hospital, that provides long-term care. Long-term care is care

for patients, regardless of age, who have chronic diseases or

disabilities, and who require preventative, diagnostic,

therapeutic, and supportive services over long periods of time.

Long term care may call on a variety of health care professionals

(such as physicians, nurses, physical therapists, and social

workers) as well as non-professionals (family, others) and may be

delivered in a health care or other institution.


OTHER NON-HEALTH CARE INSTITUTION --

This includes homes for juvenile delinquents, and jails or

prisons.



RE42

RE43

OWNS/RENTS HOME --

A person OWNS the home even if they are still paying on a

mortgage. A person RENTS the home if s/he pays on a continuing

basis without gaining any rights to ownership.


If more than one person ‘owns or rents’ the home, ask the

respondent to chose one person. This person will then be used as

the reference person in the remainder of the interview.



RE44

HEAD OF HOUSEHOLD --

If no one in the household owns or rents the home, we ask for the

name of the ‘head of household’. This is the person in the

household who has the primary responsibility for the care of the

family.


If more than one person is considered ‘head of household’, ask the

respondent to choose one person. This person will then be used as

the reference person in the remainder of the interview.



RE46

RE46OV1

RE47

LIVING TOGETHER AS MARRIED/PARTNER RELATIONSHIPS --

In addition to marriage, two people in a ‘partner’ relationship

who are not married are considered related. This applies BOTH to

partners of the same sex and of different sexes.


Because these are relationships between the household member and

the Reference Person that the respondent may not have considered

or offered, you may need to probe to determine if this category

applies.


Example:

If the respondent is the Reference Person and is female and

reports the relationship of an unrelated male to be a ‘friend’,

you would want to tactfully probe to determine if she considers

him her boyfriend or living together as married partners instead

of just friends. If she says they are living together as married,

they would be considered related. If they are NOT living together

as if they are married partners, they should be viewed as

unrelated.



RE56A


PERSON WAS ...


INSTITUTIONALIZED --

A person is institutionalized if s/he is living in a facility that

provides continuous nursing and personal care (i.e., provides 24

hour nursing care and is staffed with trained medical

personnel) or if s/he is living in a correctional facility.

Institutions include:


Nursing Homes --

An institution that provides continuous nursing and other

services to patients who are not acutely ill, but who need

nursing and personal services as inpatients. A nursing home

has permanent facilities and an organized professional staff.


Other Long-Term Care Institutions (Excluding Community-Based

Hospitals) --

An institution, other than a nursing home or a community

based hospital, that provides long-term care. Long-term care

is care for patients, regardless of age, who have chronic

diseases or disabilities, and who require preventative,

diagnostic, therapeutic, and supportive services over long

periods of time. Long term care may call on a variety of

health care professionals (such as physicians, nurses,

physical therapists, and social workers) as well as non-

professionals (family, others) and may be delivered in a

health care or other institution.


Other Non-Health Care Institutions --

This includes homes for juvenile delinquents, and jails or

prisons.


STUDENT UNDER 24 LIVING AWAY AT POST-SECONDARY SCHOOL --

A person under 24 years old who usually lives in the household,

but at the time of this interview lives away at post-secondary

school. If the person returns to the RU on weekends, school

holidays or vacations, we still consider him/her as “living away

at school”. Post-secondary school includes:


Colleges or Universities --

Junior college, community college, four-year college or

university, nursing school or seminary where a college degree

is offered, and graduate school or professional school that

is attended after obtaining a degree from a 4-year

institution.


Other Training Schools after High School --

Secretarial school, mechanical or computer training school,

nursing school where a college degree is NOT offered, and any

other vocational, trade, or business school where a college

degree is not offered. The person need NOT have obtained a

high school diploma or equivalency to attend this type of

school.


PERSON WAS NOT FT MILITARY AT TIME OF NHIS AND WAS ...


It is important to determine if the person being asked about was

serving on full-time active duty in the military (i.e., the

Armed Forces of the United States) at the time of the NHIS

interview. DO NOT include persons who were serving on full-time

active duty in the military at the time of the NHIS in this

category. See definition of full-time active duty in the Armed

Forces below.


LIVING IN U.S. --

This includes all the states in the United States, including

Hawaii and Alaska. It does NOT include the U.S. territories such

as Puerto Rico, Guam, or the U.S. Virgin Islands.


LIVING OUTSIDE U.S. --

This includes all countries other than the United States as well

as territories such as Puerto Rico, Guam, and the U.S. Virgin

Islands. Hawaii and Alaska are considered INSIDE the

United States.


PERSON WAS FT MILITARY AT TIME OF NHIS AND WAS ...


It is important to determine if the person being asked about was

serving on full-time active duty in the military (i.e., the

Armed Forces of the United States) at the time of the NHIS

interview. Include only persons who WERE serving on full-time

active duty in the military at the time of the NHIS in this

category.


Person who are considered to have been SERVING ON FULL-TIME

ACTIVE DUTY IN THE ARMED FORCES includes:


- Persons on full-time active duty in the Army, Navy, Air Force,

Marine Corps, or Coast Guard unit presently activated as part

of the regular Armed Forces.


- Persons in the Reserve Forces or National Guard called up to

active duty service for a period of three months or longer.


LIVING AT A MILITARY FACILITY --

Refers to any building or grounds on an Army, Air Force, Navy,

Marine, or Coast Guard base; military training schools;

military academies (Army (West Point), Air Force, Naval

or Coast Guard academies); or any other facility owned exclusively

by the military or use exclusively for military purposes.

LIVING OUTSIDE U.S. --

This includes all countries other than the United States as well

as territories such as Puerto Rico, Guam, and the U.S. Virgin

Islands. Hawaii and Alaska are considered INSIDE the

United States.


LIVING IN ANOTHER HOUSEHOLD IN U.S.

A household includes any place of private residence including

apartments, townhouses, houses, co-ops, mobile homes, boarding

rooms, etc. ‘In U.S.’ includes all the states in the United

States, including Hawaii and Alaska. It does NOT include the

U.S. territories such as Puerto Rico, Guam, or the U.S.

Virgin Islands.


RE66C

LIVING IN AN INSTITUTION --

A person is living in an institution if s/he is living in a

facility that provides continuous nursing and personal care

(i.e., provides 24 hour nursing care and is staffed with trained

medical personnel) or if s/he is living in a correctional

facility. Institutions include:


Nursing Homes --

An institution that provides continuous nursing and other

services to patients who are not acutely ill, but who need

nursing and personal services as inpatients. A nursing home

has permanent facilities and an organized professional staff.


Other Long-Term Care Institutions (Excluding Community-Based

Hospitals) --

An institution, other than a nursing home or a community

based hospital, that provides long-term care. Long-term care

is care for patients, regardless of age, who have chronic

diseases or disabilities, and who require preventative,

diagnostic, therapeutic, and supportive services over long

periods of time. Long term care may call on a variety of

health care professionals (such as physicians, nurses,

physical therapists, and social workers) as well as non-

professionals (family, others) and may be delivered in a

health care or other institution.


Other Non-Health Care Institutions --

This includes homes for juvenile delinquents, and jails or

prisons.


RE66D

LIVING OUTSIDE U.S. --

This includes all countries other than the United States as well

as territories such as Puerto Rico, Guam, and the U.S. Virgin

Islands. Hawaii and Alaska are considered INSIDE the

United States.


RE66F

RE66FOV

NOT YET BORN --

Person had not yet been born on date in question.


INSTITUTIONALIZED --

A person was institutionalized if s/he was living in a facility

that provides continuous nursing and personal care (i.e., provides

24 hour nursing care and is staffed with trained medical

personnel) or if s/he was living in a correctional facility.

Institutions include:


Nursing Homes --

An institution that provides continuous nursing and other

services to patients who are not acutely ill, but who need

nursing and personal services as inpatients. A nursing home

has permanent facilities and an organized professional staff.


Other Long-Term Care Institutions (Excluding Community-Based

Hospitals) --

An institution, other than a nursing home or a community

based hospital, that provides long-term care. Long-term care

is care for patients, regardless of age, who have chronic

diseases or disabilities, and who require preventative,

diagnostic, therapeutic, and supportive services over long

periods of time. Long term care may call on a variety of

health care professionals (such as physicians, nurses,

physical therapists, and social workers) as well as non-

professionals (family, others) and may be delivered in a

health care or other institution.


Other Non-Health Care Institutions --

This includes homes for juvenile delinquents, and jails or

prisons.


STUDENT UNDER 24 LIVING AWAY AT SCHOOL IN GRADES 1-12 --

Person was under 24 years old, usually lived in the household, but

was living at a boarding school or academy in grades 1-12. Grades

1-12 includes elementary school, middle school, high school (both

junior and senior high school). The school can be public,

private, military, or parochial.


STUDENT UNDER 24 LIVING AWAY AT POST-SECONDARY SCHOOL --

Person was under 24 years old, usually lived in the household, but

was living away at post-secondary school. If the person returned

to the RU on weekends, school holidays or vacations, we still

consider him/her as “living away at school”. Post-secondary

school includes:


Colleges or Universities --

Junior college, community college, four-year college or

university, nursing school or seminary where a college degree

is offered, and graduate school or professional school that

is attended after obtaining a degree from a 4-year

institution.


Other Training Schools after High School --

Secretarial school, mechanical or computer training school,

nursing school where a college degree is NOT offered, and any

other vocational, trade, or business school where a college

degree is not offered. The person need NOT have obtained a

high school diploma or equivalency to attend this type of

school.


ANOTHER HOUSEHOLD - NOT FULL-TIME MILITARY ON (DATE SHOWN ON CAPI

SCREEN) --

Person was a living in another household and was not on full-time

active duty in the Armed Forces. This includes persons who were

living in a different household. DO NOT include persons who were

living in an institution or were living away at school, either

grades 1-12 or post-secondary, in this category.


It is important to determine if the person being asked about was

on full-time active duty in the military (i.e., the Armed Forces

of the United States). DO NOT include persons who were on full-

time active duty in the military in this category. See definition

of full-time active duty in the Armed Forces below.


ANOTHER HOUSEHOLD OR MILITARY FACILITY-FULL-TIME MILITARY

ON (DATE SHOWN ON CAPI SCREEN) --

Person was a living in another household, military facility or

military academy AND was on full-time active duty in the Armed

Forces. This includes persons who were living in another

household or in a military facility. DO NOT include persons who

were living in an institution or were living away at school,

either grades 1-12 or post-secondary, in this category.


It is important to determine if the person being asked about was

on full-time active duty in the military (i.e., the Armed Forces

of the United States). Include only persons who WERE on full-time

active duty in the military in this category.


Person who are considered to be ON FULL-TIME ACTIVE DUTY IN THE

ARMED FORCES includes:


- Persons on full-time active duty in the Army, Navy, Air Force,

Marine Corps, or Coast Guard unit presently activated as part

of the regular Armed Forces.


- Persons in the Reserve Forces or National Guard called up to

active duty service for a period of three months or longer.


LIVING WITH THIS FAMILY (PERSON LEFT OFF ROSTER LAST INTERVIEW) --

Person was living with this family, but was not included as part

of the family during the previous interview.



RE73

RE73OV1

NOT YET BORN --

Person had not yet been born on the date in question.


INSTITUTIONALIZED --

A person was institutionalized if s/he was living in a facility

that provides continuous nursing and personal care (i.e., provides

24 hour nursing care and is staffed with trained medical

personnel)or if s/he was living in a correctional facility.

Institutions include:


Nursing Homes --

An institution that provides continuous nursing and other

services to patients who are not acutely ill, but who need

nursing and personal services as inpatients. A nursing home

has permanent facilities and an organized professional staff.


Other Long-Term Care Institutions (Excluding Community-Based

Hospitals) --

An institution, other than a nursing home or a community

based hospital, that provides long-term care. Long-term care

is care for patients, regardless of age, who have chronic

diseases or disabilities, and who require preventative,

diagnostic, therapeutic, and supportive services over long

periods of time. Long term care may call on a variety of

health care professionals (such as physicians, nurses,

physical therapists, and social workers) as well as non-

professionals (family, others) and may be delivered in a

health care or other institution.


Other Non-Health Care Institutions --

This includes homes for juvenile delinquents, and jails or

prisons.


STUDENT UNDER 24 LIVING AWAY AT SCHOOL IN GRADES 1-12 --

Person was under 24 years old, usually lived in the household, but

was living at a boarding school or academy in grades 1-12. Grades

1-12 includes elementary school, middle school, high school (both

junior and senior high school). The school can be public,

private, military, or parochial.


STUDENT UNDER 24 LIVING AWAY AT POST-SECONDARY SCHOOL --

Person was under 24 years old, usually lived in the household, but

was living away at post-secondary school. If the person returned

to the RU on weekends, school holidays or vacations, we still

consider him/her as “living away at school”. Post-secondary

school includes:


Colleges or Universities --

Junior college, community college, four-year college or

university, nursing school or seminary where a college degree

is offered, and graduate school or professional school that

is attended after obtaining a degree from a 4-year

institution.


Other Training Schools after High School --

Secretarial school, mechanical or computer training school,

nursing school where a college degree is NOT offered, and any

other vocational, trade, or business school where a college

degree is not offered. The person need NOT have obtained a

high school diploma or equivalency to attend this type of

school.


ANOTHER HOUSEHOLD (NOT MILITARY AT TIME OF NHIS) --

Person was a living in another household and was not on full-time

active duty in the Armed Forces on date of the NHIS interview.

This includes persons who were living in a different household,

either inside the U.S. or outside the U.S. DO NOT include persons

who were living in an institution or were living away at school,

either grades 1-12 or post-secondary, in this category.


It is important to determine if the person being asked about was

on full-time active duty in the military (i.e., the Armed Forces

of the United States) on the date of the NHIS interview. DO NOT

include persons who were on full-time active duty in the military

in this category. See definition of full-time active duty in the

Armed Forces below.


ANOTHER HOUSEHOLD OR MILITARY FACILITY (ON FULL-TIME ACTIVE DUTY IN

THE ARMED FORCES AT TIME OF NHIS) --

Person was a living in another household, military facility or

military academy and was on full-time active duty in the Armed

Forces on date of the NHIS interview. This includes persons who

were living in another household or in a military facility, either

inside the U.S. or outside the U.S. DO NOT include persons who

were living in an institution or were living away at school,

either grades 1-12 or post-secondary, in this category.


It is important to determine if the person being asked about was

on full-time active duty in the military (i.e., the Armed Forces

of the United States) on the date of the NHIS interview. Include

only persons who WERE on full-time active duty in the military in

this category.


Person who are considered to be ON FULL-TIME ACTIVE DUTY IN THE

ARMED FORCES includes:


- Persons on full-time active duty in the Army, Navy, Air Force,

Marine Corps, or Coast Guard unit presently activated as part

of the regular Armed Forces.


- Persons in the Reserve Forces or National Guard called up to

active duty service for a period of three months or longer.


LIVING WITH THIS FAMILY (PERSON LEFT OFF NHIS ROSTER) --

Person was living with this family at the time of the NHIS

interview, but was not included as part of the family during the

NHIS interview.



RE82

USUAL YEAR-ROUND PLACE OF RESIDENCE --

The place where person lives during the majority of a

calendar year.


RESIDENCE ONLY DURING SCHOOL YEAR --

Person lives at this household only during the months s/he is

attending school and lives elsewhere when not attending school.


SOME OTHER ARRANGEMENT --

This category covers living situations not covered by the above

two categories. For example, a child’s divorced parents have

joint custody of the child and the child lives 50% of the time

with his/her mother at one residence and the other 50% of the time

with his/her father at a different residence.



RE83

PRIMARY RESPONSIBILITY --

The person who is most often responsible for the health and health

care for the person being asked about. This includes making sure

the person being asked about receives all need health care (doctor

visits, dental visits, takes medications, etc.) and paying for

that health care.



RE97

MARRIED --

Refers to legal marriage. This includes common law marriages in

states where common law marriages are recognized (i.e., if state

law considers them married, we consider them married).


WIDOWED --

Spouse is deceased.


DIVORCED --

Legal cancellation of marriage.


SEPARATED --

Legal or informal separation due to marital discord. It is

necessary to probe further when a person is reported as

‘separated’ -- if the spouse is absent for reasons other than

marital discord, the ‘married’ category applies.


NEVER MARRIED --

Person has never been LEGALLY married. If the person has had

informal unions in the past but has never had a legal marriage,

s/he is included in this category even if s/he considered

themselves as living together as married partners.


If the respondent asks what is meant by marriage, tell him or her

that we are only interested in LEGAL married status for this

question. However, accept what the respondent tells you here

without attempting to reconcile the response with information

given previously concerning the marital status of the person. For

example, if a respondent tells you here that he is married, but

when you collected relationship information he told you that the

woman he is living with is his ‘partner’, you would code him here

as married and continue to the next person in the RU without

questioning his response. An answer indicating that an RU member

is ‘single’ or ‘not married’ should be probed to determine if s/he

has been married in the past or not.



RE103

REGULAR SCHOOL --

A school that advances a person toward an elementary or high

school diploma, or a college or professional school degree.


Regular school INCLUDES graded public, private, and parochial

schools, colleges, universities, graduate and professional

schools, seminaries where a Bachelor’s degree is offered, junior

colleges specializing in skill training, colleges of education,

and nursing schools where a Bachelor’s degree is offered.


If the person attended school in another country, in an

un-graded school, in a ‘normal school’, under a tutor, or under

other special circumstances, ask the respondent to give the

nearest equivalent of years in regular U.S. school.


If the person attended school OUTSIDE OF THE ‘REGULAR’ SCHOOL

SYSTEM, you will need to probe to determine if the schooling is

applicable here. Use the following guidelines to determine if the

schooling should be included at this question:


Training Programs -

Count training received ‘on the job’, in the Armed Forces, or

through correspondence school ONLY if it was credited toward a

school diploma, high school equivalency (GED), or

college degree.


Vocational, Trade, or Business School -

Do NOT include secretarial school, mechanical or computer

training school, nursing school where a Bachelor’s degree is

not offered, and other vocational trade or business schools

outside the regular school system.


General Educational Development (GED) or High School Equivalency -

An exam certified equivalent of a high school diploma. If the

person has not actually completed all four years of high

school, but has acquired his/her GED (high school equivalency

based on passing the GED exam), count this as you would a high

school graduate and enter code ‘12’.


Adult Education -

Adult education classes should NOT be included as regular

school unless such schooling has been counted for credit in a

regular school system. If a person has taken adult education

classes but NOT FOR CREDIT, these classes should not be counted

as regular school. Adult education courses given in a public

school building are part of regular schooling only if their

completion can advance a person toward an elementary school

certificate, a high school diploma (or GED), or college degree.


GRADE OR YEAR --

For this study, we have classified grades 1 through 8 as

ELEMENTARY SCHOOL, and grades 9 through 12 as HIGH SCHOOL.

However, you should note that the final grade of elementary school

may be anywhere from grade 5 to grade 8, depending on the school

system. So, if the respondent says the person you are asking

about completed elementary school, probe to determine what grade

that represents.


Completing a given grade in school should be counted as the number

of years it NORMALLY takes to complete that grade level of

education, regardless of how many years it actually took the

person to finish. This means that for persons who skipped or

repeated grades in elementary school, you will enter the highest

grade completed REGARDLESS of the number of years they were in

school. This rule is true for elementary school through high

school and is especially relevant to college. For example, if the

person you are asking about is reported as having a ‘Bachelor’s

Degree’, it should be coded as ‘16’ (College - Fourth Year)

regardless of how many years it took him/her to receive it. Code

‘17’ (College - Five or More Years) should be entered only if the

person has completed one or more years of graduate or professional

school.



RE104

HAVE HIGH SCHOOL DIPLOMA --

A certificate that verifies that a person has successfully

completed the required courses of a high school curriculum. By

‘have a high school diploma’, we mean did the person graduate from

high school rather than literally do they have the document

bearing record of graduation.


PASSED GED --

A GED (general educational development) is an exam certified as

the equivalent to attaining a high school diploma.


RE105

BACHELOR’S DEGREE --

An educational degree given by a college or university to a person

who has completed a four-year course or its equivalent in the

humanities or related studies (B.A.) or in the sciences (B.S.).


MASTER’S DEGREE --

An educational degree given by a college or university to a person

who has completed a prescribed course of graduate study in the

humanities or related studies (M.A.) or in the sciences (M.S.).

It ranks above a bachelor’s degree and below a doctorate degree

and usually takes two years to complete.


DOCTORATE DEGREE --

The highest educational degree given by a college or university to

a person who has completed a prescribed course of advanced

graduate study. Examples include a Doctor of Philosophy (Ph.D.),

Doctor of Laws (J.D.), Doctor of Medicine (M.D.), etc.


NO DEGREE --

If the person has some years of college, but has not yet obtained

an educational degree, code ‘NO DEGREE’. For example, if the

person is in his/her last term towards earning a Bachelor’s

degree, code ‘NO DEGREE’.


OTHER --

If the person obtained an educational degree other than a

Bachelor’s, Master’s, or Doctorate degree, code ‘OTHER’. A high

school degree or GED is NOT considered an educational degree for

this question.



RE106

RE106OV1

RE108

RE108OV

PART-TIME --

A person is considered to be attending school part-time if s/he is

carrying less than a full load of class hours in a semester or

quarter.


FULL-TIME --

A person is considered to be attending school full-time if s/he is

carrying a full load of class hours in a semester or quarter.



RJ01A

MAIN JOB/BUSINESS --

If only one current job or business, that job/business is the

main one. If more than one current job or business, the

respondent should designate as main, the job he/she considers

the most important or the one worked the most hours. The main

job is not necessarily the job held the longest.


JOB --

A definite arrangement for regular work every week or

month, for pay or other compensation (e.g., profits,

anticipated profits, or pay in kind, such as room and

board). A job may also be a formal arrangement with one

or more employers to work on a continuing basis for a

specified number of hours per week or days per month, but

on an irregular schedule during the specified week or

month.


BUSINESS --

A business exists when one or more of the following conditions are

met: (1) Machinery or equipment of substantial value is in use in

conducting business, (2) an office, store or other place of

business is maintained, or (3) the business is advertised by

listing in the classified section of the phone book, displaying

a sign, distributing cards or leaflets, or any other methods

which publicize that the work or service is offered to clients.


EM01

EM02

EM03

EM04

JOB FOR PAY --

Paid work for wages, salary, commission, or pay ‘in kind’.

Examples of ‘pay in kind’ include meals, living quarters, or

supplies provided in place of wages. This definition of

employment INCLUDES work in the person’s own business,

professional practice, or farm, paid leaves of absence

(including vacations and illnesses), and work without pay in a

family business or farm run by a relative. This definition

EXCLUDES unpaid volunteer work (such as for a church or

charity), unpaid leaves of absences, temporary layoffs (such as

a strike), and work around the house.


JOB --

A definite arrangement for regular work every week or

month, for pay or other compensation (e.g., profits,

anticipated profits, or pay in kind, such as room and

board). A job may also be a formal arrangement with one

or more employers to work on a continuing basis for a

specified number of hours per week or days per month, but

on an irregular schedule during the specified week or

month.


BUSINESS --

A business exists when one or more of the following conditions

are met: (1) Machinery or equipment of substantial value is in

use in conducting business, (2) an office, store or other place

of business is maintained, or (3) the business is advertised by

listing in the classified section of the phone book, displaying

a sign, distributing cards or leaflets, or any other methods

which publicize that the work or service is offered to clients.


RJ07

RJ08

RJ08A

EM17

EM26

EM39

EM52

EM69

EM81

EM113

EM114

HEALTH INSURANCE --

Health benefits coverage, paid in whole or in part by the

employer, providing employees with health-related benefits.

Coverage may also include family members of the employee. A

health benefits plan may include the following:

hospitalization, major medical, surgical, prescriptions,

dental, and vision.



RJ10

JOB ENDED --

Voluntary or involuntary termination of employment based on the

completion or cancellation of a predetermined task or work

order. For example, construction workers may no longer be

employed due to the fact that a specific project has been

completed and no subsequent projects have begun.


BUSINESS DISSOLVED/SOLD --

Voluntary or involuntary cessation of operations by the owners

of the business.


RETIRED --

Voluntary termination of employment usually the result of reaching

a specified age and tenure. Also include situations in which the

person is no longer seeking main employment due to a retirement

decision.


ILLNESS OR INJURY --

Inability to work due to impairments, or physical or mental

health problems. The impairment or problem should be of such

severity that it incapacitates the individual and prevents

him/her from doing any kind of gainful employment.


LAID OFF --

Persons are on layoff if they are waiting to be recalled to a

job from which they were temporarily separated for business-

related reasons, such as temporary drops in demand, business

downturns, plant remodeling, material shortages, and inventory

taking. They must have either been given a date to report back

to work or, if not given a date, must expect to be recalled to

their job within six months.


QUIT TO HAVE A BABY --

Pregnant RU member voluntarily terminates employment due to the

birth of her child. If the RU member quits to take care of an

adopted child, code as ‘Quit to Take Care of Home or Family’.


QUIT TO GO TO SCHOOL --

RU member is no longer employed in order to attend classes at

any kind of public or private school, including trade or

vocational schools in which students receive no compensation in

money or kind, or only minimal educational stipends

(fellowship, scholarship).


QUIT TO TAKE CARE OF HOME OR FAMILY --

This answer category includes cases where an RU member ceases

employment in order to be in the household to take care of

household duties, children, and/or spouse. It also includes

cases where an RU member may quit in order to be available to

care for another family member who is ill, either in the RU

member’s home or elsewhere.


QUIT BECAUSE WANTED TIME OFF --

Voluntarily out of the labor force because of a desire for time

off.


QUIT TO TAKE ANOTHER JOB --

Voluntary termination of employment resulting from acceptance

of other employment opportunities.


UNPAID LEAVE --

An uncompensated leave of absence from a job. The absence must

be at least one work week or longer.



EM05

EM11

EM18

EM27

EM40

EM53

EM70

EM82

OE27

SELF-EMPLOYED --

Individuals working for profit or fee in a business or farm

they own. The business or farm may be incorporated or

unincorporated.



EM77

EM78

EM89

RETIRED --

Voluntary termination of employment usually the result of reaching

a specified age and tenure. Also include situations in which the

person is no longer seeking main employment due to a retirement

decision.



EM93

MORE THAN ONE LOCATION --

This question pertains to the establishment which directly

employs (pays) the RU member. A direct employer may have

facilities at more than one location. However, if the employer

is a franchise of a national or international firm with only

one location, then the employer is considered not to have

facilities in more than one location.



EM94

INCORPORATED --

Act which makes a business a taxable entity through establishment

of a charter and the satisfaction of all state and/or

federal regulations. Incorporated businesses act through its

officers as a distinct entity, with by-laws and publicly or

privately held stock.



EM95

SOLE PROPRIETORSHIP --

Unincorporated business owned by a single individual, needing

only a business license to operate.


PARTNERSHIP --

Unincorporated business owned by two or more individuals, needing

only a business license to operate.



EM96

PRIVATE COMPANY, INDIVIDUAL, OR ORGANIZATION --

Employees of an organization whose operations are owned by private

individuals and not a governmental entity.


FEDERAL GOVERNMENT --

Federal employees include individuals working for any branch of

the federal government, as well as elected officials and civilian

employees of the armed forces.


STATE GOVERNMENT --

State employees include individuals working for agencies of state

governments, as well as paid state officials, the state police,

and employees of state universities and colleges.


LOCAL GOVERNMENT --

Local government employees include individuals employed by

cities, towns, counties, parishes, and other local areas, as well

as employees of city-owned businesses, such as electric power

companies, water and sewer services, etc.


ARMED FORCES --

Non-civilian members of any of the armed services of the

federal government (Army, Navy, Air Force, Coast Guard, Marines).


FOREIGN (NON U.S.) GOVERNMENT --

Individuals who work for a government other than the U.S. This

includes all levels of government as long as it is non-U.S.


Do not use this answer category for individuals working at some

level of non-foreign government, but who work outside the

boundaries of the U.S. For example, a person working for the

U.S. State Department in Africa.



EM101

EM101OV1

JOB ENDED --

Voluntary or involuntary termination of employment based on the

completion or cancellation of a predetermined task or work

order. For example, construction workers may no longer be

employed due to the fact that a specific project has been

completed and no subsequent projects have begun.


RETIRED --

Voluntary termination of employment usually the result of reaching

a specified age and tenure. Also include situations in which the

person is no longer seeking main employment due to a retirement

decision.


ILLNESS OR INJURY --

Inability to work due to impairments, or physical or mental

health conditions. The impairment or condition should be of

such severity that it incapacitates the individual and prevents

him/her from doing any kind of gainful employment.


LAID OFF --

Persons are on layoff if they are waiting to be recalled to a job

from which they were temporarily separated for business-related

reasons, such as temporary drops in demand, business downturns,

plant remodeling, material shortages, and inventory taking.

They must have either been given a date to report back to work or,

if not given a date, must expect to be recalled to their job

within six months.


QUIT TO HAVE A BABY --

Pregnant RU member voluntarily terminates employment due to the

birth of her child. If the RU member quits to take care of an

adopted child, code as ‘Quit to Take Care of Home or Family’.


QUIT TO GO TO SCHOOL --

RU member is no longer employed in order to attend classes at

any kind of public or private school, including trade or

vocational schools in which students receive no compensation in

money or kind, or only minimal educational stipends

(fellowship, scholarship).


QUIT TO TAKE CARE OF HOME OR FAMILY --

This answer category includes cases where an RU member ceases

employment in order to be in the household to take care of

household duties, children, and/or spouse. It also includes

cases where an RU member may quit in order to be available to

care for another family member who is ill, either in the RU

member’s home or elsewhere.


QUIT BECAUSE WANTED TIME OFF --

Voluntarily out of the labor force because of a desire for time

off.


QUIT TO TAKE OTHER JOB --

Voluntary termination of employment resulting from acceptance

of other employment opportunities.



EM102

EM102OV1


BUSINESS DISSOLVED OR SOLD --

Voluntary or involuntary cessation of operations by the owners

of the business.


RETIRED --

Voluntary termination of employment usually the result of reaching

a specified age and tenure. Also include situations in which the

person is no longer seeking main employment due to a retirement

decision.


ILLNESS OR INJURY --

Inability to work due to impairments, or physical or mental

health conditions. The impairment or condition should be of

such severity that it incapacitates the individual and prevents

him/her from doing any kind of gainful employment.


STOPPED/LEFT BUSINESS TO HAVE A BABY --

Pregnant RU member voluntarily terminates, sells, or leaves a

business due to the birth of her child. If the RU member

leaves to take care of an adopted child, code as ‘Stopped/Left

Business to Take Care of Home or Family’.


STOPPED/LEFT BUSINESS TO GO TO SCHOOL --

RU member terminates, sells, or leaves a business in order to

attend classes at any kind of public or private school, including

trade or vocational schools in which students receive no

compensation in money or kind, or only minimal educational

stipends (fellowship, scholarship).


STOPPED/LEFT BUSINESS TO TAKE CARE OF HOME OR FAMILY --

This answer category includes cases where an RU member terminates,

sells, or leaves a business in order to be in the household to

take care of household duties, children, and/or spouse. It also

includes cases where an RU member may terminate, sell, or leave a

business in order to be available to care for another family

member who is ill, either in the RU member’s home or elsewhere.


STOPPED/LEFT BUSINESS BECAUSE WANTED TIME OFF --

Voluntarily terminated, sold, or left a business because of a

desire for time off.


STOPPED/LEFT BUSINESS TO TAKE OTHER JOB --

Business was voluntarily terminated, sold, or left in order to

accept an alternative position of employment.



EM104

EM111

ACTUAL HOURS WORKED PER WEEK --

The number of hours actually worked during a typical work week.

Hours worked will include overtime if the RU member worked

overtime for most of the weeks during the reference period.

The actual hours worked is often not the same as the hours on

which the person’s salary is based. In this question, we want

the ACTUAL hours spent working on the job, whether the hours

are paid or not. However, unpaid hours spent traveling to and

from work are never included in hours worked per week.



EM110

PENSION/RETIREMENT PLAN --

Employment benefit which provides income payments to employees

upon their retirement. Pension plans provide benefits to

employees who have met specified criteria, normally age and/or

length of service requirements. The two main types of pension

plans are:


- defined benefit plans: Retirees receive a fixed monthly

payment from their former employer, determined by years of

service and average earnings.


- defined contribution: Funds available to retirees are based on

their own contributions and any employer match made to an

account such as a 401(k) or 403(b) plan during working years.



EM115

CHOICE OF HEALTH INSURANCE PLANS --

Many employers/establishments offer, instead of one basic plan,

different types of enrollments that attempt to tailor coverage

to the needs of the employee. For each enrollment type, there

may be a different set of coverage provisions, a separate

premium rate, and a varying proportion of total cost assumed by

the employer. Plans may be called HMO, PPO, indemnity, high

deductible, etc.



EM116

EM117

LABOR UNION --

An organization of wage or salary earners formed for the

purpose of serving their collective interests with respect to

wages, working conditions, and benefits. Participation in a

labor union normally requires that the employee pay dues that

may be directly deducted from their gross wages or salary.



EM125

EM129

LOOKING FOR WORK --

Whether or not an RU member is looking for work is determined

by their activities while they have been jobless. Activities

which constitute an active job search are: registering at an

employment office; visiting, telephoning, or writing

applications to prospective employers; placing or answering

advertisements for a job; and being ‘on-call’ at a union hiring

hall.



EM126

EM126OV1

EM132

EM132OV1

EM141

EM141OV1

COULD NOT FIND WORK --

Unable to secure gainful employment while in an active job

search.


RETIRED --

Voluntary termination of employment usually the result of reaching

a specified age and tenure. Also include situations in which the

person is no longer seeking main employment due to a retirement

decision.


UNABLE TO WORK BECAUSE ILL/DISABLED --

Inability to work due to impairments, or physical or mental

health conditions. The impairment or condition should be of

such severity that it incapacitates the individual and prevents

him/her from doing any kind of gainful employment.


ON TEMPORARY LAYOFF --

Persons are on temporary layoff if they are waiting to be

recalled to a job from which they were temporarily separated

for business-related reasons, such as temporary drops in

demand, business downturns, plant remodeling, material

shortages, and inventory taking. They must have either been

given a date to report back to work or, if not given a date,

must expect to be recalled to their job within six months.


MATERNITY/PATERNITY LEAVE --

Paid or unpaid leave of absence due to pregnancy or care for a

newborn child.


GOING TO SCHOOL --

RU member is no longer employed in order to attend classes at

any kind of public or private school, including trade or

vocational schools in which students receive no compensation in

money or kind or only minimal educational stipends (fellowship,

scholarship).


TAKING CARE OF HOME OR FAMILY --

This answer category includes cases where an RU member ceases

employment in order to be in the household to take care of

household duties, children, and/or spouse. It also includes

cases where an RU member may quit in order to be available to

care for another family member who is ill, either in the RU

member’s home or elsewhere.


WANTED SOME TIME OFF --

Voluntarily out of the labor force because of a desire for time

off.


WAITING TO START NEW JOB --

Unemployment based on the timing of the interview. The RU

member has left one job, but has yet to begin work for a new

employer, although the RU member has been officially hired by

the second employer.



EM127

EM127OV1

EM133

NO OTHER REASONS --

No additional reasons for the period of unemployment or unpaid

leave other than those specified in the previous question.



COULD NOT FIND WORK --

Unable to secure gainful employment while in an active job

search.


RETIRED --

Voluntary termination of employment usually the result of reaching

a specified age and tenure. Also include situations in which the

person is no longer seeking main employment due to a retirement

decision.


UNABLE TO WORK BECAUSE ILLNESS/DISABLED --

Inability to work due to impairments, or physical or mental

health condition. The impairment or condition should be of

such severity that it incapacitates the individual and prevents

him/her from doing any kind of gainful employment.


ON TEMPORARY LAYOFF --

Persons are on layoff if they are waiting to be recalled to a

job from which they were temporarily separated for business-

related reasons, such as temporary drops in demand, business

downturns, plant remodeling, material shortages, and inventory

taking. They must have either been given a date to report back

to work or, if not given a date, must expect to be recalled to

their job within six months.


MATERNITY/PATERNITY LEAVE --

Paid or unpaid leave of absence due to pregnancy or care for a

newborn child.


GOING TO SCHOOL --

RU member is no longer employed in order to attend classes at

any kind of public or private school, including trade or

vocational schools in which students receive no compensation in

money or kind, only minimal educational stipends (fellowship,

scholarship).


TAKING CARE OF HOME OF FAMILY --

This answer category includes cases where an RU member ceases

employment in order to be in the household to take care of

household duties, children, and/or spouse. It also includes

cases where an RU member may quit in order to be available to

care for another family member who is ill, either in the RU

member’s home or elsewhere.


WANTED SOME TIME OFF --

Voluntarily out of the labor force because of a desire for time

off.


WAITING TO START NEW JOB --

Unemployment based on the timing of the interview. The RU

member has left one job, but has yet to begin work for a new

employer, although the RU member has been officially hired by

the second employer.



EM128

WEEKS WORKED --

If a person worked at least two and one-half days out of the

week, count it as a full week.”


WORK FOR PAY --

Paid work for wages, salary, commission, or pay ‘in kind’.

Examples of ‘pay in kind’ include meals, living quarters, or

supplies provided in place of wages. This definition of

employment INCLUDES work in the person’s own business,

professional practice, or farm, paid leaves of absence

(including vacations and illnesses), and work without pay in a

family business or farm run by a relative. This definition

EXCLUDES unpaid volunteer work (such as for a church or

charity), unpaid leaves of absences, temporary layoffs (such as

a strike), and work around the house.



EM134

UNPAID LEAVE --

An uncompensated leave of absence from a job. The absence must be

at least one work week or longer.



EM138

EM138OV1

UNABLE TO WORK BECAUSE ILL/DISABLED --

Unpaid leave due to impairments, or physical or mental health

conditions. The impairment or condition should be of such

severity that it incapacitates the individual and prevents

him/her from doing any kind of gainful employment.


ON TEMPORARY LAYOFF --

Persons are on layoff if they are waiting to be recalled to a

job from which they were temporarily separated for business-

related reasons, such as temporary drops in demand, business

downturns, plant remodeling, material shortages, and inventory

taking. They must have either been given a date to report back

to work or, if not given a date, must expect to be recalled to

their job within six months.


MATERNITY/PATERNITY LEAVE --

Unpaid leave of absence due to pregnancy or care for a newborn

child.


GOING TO SCHOOL --

Unpaid leave relates to the fact that the RU member is no

longer employed in order to attend classes at any kind of

public or private school, including trade or vocational schools

in which students receive no compensation in money or kind, or

only minimal educational stipends (fellowship, scholarship).


TAKING CARE OF HOME OR FAMILY --

This answer category includes cases where an RU member ceases

employment in order to be in the household to take care of

household duties, children, and/or spouse. It also includes

cases where an RU member may quit in order to be available to

care for another family member who is ill, either in the RU

member’s home or elsewhere.


WANTED SOME TIME OFF --

Voluntarily out of the labor force because of a desire for time

off.



EM139

EM139OV1

NO OTHER REASONS --

No additional reasons for the period of unpaid leave other than

those specified in the previous question.


UNABLE TO WORK BECAUSE ILL/DISABLED --

Unpaid leave due to impairments, or physical or mental health

conditions. The impairment or condition injury should be of

such severity that it incapacitates the individual and prevents

him/her from doing any kind of gainful employment.


ON TEMPORARY LAYOFF --

Persons are on layoff if they are waiting to be recalled to a

job from which they were temporarily separated for business-

related reasons, such as temporary drops in demand, business

downturns, plant remodeling, material shortages, and inventory

taking. They must have either been given a date to report back

to work or, if not given a date, must expect to be recalled to

their job within six months.


MATERNITY/PATERNITY LEAVE --

Unpaid leave of absence due to pregnancy or care for a newborn

child.


GOING TO SCHOOL --

Unpaid leave relates to the fact that the RU member is no

longer employed in order to attend classes at any kind of

public or private school, including trade or vocational schools

in which students receive no compensation in money or kind, or

only minimal educational stipends (fellowship, scholarship).


TAKING CARE OF HOME OR FAMILY --

This answer category includes cases where an RU member ceases

employment in order to be in the household to take care of

household duties, children, and/or spouse. It also includes

cases where an RU member may quit in order to be available to

care for another family member who is ill, either in the RU

member’s home or elsewhere.


WANTED SOME TIME OFF --

Voluntarily out of the labor force because of a desire for time

off.



EM140

WITHOUT A JOB --

The person has not had any type of job for pay for at least one

consecutive year of more.


JOB FOR PAY -

Paid work for wages, salary, commission, or pay ‘in kind’.

Examples of ‘pay in kind’ include meals, living quarters, or

supplies provided in place of wages. This definition of

employment INCLUDES work in the person’s own business,

professional practice, or farm, paid leaves of absence

(including vacations and illnesses), and work without pay in a

family business or farm run by a relative. This definition

EXCLUDES unpaid volunteer work (such as for a church or

charity), unpaid leaves of absences, temporary layoffs (such

as a strike), and work around the house.


JOB -

A definite arrangement for regular work every week or

month, for pay or other compensation (e.g., profits,

anticipated profits, or pay in kind, such as room and

board). A job may also be a formal arrangement with one

or more employers to work on a continuing basis for a

specified number of hours per week or days per month, but

on an irregular schedule during the specified week or month.



EW01

SALARIED --

Salaried employees are paid to perform a job regardless of the

number of hours worked. These employees are not paid on an

hourly basis and may not receive compensation for hours worked

beyond 40 hours per week. In essence, there is little to no link

between compensation and scheduled hours.


PAID BY THE HOUR --

Method of payment in which earnings are paid for each hour

worked. Each straight-time hour is paid at the same rate and

the rate is not dependent on any measure of straight-time hours

worked.


PAID SOME OTHER WAY --

Other means of payment for work include being paid on

commission, paid with bonuses, and payment by the day,

piecework, job, or mile.



EW02

EW02OV1

BY THE DAY --

Method of payment where the period of employment for which

wages are dispersed is one working day. A common example is

child day care where workers may be compensated for each day

worked (not on an hourly or yearly basis).


PIECEWORK --

A method of incentive wage payment where earnings are based on

a constant rate of pay for each unit of output. For example,

$3.50 for each garment produced.


COMMISSION --

A method of incentive payment paid in addition to or in lieu of

a base rate, based upon business created or sales confirmed.

The commission period and the base rate period need not be of

the same length. For example, the commission period could be

monthly, daily, or hourly.


BONUS --

Special cash payments. Sometimes bonuses are given as a reward

for an employee’s production in excess of a quota or for

completion of a job in less than a standard time period.

Bonuses may also be paid by the employer to those employees who

meet certain criteria (e.g., one year of continuous employment

with the establishment) or they may be lump sum payments to all

employees (e.g., Christmas bonuses). Payments may be graduated

according to a worker’s length of service, position in the

organization, or a combination of these and other criteria.


BY THE JOB/MILE --

Method of payment based on each mile driven or job completed.



EW17

HOURS WORKED PER WEEK (ON WHICH SALARY BASED) --

The number of hours worked per week on which the person’s

salary is based is often not the same as the hours actually

worked. In this question, we want the number of hours on which

the SALARY IS BASED, regardless of how many actual hours the

person works during the week. Overtime hours should not be

included. By definition, salaried RU members are not

compensated for overtime.



EW19

EW19OV1

EW19OV2

DOES NOT WORK OVERTIME --

An employee who does not work more than the standard number of

hours in a set work schedule, normally 40 hours per week or 8

hours per day, would be coded in this category.


STRAIGHT TIME --

Method of compensation for any work in excess of the normal

work schedule. Straight time payment reimburses overtime work

at the same hourly rate as non-overtime work.


TIME AND A HALF --

Method of compensation for any work in excess of the normal

work schedule. Time and a half payment reimburses overtime

work at 1 and 1/2 the same hourly rate as non-overtime work.


COMP TIME --

Method of compensation for any work in excess of the normal

work schedule. In lieu of monetary compensation, ‘compensatory

time’ reimburses overtime work with paid time off.


EXACT AMOUNT --

Flat amount not derived from the straight time wage.



EW23

EW23OV1

EW23OV2

TIPS --

Customer payment above amount owed, rendered as supplemental

compensation for an employee.


BONUSES --

Special cash payments. Sometimes bonuses are given as a reward

for an employee’s production in excess of a quota or for

completion of a job in less than a standard time period.

Bonuses may also be paid by the employer to those employees who

meet certain criteria (e.g., one year of continuous employment

with the establishment) or they may be lump sum payments to all

employees (e.g., Christmas bonuses). Payments may be graduated

according to a worker’s length of service, position in the

organization, or a combination of these and other criteria.


COMMISSIONS --

A method of incentive payment paid in addition to or in lieu of

a base rate, based upon business created or sales confirmed.

The commission period and the base rate period need not be of

the same length. For example, the commission period could be

monthly, daily, or hourly.



HX03

HX03OV1

HX04

PROFESSIONAL ASSOCIATION --

An organization of individuals that share a professional

affiliation (for example, the American Medical Association).

Membership may include the right to buy health insurance through

the organization or association.


SMALL BUSINESS GROUP --

A group of small businesses that band together to negotiate better

deals on health insurance for their employees than they could each

negotiate on their own.


UNION --

An organization of wage or salary earners formed for the purpose

of serving their collective interests with respect to

wages, working conditions, and benefits. Participation in a labor

union normally requires that the employee pay dues that may be

directly deducted from their gross wages or salary.


HEALTH INSURANCE PURCHASING ALLIANCE --

An organization which allows individuals or small employers to

band together in order to buy insurance at more favorable

premium rates. Its basic functions are to bargain with and

purchase health insurance on behalf of consumers and to furnish

information to consumers on the services provided, evaluations of

the quality of care available, and price of competing health care

sources.


They may also be referred to as an:

- HA: health alliances,

- HIPC: health insurance purchasing corporations,

- HIPC: health insurance purchasing cooperative, or

- HPPC or HICK-PIX: health plan purchasing

cooperative.


INSURANCE AGENT --

An individual primarily engaged in the business of selling

insurance policies to the public.


INSURANCE COMPANY --

A corporation primarily engaged in the business of selling

insurance policies to the public.


HMO (HEALTH MAINTENANCE ORGANIZATION) --

HMOs are a common type of insurance plan. If the respondent says

s/he is or has been covered by health insurance from an HMO,

accept her/his response. If the respondent needs clarification,

use the definition below.


HMOs are organizations that have responsibility for providing

comprehensive health care services in exchange for fixed periodic

payment. With an HMO, a person must generally receive their care

from HMO physicians; otherwise the expense is not covered unless

the person was referred by the HMO or there was a medical

emergency. With an HMO, the cost of a visit is typically covered

in full or you have to pay a fixed amount of money per visit.

HMOs can be sponsored by the government, medical schools,

hospitals, employers, labor unions, consumer groups, insurance

companies, and hospital-medical plans.


PREVIOUS EMPLOYER --

Health insurance purchased for this business through any former

employer. The RU member being asked about must have worked for

this employer at some point in the past.


PREVIOUS EMPLOYER (COBRA) -- Health insurance purchased for this

business through any former employer. The RU member being asked

about must have worked for this employer at some point in the

past. This health insurance must continue through COBRA.


COBRA is defined as insurance provided by a former employer. This

is a federal law that allows persons without any other group

health insurance to continue their employment-related coverage at

group rates for 18 to 36 months after having left a job. However,

the primary insured person or policyholder usually has to pay the

entire premium.



HX05

HX06

MEDICARE --

A Federal health insurance program for people 65 or older and for

certain persons under 65 with long-term disabilities. Almost

everyone with Social Security is covered by Medicare.


Medicare consists of three parts, A,B and D:


PART A -

Part A is called the Hospital Insurance Program. It helps

pay for inpatient care in a hospital or in a skilled nursing

facility, and for hospice care. It is

available to nearly EVERYONE 65 OR OLDER.


PART B -

Part B is called the Supplementary Medical Insurance Program.

It helps

pay for the doctor and surgeon services, outpatient hospital

services, medical equipment, and a number of other

medical services and supplies.


If a person chooses this additional insurance, the monthly

premium is deducted from his/her Social Security to obtain

coverage for Part B of Medicare.


PART D –

Medicare Part D coverage, also referred to as Medicare

prescription drug coverage, is insurance that covers both

brand-name and generic prescription drugs at participating

pharmacies. Everyone with Medicare can choose this additional

coverage, regardless of income and resources, health status,

or current prescription expenses.



HX08

The purpose of this question is to distinguish between persons that

receive Medicare because they are over 65 and persons who receive

Medicare due to a condition or disability. If the person you are

asking about receives Medicare because of a medical condition or

disability, code ‘1’ (Yes).


CONDITION --

A condition is a physical or mental health problem that can be

identified by a health care professional by examining you and by

using tests.


DISABILITY --

An inability to work or carry out

roles that individuals are generally expected to be able to do

because of limitations in physical or mental functioning

caused by impairments, or physical or mental health conditions.



HX09

SOCIAL SECURITY --

Social Security is also known as the

Old Age, Survivors and Disability Insurance program (OASDI), in

reference to its three parts:


RETIREMENT BENEFITS - The amount of the monthly benefit depends

upon previous earnings and upon the age at which the person

chooses to begin receiving benefits. The earliest age at which

benefits are payable is 62.


DISABILITY - A person who has worked long enough and recently

enough to be covered can receive benefits upon becoming totally

disabled, regardless of his or her age. The person must be unable

to continue in his or her previous job and unable to adjust to

other work; furthermore, the disability must be long-term (lasting

or expected to last for at least one year or to result in death).

The amount of the disability benefit payable depends on the

person's age and previous earnings.


SURVIVORS' BENEFITS - If a worker covered by Social Security dies,

a surviving spouse or children can receive survivors' benefits.

Sometimes, survivors' benefits are available to a divorced spouse.

Children cannot receive survivors' benefits after age 19 unless

the child was disabled before age 22.



HX10

PR09

PR11

MEDICAID/SCHIP --

Since respondents often confuse MediCAID and MediCARE, stress to

the respondent that for this question, s/he should consider

MEDICAID or the State Children’s health Insurance Program (SCHIP).

Medicaid is often known by different names in different

States, and is a Federally-assisted State-administered program.

This program offers health benefits to low income persons on

public assistance and, in some states, to those deemed medically

needy because their incomes are only slightly above public

assistance standards or because they have incurred substantial

medical bills. Most SSI (Supplemental Security Income) recipients

are covered by Medicaid, as are most TANF recipients and their

dependents. The aged, the blind, and the disabled who are in

financial need are also eligible for Medicaid.


The Children's Health Insurance Program (SCHIP) is a program which gives each state permission to offer health insurance for children, up to age 19, who are not already insured and for uninsured families with limited income and resources who earn too much to qualify for Medicaid. SCHIP is a state administered program and may be known by different names in different states.



HX12

PR19

PR21

TRICARE --

TRICARE is a health care program for active duty and retired

members of the uniformed services, their families, and survivors.

TRICARE offers eligible beneficiaries three choices for their

health care; TRICARE Prime – where military treatment facilities

are the principal source of health care; TRICARE Extra – a

preferred provider option; and TRICARE Standard – a fee-for-

service option (the old CHAMPUS Program). TRICARE for life covers

uniformed service beneficiaries who have attained the age of 65,

are Medicare-eligible, and have purchased Medicare Part B.



CHAMPVA --

CHAMPVA is a health care benefits program for the spouse or

widow(er) and for the children of a veteran who is rated

permanently and totally disabled due to a service-connected

disability, or died of a service-connected disability, or died on

active duty and the dependents are not otherwise eligible for

TRICARE benefits. Under CHAMPVA, the Veterans Administration

shares the cost of covered health care services and supplies with

eligible beneficiaries.



HX14

PR23

PR27

INSURANCE TYPES TO INCLUDE --

Any health insurance that is fully or partially paid for by state

funds (state sponsored) which provides hospital and physician

benefits. This does not include Medicaid or SCHIP(which should be

recorded at the Medicaid/SCHIP question) nor does it include plans

which do not provide hospital and physician benefits (these plans

should be recorded as state specific plans).

HX16

OTHER STATE PROGRAMS --

Any public program that provides health services administered by

the state that is NOT considered Medicaid or SCHIP. The programs

we are interested in appear on the CAPI screen and vary by state.

Typically, these programs DO NOT provide hospital and physician

benefits. Pharmacy assistance, AIDS drug assistance and kidney

disease programs are the most common types of other state specific

programs.


In addition to condition-specific programs, enrollment in a state

program such as TANF, SSI, WIC, Indian Health Service (IHS),

public health clinic access and VA health should also be included

at this item if the respondent mentions it.


DO NOT INCLUDE medical programs that use an alternative name such

as Medi-Cal, Public Assistance, SCHIP and Medical Assistance.


Selected state program definitions:


TANF --

This is a cash assistance program. TANF is know by

different names in different states. Temporary Assistance

for Needy Families (TANF) provides assistance and work

opportunities to needy families.


SSI --

Also known as Supplemental Security Income (SSI), this

federal program provides monthly cash payments in accordance

with uniform, nationwide eligibility requirements to persons

of all ages who are blind, disabled, or both needy and 65

years or older.


WIC --

This program provides food assistance and nutritional

screening to low-income pregnant and postpartum women and

their infants, as well as to low-income children up to age 5.

WIC is short for the Special Supplemental Food Program for

Women, Infants, and Children.


INDIAN HEALTH SERVICE (IHS) --

A Department of Health and Human Services health care program

that provides medical care to eligible American Indians and

Alaska Natives at IHS facilities and pays for the cost of

selected health care services at non-IHS facilities.


PUBLIC HEALTH CLINIC --

Clinics that are run by state and local Public Health

Departments to provide services such as prenatal care.


VETERANS’ ADMINISTRATION (VA) HEALTH CARE --

This program provides health care to veterans of the Armed

Forces.


HX17

HX17OV1

HX17OV2

HX17OV3

HX17OV4

HX17OV5

HX17OV6

PR35

PR37

STATE SPECIFIC PLANS --

The programs we are interested in appear on the CAPI screen and

vary by state. Typically, these programs DO NOT provide hospital

and physician benefits. Pharmacy assistance, AIDS drug assistance

and kidney disease programs are the most common types of other

state specific programs. If the respondent only mentions

enrollment in TANF, SSI, WIC, Indian Health Service (IHS), public

health clinic or VA, code ‘NONE OF THESE’ and record program at

HX18.



HX18

HX18OV1

HX18OV2

HX18OV3

HX18OV4

HX18OV5

PR39

PR40

PR41

PR42

TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) --

This is a cash assistance program. Temporary Assistance

for Needy Families (TANF) provides assistance and work

opportunities to needy families.


SSI (SUPPLEMENTAL SECURITY INCOME) --

This federal program provides monthly cash payments in accordance

with uniform, nationwide eligibility requirements to persons of

all ages who are blind, disabled, or both needy and 65 years or

older.


WIC (WOMEN, INFANTS AND CHILDREN) --

This program provides food assistance and nutritional screening to

low-income pregnant and postpartum women and their infants, as

well as to low-income children up to age 5. WIC is short for the

Special Supplemental Food Program for Women, Infants, and

Children.


IHS (INDIAN HEALTH SERVICE) --

A Department of Health and Human Services health care program that

provides medical care to eligible American Indians and Alaska

Natives at IHS facilities and pays for the cost of selected health

care services at non-IHS facilities.


PUBLIC HEALTH CLINIC --

Clinics that are run by state and local Public Health Departments

to provide services such as prenatal care.


VA (VETERANS ADMINISTRATION) --

This program provides health care to veterans of the Armed Forces.



HX22

HX23

HX23OV1

HX24

GROUP OR ASSOCIATION --

Includes many types of organizations, but principally groups like

the American Association of Retired Persons (AARP), church groups,

or clubs. It also may include professional associations. These

are organizations of individuals that share an interest or common

characteristics or professional affiliation (for example, the

American Medical Association). Membership may include the right

to buy health insurance through the organization or association.


HEALTH INSURANCE PURCHASING ALLIANCE --

An organization which allows individuals or small employers to

band together in order to buy insurance at more favorable premium

rates. Its basic functions are to bargain with and purchase

health insurance on behalf of consumers and to furnish information

to consumers on the services provided, evaluations of the quality

of care available, and price of competing health care sources.


They may also be referred to as an:

- HA: health alliances,

- HIPC: health insurance purchasing corporations,

- HIPC: health insurance purchasing cooperative, or

- HPPC or HICK-PIX: health plan purchasing

cooperative.


SCHOOL --

Health insurance purchased through a school that covered someone

in the RU during the reference period. Any type of school applies

here, whether it is a grade or high school, college, or

university, trade or vocational school, public or private, etc.


INSURANCE AGENT --

An individual primarily engaged in the business of selling

insurance policies to the public.


INSURANCE COMPANY --

A corporation primarily engaged in the business of selling

insurance policies to the public.


HMO (HEALTH MAINTENANCE ORGANIZATION) --

HMOs are a common type of insurance plan. If the respondent says

s/he is or has been covered by health insurance from an HMO,

accept her/his response. If the respondent needs clarification,

use the definition below.


HMOs are organizations that have responsibility for providing

comprehensive health care services in exchange for fixed periodic

payment. With an HMO, a person must generally receive their care

from HMO physicians; otherwise the expense is not covered unless

the person was referred by the HMO or there was a medical

emergency. With an HMO, the cost of a visit is typically covered

in full or you have to pay a fixed amount of money per visit.

HMOs can be sponsored by the government, medical schools,

hospitals, employers, labor unions, consumer groups, insurance

companies, and hospital-medical plans.


UNION --

An organization of wage or salary earners formed for the purpose

of serving their collective interests with respect to wages,

working conditions, and benefits. Participation in a labor union

normally requires that the employee pay dues that may be directly

deducted from their gross wages or salary.


ANYONE’S PREVIOUS EMPLOYER (COBRA) --

Health insurance purchased or obtained that covered an RU member

during the reference period through any former employer. An RU

member must have worked for this employer at some point in the

past. This health insurance must continue through COBRA.


COBRA is defined as insurance provided by a former employer. This

is a federal law that allows persons without any other group

health insurance to continue their employment-related coverage at

group rates for 18 to 36 months after having left a job. However,

the primary insured person or policyholder usually has to pay the

entire premium.


ANYONE’S PREVIOUS EMPLOYER (NOT COBRA) --

Health insurance purchased or obtained that covered an RU member

during the reference period through any former employer.

An RU member must have worked for this employer at some point

in the past.


SPOUSE’S/DECEASED SPOUSE’S PREVIOUS EMPLOYER --

Health insurance purchased or obtained that covered an RU member

during the reference period through a spouse’s or deceased

spouse’s former employer. This spouse or deceased spouse must

have worked for this employer at some point in the past.


SOME OTHER EMPLOYER --

Health insurance purchased or obtained from any other employer,

not already asked about that covered someone in the RU during the

reference period. This includes all employer types not already

described above and not talked about in the Employment Section.


UNDER PLAN OF SOMEONE NOT LIVING HERE --

This includes any type of health insurance provided to an RU

member during the reference period by someone who is not part of

the RU. For example, if a child is covered under his mother’s

insurance, with whom he does not live, code this category.


OTHER SOURCE --

This includes health insurance provided to an RU member by some

source not described above.



HX30A

PR01A


MEDICARE PART D –

Medicare Part D coverage, also referred to as Medicare

prescription drug coverage, is insurance that covers both brand-

name and generic prescription drugs at participating pharmacies.

Everyone with Medicare can choose this additional coverage,

regardless of income and resources, health status, or current

prescription expenses.



HX31

HX32

PR02

PR03

MEDICARE MANAGED CARE --

Medicare managed care plans are available in some areas of the

country. In most managed care plans, you can only go to doctors,

specialists, or hospitals on the plan’s list. Plans must cover

all services covered by Medicare. Some managed care plans cover

extras.


HX42

HX42OV1

MC01

PR13

PR29

HMO (HEALTH MAINTENANCE ORGANIZATION) --

HMOs are organizations that have responsibility for providing

comprehensive health care services in exchange for fixed periodic

payment. With an HMO, a person must generally receive their care

from HMO physicians; otherwise the expense is not covered unless

the person was referred by the HMO or there was a medical

emergency. With an HMO, the cost of a visit is typically covered

in full or you have to pay a fixed amount of money per visit.

HMOs can be sponsored by the government, medical schools,

hospitals, employers, labor unions, consumer groups, insurance

companies, and hospital-medical plans.



HX43

MC02

PR14

PR30

PRIMARY CARE DOCTOR --

A primary care doctor or provider is the person or place an

individual would go to if they had a new health problem, needed

preventive health care, or needed a referral to a specialist.

Examples of primary care providers include general practitioners,

family practitioners, pediatricians, internists, and some nurses

and nurse practitioners who make decisions regarding patient care.


ROUTINE CARE --

Health care that is considered usual and customary; that is, care

that is not for an emergency and not received from a specialist

that a person was referred to. Routine care usually consists of

the initial diagnosis and treatment of medical problems,

preventive health care, etc.


HX34

HX45

HX47A

HX61

PR16

PR22A

PR32

OE09A

OE23A

OE35A

PREMIUM --

A payment required in exchange for insurance policy coverage for a

specific period of time.


COPAYMENT --

A fixed sum that a beneficiary pays for health services,

regardless of the actual charge (the insurer pays the rest of the

actual charge). For example, the beneficiary may pay $10 for each

office visit, $75 for each day in the hospital, and $5 for each

drug prescription.


COINSURANCE --

Similar to a co-payment except that it is defined as a percent of

the total charges for the health care service. For example, a

beneficiary may pay 20% of charges for a visit to the doctor or

10% of charges for a hospital stay.


DEDUCTIBLE --

The amount of money an insured person must pay ‘at the front end’

before the insurer will pay. For example, if you have a plan with

a $100 deductible, you would be responsible for the first $100 of

your health care bills.



HX48

HX48OV1

HX48OV2

HX48OV3

HX48OV4

HX48OV5

HX48OV6

HX48OV7

HX48OV8

HX48OV9

HX48OV10

HX48OV11

HX48OV12

OE10

OE10OV1

OE10OV2

OE10OV3

OE10OV4

OE10OV5

OE10OV6

OE10OV7

OE10OV8

OE10OV9

OE10OV10

OE10OV11

OE10OV12

OE10OV13

OE24

OE24OV1

OE24OV2

OE24OV3

OE24OV4

OE24OV5

OE24OV6

OE24OV7

OE24OV8

OE24OV9

OE24OV10

OE24OV11

OE24OV12

OE24OV13

OE37

OE37OV1

OE37OV2

OE37OV3

OE37OV4

OE37OV5

OE37OV6

OE37OV7

OE37OV8

OE37OV9

OE37OV10

OE37OV11

OE37OV12

OE37OV13

HOSPITAL AND PHYSICIAN BENEFITS (INC. COVERAGE THROUGH AN HMO) --

This category represents insurance plans that cover beneficiaries

for health care services received from hospitals and physicians.

Do not include dental insurance, vision insurance, etc.


DENTAL --

This type of insurance covers the costs of specified aspects of

dental care, ranging from coverage of basic diagnostic,

preventive, and restorative services to coverage that includes

oral surgery and orthodontics.


PRESCRIPTION DRUGS --

Insurance that provides coverage for prescription drugs.

prescription drugs are those ordered by a physician or other

authorized medical person through written or verbal prescription

for a pharmacist to fill.


VISION --

Insurance that provides coverage for ophthalmologist, optometrist

and/or optician appointments, glasses, contact lenses, or other

vision corrections.


MEDICARE SUPPLEMENT/MEDIGAP --

Private insurance products that supplement Medicare insurance

benefits.


LONG-TERM CARE IN A NURSING HOME --

Refers to an insurance policy that pays ONLY for a nursing home or

other long term care.


Long term care does NOT include living in a ‘life care center’

even though long term care may be available as part of the living

arrangement. If the respondent mentions a ‘life care center’ as a

policy, record that information using the code ‘91’ (Other) and

record the name ‘life care center’ on the ‘Specify’ line. This

study does not consider this coverage to be health insurance.


EXTRA CASH FOR HOSPITAL STAYS --

These plans pay a specified amount of cash for each day or week

that a person is hospitalized. The cash payment is not related in

any way to the person’s hospital or medical bills, and can be used

for purposes other than paying medical expenses. For example, the

extra cash can be used to pay for child care when a parent is ill

or to replace income from lost work. This study does not consider

this coverage to be health insurance.


SERIOUS DISEASE OR DREAD DISEASE --

These plans are limited to only certain types of illnesses such as

cancer, stroke, or heart attacks. This study does not consider

this coverage to be health insurance.


DISABILITY --

This kind of insurance pays all or part of an employee’s salary

(and possibly medical care costs) if the employee becomes unable

to work due to physical or mental disability. The study does not

consider this coverage to be health insurance.


WORKERS’ COMPENSATION --

A system, required by law, of compensating workers injured or

disabled in connection with work. This system establishes the

liability of an employer for injuries or sickness that arise over

and in the course of employment. The liability is created without

regard to the fault or negligence of the employer. The benefits

under this system generally include hospital and other medical

payments and compensation for loss of income. This study does not

consider this coverage to be health insurance.


ACCIDENT --

Pays for medical services related to injuries of accidental

nature. Since the coverage is limited to accidents, such as car

accidents, the study does not consider this coverage to be health

insurance.



HX49

HX51

HX54

OE11

OE25

OE38

INSURANCE COMPANY --

A corporation primarily engaged in the business of furnishing

insurance protection for the public.


HMO (HEALTH MAINTENANCE ORGANIZATION) --

HMOs are organizations that have responsibility for providing

comprehensive health care services in exchange for fixed periodic

payment. With an HMO, a person must generally receive their care

from HMO physicians; otherwise the expense is not covered unless

the person was referred by the HMO or there was a medical

emergency. With an HMO, the cost of a visit is typically covered

in full or you have to pay a fixed amount of money per visit.

HMOs can be sponsored by the government, medical schools,

hospitals, employers, labor unions, consumer groups, insurance

companies, and hospital-medical plans.


SELF-INSURED COMPANY --

The company finances its employees’ health benefits, rather than

purchasing health insurance from an outside source. The company

may charge a premium to employees and the plan may be administered

by a third party.



HX50

HX50OV1

HX52

HX52OV1

OE11A

OE11AOV

OE25AA

OE25AAOV

OE38A

OE38AOV

At this question we are looking for the plan name or the product

name of the health insurance. Many times, an insurance company or

managed care organization will offer a choice of plans. Sometimes

these choices are called ‘high’ or ‘low’ option. Or the choice

within the plan may be ‘Silver’ or ‘Gold.’


LOW OPTION --

With a low option choice, the premiums are typically much lower,

however, the cost-sharing requirements are usually much higher.

For example, the percentage the family must pay for services

such as hospital stays, x-rays, outpatient visits, other

diagnostic tests, etc., after the deductible is met, is typically

higher, such as 25% versus 10% with a high option choice.


HIGH OPTION --

With a high option choice, the premiums are typically much

higher, however, the cost-sharing requirements are usually much

lower. For example, the percentage the family must pay for

services such as hospital stays, x-rays, outpatient visits,

other diagnostic tests, etc., after the deductible is met,

is typically lower, such as 10% versus 25% with a low option

choice.



HX60

PLAN LETTER --

Medigap insurance is designed to supplement coverage offered under

the Medicare program. Medigap policies sold after 1991 are

assigned a letter A through J. These letters indicate what kind

of coverage the Medigap policy offers.



HX66

HX66OV1

HX66OV2

HX66OV3

HX66OV4

HX66OV5

HX66OV6

HX66OV7

HX66OV8

HX66OV9

HX66OV10

HX66OV11

HX66OV12

HX66OV13

HX66OV14

HX66OV15

HX66OV16

HX78

HX78OV1

HX78OV2

HX78OV3

HX78OV4

HX78OV5

HX78OV6

HX78OV7

HX78OV8

HX78OV9

HX78OV10

HX78OV11

HX78OV12

HX78OV13

HX78OV14

HX78OV15

HX78OV16

OBTAINED THROUGH --


UNION -

An organization of wage or salary earners formed for the

purpose of serving their collective interests with respect to

wages, working conditions, and benefits. Participation in a

labor union normally requires that the employee pay dues that

may be directly deducted from their gross wages or salary.


PRIVATE EMPLOYER -

This category includes insurance obtained through employment

with a private company, individual or organization.

These are organizations whose operations are owned by private

individuals and not a government entity.


PUBLIC EMPLOYER (FEDERAL, STATE OR LOCAL GOVERNMENT)-

This category includes insurance obtained through employment

with a public employer, such as the federal, state or local

government.


FEDERAL employees include individuals working for any

branch of the federal government, as well as elected

officials and civilian employees of the armed forces.


STATE employees include individuals working for agencies

of state governments, as well as paid state officials,

the state police, and employees of state universities

and colleges.


LOCAL employees include individuals employed by cities,

towns, counties, parishes, and other local areas, as

well as employees of city-owned businesses, such as

electric power companies, water and sewer services, etc.


MEDICARE --

A Federal health insurance program for people 65 or older and

for certain persons under 65 with long-term disabilities.

Almost everyone with Social Security is covered by Medicare.


Medicare has of three parts, A, B and D:


PART A --

Part A is called the Hospital Insurance Program. It helps pay

for inpatient care in a hospital or in a skilled nursing

facility, and for hospice care. It is

available to nearly EVERYONE 65 OR OLDER.


PART B --

Part B is called the Supplementary Medical Insurance Program.

It helps pay for the

doctor and surgeon services, outpatient hospital services,

medical equipment, and a number of other medical

services and supplies.


If a person chooses this additional insurance, the monthly

premium is deducted from his/her Social

Security to obtain coverage for Part B of Medicare.


PART D –

Medicare Part D coverage, also referred to as Medicare

prescription drug coverage, is insurance that covers both

brand-name and generic prescription drugs at participating

pharmacies. Everyone with Medicare can choose this additional

coverage, regardless of income and resources, health status,

or current prescription expenses.



MEDICAID/SCHIP --

Since respondents often confuse MediCAID and MediCARE, stress to

the respondent that for this question, s/he should consider

MEDICAID or the State Children’s health Insurance Program (SCHIP).


Medicaid is often known by different names in different

States, and is a Federally-assisted State-administered program.

This program offers health benefits to low income persons on

public assistance and, in some states, to those deemed medically

needy because their incomes are only slightly above public

assistance standards or because they have incurred substantial

medical bills. Most SSI (Supplemental Security Income) recipients

are covered by Medicaid, as are most TANF recipients and their

dependents. The aged, the blind, and the disabled who are in

financial need are also eligible for Medicaid.


The Children's Health Insurance Program (SCHIP) is a program which

gives each state permission to offer health insurance for

children, up to age 19, who are not already insured and for

uninsured families with limited income and resources who earn too

much to qualify for Medicaid. SCHIP is a state administered

program and may be known by different names in different states.


TRICARE --

TRICARE is a health care program for active duty and retired

members of the uniformed services, their families, and survivors.

TRICARE offers eligible beneficiaries three choices for their

health care; TRICARE Prime – where military treatment facilities

are the principal source of health care; TRICARE Extra – a

preferred provider option; and TRICARE Standard – a fee-for-

service option (the old CHAMPUS Program). TRICARE for life covers

uniformed service beneficiaries who have attained the age of 65,

are Medicare-eligible, and have purchased Medicare Part B.


CHAMPVA --

CHAMPVA is a health care benefits program for the spouse or

widow(er) and for the children of a veteran who is rated

permanently and totally disabled due to a service-connected

disability, or died of a service-connected disability, or died on

active duty and the dependents are not otherwise eligible for

TRICARE benefits. Under CHAMPVA, the Veterans Administration

shares the cost of covered health care services and supplies with

eligible beneficiaries.


VA OR MILITARY HEALTH CARE --

This program provides health care to veterans of the Armed Forces.


PURCHASED DIRECTLY FROM --


GROUP OR ASSOCIATION -

Includes many types of organizations, but principally groups

like the American Association of Retired Persons (AARP),

church groups, or clubs. It also may include professional

associations. These are organizations of individuals that

share an interest or common characteristics or professional

affiliation (for example, the American Medical Association).

Membership may include the right to buy health insurance

through the organization or association.


INSURANCE AGENT -

An individual primarily engaged in the business of selling

insurance policies to the public.


INSURANCE COMPANY -

A corporation primarily engaged in the business of selling

insurance policies to the public.


HEALTH MAINTENANCE ORGANIZATION (HMO) --

HMOs are organizations that have responsibility for providing

comprehensive health care services in exchange for fixed periodic

payment. With an HMO, a person must generally receive their care

from HMO physicians; otherwise the expense is not covered by the

HMO unless the person was referred by the HMO or there was a

medical emergency. With an HMO, the cost of a visit is typically

covered in full or you have to pay a fixed amount per visit. HMOs

can be sponsored by the government, medical schools, hospitals,

employers, labor unions, consumer groups, insurance companies, and

hospital-medical plans.


OTHER GOVERNMENT SPONSORED PROGRAM --

Any health insurance that is fully or partially paid for by state

funds (state sponsored) which provides hospital and physician

benefits. This does not include Medicaid (which should be

recorded at the Medicaid question) nor does it include plans which

do not provide hospital and physician benefits (these plans should

be recorded as state specific plans).


OTHER PUBLIC PROGRAMS --


TANF -

This is a cash assistance program. Temporary

Assistance for Needy Families (TANF) provides

assistance and work opportunities to needy families.


SSI -

Also known as Supplemental Security Income (SSI), this

federal program provides monthly cash payments in accordance

with uniform, nationwide eligibility requirements to persons

of all ages who are blind, disabled, or both needy and 65

years or older.


STATE SPECIFIC PLANS -

The programs we are interested in can vary by state.

Typically, these programs DO NOT provide hospital and

physician benefits. Pharmacy assistance, AIDS drug assistance

and kidney disease programs are the most common types of other

state specific programs. Other examples include: Temporary Aid

For Needy Families (TANF), Supplemental Security Income (SSI),

Women, Infants, and Children (WIC), Indian Health Service

(HIS), public health clinics and Veterans’ Administration (VA)

health care.



HP01

GENERAL HEALTH COVERAGE --

Health insurance that covers a broad range of health care

services, including those caused by illnesses, disease, etc., as

well as, injuries and accidents.



HP09

HP10

HP11

HP11A

HP11B

POLICYHOLDER --

The person in whose name the policy is written or the primary

insured person.



HP12

HP12OV1

EMPLOYMENT --

Paid work for wages, salary, commission, or pay ‘in kind’.

Examples of ‘pay in kind’ include meals, living quarters, or

supplies provided in place of wages. This definition of

employment INCLUDES work in the person’s own business,

professional practice, or farm, paid leaves of absence (including

vacations and illnesses), and work without pay in a family

business or farm run by a relative. This definition EXCLUDES

unpaid volunteer work (such as for a church or charity), unpaid

leaves of absences, temporary layoffs (such as a strike), and work

around the house.


CURRENTLY EMPLOYED --

Person is employed at this establishment as of date of the

interview.


PREVIOUSLY EMPLOYED --

Person is not employed as of date of the interview, but has been

employed at this establishment in the past.


RETIRED --

Voluntary termination of employment usually the result of reaching

a specified age and tenure. Also include situations in which the

person is no longer seeking main employment due to a retirement

decision.


DECEASED --

The person is no longer living.



HP13

FEDERAL GOVERNMENT --

Federal employees include individuals working for any branch of

the federal government, as well as elected officials and civilian

employees of the armed forces.



HP14

OE14

OE16

COBRA --

Insurance provided by a former employer. This is a federal law

that allows persons without any other group health insurance to

continue their employment-related coverage at group rates for 18

to 36 months after having left a job. However, the primary

insured person or policyholder usually has to pay the entire

premium.



HP15

HP17

OE06

OE08A

OE20

OE22A

OE32

OE34A

OE44

OE47

DEPENDENT --

A person who is covered by an insurance policy purchased or

obtained by another individual (the policyholder).


PD10

CORE STREET NAME --

The core name is the street address without the street number, the

pre-directional, or any suite identifier. Do not include

punctuation in the core street name. Examples of core street

names are shown below.


ADDRESS CORE STREET NAME


149 N. COLUMBIA LANE COLUMBIA

2000 WILSON AVE., N.W. WILSON

832 S. 21ST ST., B-392 21ST



CL03

THIS SCREEN CONTAINS INSTRUCTIONS FOR FILLING OUT MPC AUTHORIZATION

FORMS, SIGNATURE RULES, LEAVING AFs WITH RESPONDENTS, AND COMPLETING

THE MPC AF LOG.


Prepare one Authorization Form for EACH person-provider pair

displayed by CAPI. Use a black pen. If no preprinted form is

available, use a blank MPC AF from your bulk supplies.


Instructions for filling out authorization forms:


1. Section A: Check or record the name, address, and telephone number

of the hospital or provider using the address information

displayed by CAPI. If a preprinted AF is used and a patient or

eligible proxy signer indicates any preprinted information is

incorrect, have the signer make the necessary changes and initial

each change.


2. Section B: Make sure patient or proxy signer reads the

authorization form statement, including footnotes. If the

signer cannot read, read the statement to him/her.


3. Section C: Check or record the patient’s name and date of birth.

If any corrections are necessary to the preprinted information,

have the patient or proxy signer make the necessary changes and

initial all changes. Ask the patient or proxy signer if medical

records may be filed under another name and record this

information in Item 3. Record the patient’s social security

number in Item 3A.


4. ‘FIELD USE ONLY’ SECTION: Record the RU ID, PROVID (4 digits) and

PID (3 digits) in the appropriate spaces. All are displayed by

CAPI. DO NOT USE THE RU MINI LABEL ON AUTHORIZATION FORMS. Record

your Interviewer ID (FIID) in the bottom right corner.


5. The patient and/or proxy signer needs to sign and date the form in

Sections D&E, using the following guidelines:


IF PATIENT IS: THEN FORM SHOULD BE SIGNED BY:


a. Age 18 or older Only patient for Items 4 and

5, unless one of d-f applies


b. Age 14 through 17 Patient and Parent or guardian

(Items 4-9)


c. Age 13 or younger Parent (Items 6-9)


d. Unable to sign but Patient and Witness

able to make mark (Items 6-9)

e. Deceased Proxy (Items 6-9)


f. Unable to sign name Proxy (Items 6-9)

or make mark


6. Section E: If proxy signer, make sure the ‘reason for proxy’ is

marked and the relationship to person is completed.


IMPORTANT: All Authorization Forms must be signed and dated. If a

proxy signs (Item 6) then Item 7 (Date Signed), Item 8 (Signer’s

Relationship to Patient) and Item 9 (Reason for Proxy Signature)

must be completed.


7. Complete AF log for any AFs that were not signed and obtained, for

example, AFs that were refused or not collected.


For each absent person who needs to sign an authorization form,

prepare an AF with Sections A, C, and ‘Field Use Only’ filled out.

CIRCLE the item numbers on the lines corresponding to Item 3 (Other

Name), Item 3A (Social Security Number) and the appropriate lines for

patient and/or proxy signature and date (Items 4-9) to indicate which

items need to be completed by the absentee signer(s).


Insert the prepared authorization form into the back pocket of the MPC

Authorization Form Booklet. Make arrangements for authorization form

follow up either by mail or an in-person visit. If possible, make an

appointment to return to the RU within 10 days to pick up any

outstanding forms. If the AFs are to be returned by mail, be sure to

include a postage-paid envelope with the materials left with the MPC

Authorization Form Booklet.


Enter the AF Status in CAPI for each person-provider pair.


Complete the MPC Authorization Form Log for each person-provider pair

displayed by CAPI for which you did not collect an Authorization Form.


- If the AF is new this round, record the patient’s name, the name

of the provider in column two, and write NEW in column three.


- The fourth column, ‘status from a previous round’, will indicate

the CAPI status from the previous round IF the authorization form

is outstanding.


- The fifth column allows you to place a checkmark to indicate that

you obtained a signature on an outstanding authorization form.


- If arrangements have been made to follow up on any outstanding

authorization forms, use the ‘Comments’ column, as necessary, to

record the date and time of your return visit. Enter the AF Status

in CAPI for each person-provider pair.



CL04

CL04OV1

CL04OV2

SIGNED, NO PROBLEM: If you code ‘1’ you are required to enter

the date on which the authorization form was signed and the MPC

authorization form number.


SIGNED, WITH PROBLEM: Code ‘2’ if there is a problem with a

signed form. Describe the problem as well as enter the date the

authorization form was signed and the MPC authorization form number.


LEFT WITH RESPONDENT: Code ‘3’ if the eligible RU member is not

present. Leave the Authorization Form Booklet and prepared

authorization form with the respondent to give to that person.

No additional information is required in CAPI with this

authorization form status.


MAILED TO RESPONDENT: Code ‘4’ if the eligible RU member is a

student away at school or is away for an extended period of time.

Mail the Authorization Form Booklet and completed authorization

form to that person. No additional information is required in

CAPI with this code.


REFUSED: Enter a status code of ‘5’ if the RU member refuses to sign

the authorization form. A followup question as to the reason for the

refusal is asked.


If possible, leave the Authorization Form Booklet and prepared

authorization form with the respondent or RU member in case he or

she reconsiders.


OTHER: Code ‘91’ if none of the above authorization form status

codes apply. Specify the reason for using this code. Leave the

Authorization Form Booklet and prepared authorization form with

the RU member or respondent.



CL31

THIS SCREEN CONTAINS INSTRUCTIONS FOR FILLING OUT PHARMACY

AUTHORIZATION FORMS, SIGNATURE RULES, LEAVING AFs WITH RESPONDENTS,

AND COMPLETING THE PHARMACY AF LOG.


Prepare one authorization form for EACH person-pharmacy pair displayed

by CAPI. If the preprinted Pharmacy authorization form cannot be

located, use a blank AF from your bulk supplies.

Instructions for filling out Pharmacy authorization forms:


1. Section A: Check or record the name, address, and telephone

number information for the pharmacy. This information is

displayed by CAPI. If the person or eligible proxy signer

indicates any preprinted information is incorrect, have the signer

make the necessary changes and initial each change.


2. Section B: Make sure the person or proxy signer reads the

authorization form statement, including footnotes. If the

signer cannot read, read the statement to him/her.


3. Section C: Check or record the person’s name and date of birth.

If any corrections are necessary to the preprinted information,

have the person or proxy signer make the necessary changes and

initial all changes. Ask the person or proxy signer if

prescription records may be listed under another name and record

this information in Item 3. Record the person’s social security

number in Item 3A.


4. ‘FIELD USE ONLY’ Section: Record the RUID, PHARID (4 digits) and

PID (3 digits) in the appropriate spaces. All are displayed by

CAPI. DO NOT USE RU MINI LABELS ON AUTHORIZATION FORMS. Record

your interviewer ID (FIID) in the bottom right corner.


5. The person and/or proxy needs to sign and date the form in

Sections D&E using the following guidelines:


IF PERSON IS: THEN FORM SHOULD BE SIGNED BY:


a. Age 18 or older Patient only (Items 4 and 5,

unless one of d-f applies)


b. Age 14 through 17 Patient and parent or guardian

(Items 4-9)


c. Age 13 or younger Parent or guardian (Items 6-9)


d. Unable to sign name Patient and witness (Items 6-9)

but able to make mark


e. Deceased Proxy (Items 6-9)


f. Unable to sign name Proxy (Items 6-9)

or make mark


Section E: If proxy, make sure reason for proxy is marked and

relationship to person is completed.


IMPORTANT: All authorization forms MUST BE signed and dated. If a

proxy signs (Item 6), then Item 7 (Date Signed), Item 8 (Signer’s

Relationship to Person), and Item 9 (Reason for Proxy Signature) must

be completed.


For each absent person who needs to sign a Pharmacy authorization

form, prepare a Pharmacy AF with sections A, C, and ‘FIELD USE ONLY’

filled out. CIRCLE the item numbers on the lines corresponding to

Item 3 (Other Names), Item 3A (Social Security Number), and the

appropriate lines for person and/or proxy signature and date (Items

4-9) to indicate which items need to be completed by absentee

signer(s).


Insert the prepared authorization form(s) into the pocket of

the Pharmacy Authorization Form Booklet. Make arrangements for

authorization form followup either by mail or an in-person visit.

If possible, make an appointment to return to the RU within 10 days

to pick up any outstanding authorization forms. If the AFs are to

be returned by mail, be sure to include a postage-paid envelope with

the other materials left with the Authorization Form Booklet.


Enter the AF status in CAPI for each pharmacy-person pair.


Complete the Authorization Form Log for each pharmacy-person pair

displayed by CAPI for which you did not obtain a complete AF.


- If the AF is new this round, record the patient’s name, the name

of the provider in column two, and write NEW in column three.


- The fourth column, ‘status from a previous round’, will indicate

the CAPI status from the previous round IF the authorization form

is outstanding.


- The fifth column allows you to place a checkmark to indicate that

you obtained a signature on an outstanding authorization form.


- If arrangements have been made to follow up on any outstanding

authorization forms, use the ‘Comments’ column, as necessary, to

record the date and time of your return visit. Enter the AF Status

in CAPI for each person-provider pair.



CL32

CL32OV1

CL32OV2

SIGNED, NO PROBLEM: If you code ‘1’ you are required to enter the

date on which the authorization form was signed and the Pharmacy

authorization form number.


SIGNED, WITH PROBLEM: Code ‘2’ if there is a problem with a

signed form. You are required to describe and enter the Pharmacy

authorization form number.


LEFT WITH RESPONDENT: Code ‘3’ if the eligible RU member is not

present. Leave the Authorization Form Booklet and prepared

authorization form with the respondent to give to that person. No

additional information is required in CAPI with this authorization

form status.


MAILED TO RESPONDENT: Code ‘4’ if the eligible RU member is a student

away at school or is away for an extended period of time. Mail the

Authorization Form Booklet and prepared authorization form to that

person. No additional information is required in CAPI with this code


REFUSED: Enter a status code of ‘5’ if the RU member refuses to sign

the authorization form. A followup question as to the reason for the

refusal is asked.


If possible, leave the Authorization Form Booklet and prepared

authorization form with the respondent or RU member in case he or

she reconsiders.


OTHER: Code ‘91’ if none of the above authorization form status

codes apply. Specify the reason for using this code. Leave the

Authorization Form Booklet and prepared authorization form with the

RU member or respondent.



CL35

Prepare a self-administered questionnaire (SAQ) entitled, ‘A Survey of

Your Health Opinions’ for each member of the RU who is at least 18

years old and is a member of the RU on the date of the Round 2 or 4

interview. This information is displayed by CAPI. Use the following

guidelines:


- Record the name of the person, the PID, the date of birth and the

current date.


- Distribute a gift pen with each SAQ.


SAQs may be completed either before you leave the RU, or later and

returned by mail. Be sure to leave a prepared SAQ, gift pen and

envelope with the respondent for each eligible RU member who is not

available at the time of the interview. Outstanding SAQs may be

collected during a follow up visit ONLY IF you will be returning to

collect Authorization Forms.



CL38

In Round 2 or 4, every RU member who was 18 years of age or older and

Part of the RU on the Round 2 or 4 interview date was asked to

complete A Survey of Your Health and Health Opinions.


Persons requested to complete this survey may have returned the survey

while the interviewer was in the household or some may have preferred

to complete it late and mail it back to the home office.


For each person displayed on the CAPI roster, an SAQ was either not

collected at the time of the Round 2 or 4 interview or was not

received by the home office. For these people, we would like to

collect the SAQ now.


If the respondent or eligible person does not recall the SAQ, show an

example to help refresh his/her memory. If the respondent or eligible

person mentions that the SAQ was lost or misplaced, distribute a blank

SAQ to each person whose name is displayed on the CAPI screen (or has

mentioned that a new SAQ is needed). If the person is unavailable at

the time of the interview, leave this SAQ(s)and a mailing envelope

with the respondent. Use the following guidelines to prepare an SAQ.


- Record the name of the person, the PID, the date of birth and the

current date.


- Distribute a gift pen with each SAQ.


SAQs may be completed either before you leave the RU, or later and

returned by mail.

Outstanding SAQs may be collected during a followup visit ONLY IF you

will be returning to collect Authorization Forms.



AC05

AC07

AC08

AC09

USUAL SOURCE OF HEALTH CARE --

The particular medical person, doctor’s office, clinic, health

center, or other place a person would usually go to if he or she

was sick or needed advice about his or her health.



AC11

HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT --

A unit of a hospital, a facility, or ‘urgent care center’

owned by or affiliated with a hospital. The hospital clinic or

outpatient department provides health and medical services to

individuals who do not require hospitalization overnight and may

also provide general primary care.


Do NOT include ‘urgent care centers’ which are not owned by,

or affiliated with a hospital. Urgent care centers which are

NOT affiliated with or owned by a hospital should be coded as

a Medical Provider visit.


Examples of outpatient departments include:


- well-baby clinics/pediatric OPD;

- obesity clinics;

- eye, ear, nose, and throat clinics;

- cardiology clinic;

- internal medicine department;

- family planning clinics;

- alcohol and drug abuse clinics;

- physical therapy clinics; and

- radiation therapy clinics.


HOSPITAL EMERGENCY ROOM --

A medical department at a hospital that is open 24 hours a day

where no appointment is necessary in order to receive care.

Medical care may be administered by a physician, nurse, physician

assistant, or other medical provider. Do NOT include ‘urgent

care centers’, which are owned by, or affiliated with a hospital.

Visits made to that type of facility should be coded as an

outpatient department visit.



OTHER KIND OF PLACE --

A medical place that is not a hospital outpatient department or

clinic or a hospital emergency room. Include in this category

group practices, private doctor’s offices, health clinics, walk-in

surgi-center/clinics and urgi-centers/clinics not owned by or

affiliated with a hospital, company or school clinics,

infirmaries, neighborhood health clinics, family planning centers,

and mental health facilities.


AC15

MEDICAL DOCTOR --

Include both doctors of medicine (M.D.) and doctors of

osteopathy (D.O.). Specific examples of physicians include:


allergists obstetricians

anesthesiologists ophthalmologists

cardiologists orthopedists

dermatologists otolaryngologists

endocrinologists (ear, nose, & throat doctor)

family practice physicians pediatricians

gastroenterologists psychiatrists

general physicians physiatrist (rehab medicine)

geriatricians radiologists

gynecologists surgeons (any)

internists urologists

neurologists


Types of providers NOT to be counted as medical doctors

are chiropractors, dentists, nurses, optometrists,

paramedics, podiatrists, psychologists.


AC16

NURSE --

Includes several types of nursing specialists, such as

registered nurse (RN), licensed practical nurse (LPN),

nurse’s aide, occupational health nurse, community health

nurse, or public health nurse (PHN).


NURSE PRACTITIONER --

A registered nurse (RN) who has completed additional training

beyond basic nursing education. They have qualifications

which permit them to carry out expanded health care evaluation

and decision-making regarding patient care.


PHYSICIAN’S ASSISTANT --

A Physician Assistant (PA) is a medical person who provides

health care services with the direction and supervision of a

doctor of medicine (MD) or osteopathic physician (DO).

Physician Assistants train for several years in order to earn

the certification to perform diagnostic, therapeutic,

preventive, and health maintenance services. Not to be

confused with non-medical persons who also ‘assist’ the

physician.


MIDWIFE --

A female who practices the art of aiding in the delivery of

babies.


CHIROPRACTOR --

Medical persons who practice a system of medicine based on the

principles that the nervous system largely determines the

state of health and that disease results from nervous system

malfunctioning. Treatment consists primarily of the

adjustment and manipulation of parts of the body, especially

the spinal column.



AC22

AC22OV1

AC22OV2

AC22OV3

AC22OV4

PREVENTIVE HEALTH CARE --

The provider in question provides coverage for care or

services that prevent physical or mental health problems.

Preventive health care or service may include things such as:

immunizations, routine physicals, cholesterol checks, prenatal

care, ‘stop smoking’ classes, nutritional advice, etc.


REFERRAL --

Some health insurance plans require that individuals get

authorization before consulting a specialist. This authorization

is a referral.



AP12

DENTAL CHECK-UP -

A visit to a dental care provider to check the health status of

the person’s teeth. It often includes examination, x-rays and/or

cleaning and polishing of the teeth.



AP16

BLOOD CHOLESTEROL CHECK -

A blood cholesterol check requires taking a blood sample from the

person. The blood is then analyzed to determine the level of

cholesterol it contains. Cholesterol is a type of fatty substance

found in animal fats, blood, nerve tissue, and bile. High levels of

cholesterol are thought to be a factor in coronary heart disease.



AP18

FLU SHOT -

A flu shot protects a patient against “influenza,” also called the

flu. The shot is usually given in the arm and can help to prevent

the patient from catching a severe respiratory infection that can

be caused by the flu virus. If the respondent reports receiving the

‘Nasal Spray vaccination’ instead of a traditional ‘flu shot’,

count this as receiving a flu shot.



AP18 NEW HELP TEXT – Sent via revised problem sheet on 8/16/07

==== Based on Spec mark-up dated 6/13/07


A flu vaccination protects a patient against “influenza,” also called the flu.  The vaccine, which may be in the form of a shot given in the arm or a nasal spray, can help to prevent the patient from catching a severe respiratory infection that can be caused by the flu virus.



AP20A


HYSTERECTOMY -

A hysterectomy is an operation in which the uterus or womb is

surgically removed.



AP20

PAP SMEAR TEST -

A PAP or Papaniculou smear is a test used to screen for cervical

cancer. A speculum is placed into the vagina and a sample of cells

is sent to the lab for analysis.



AP28

MODERATE OR VIGOROUS PHYSICAL ACTIVITY –

Moderate physical activity causes only light sweating or a slight

or moderate increase in breathing or heart rate and would include

activities such as fast walking, raking leaves, mowing the lawn,

or heavy cleaning. Vigorous physical activity causes heavy sweating

or large increases in breathing or heart rate and would include

activities such as running, race walking, lap swimming, aerobics

classes, or fast bicycling.



IN02

IN03

TAX RETURN -

A form on which taxable income is reported and tax is computed. The

form is then sent to the appropriate level of the government (e.g.,

state, federal, etc.). Tax returns can be submitted to the

government on paper or electronically by computer or telephone.



IN04

SINGLE -

A tax filing status that can be used by anyone who was never

married, legally separated, or widowed and not remarried as of

December 31st of the tax year. Reports taxable income of one tax

filer.


MARRIED FILING JOINT RETURN -

A tax filing status that can be used by anyone who was married as of

December 31st of the tax year (even if person is not living with the

spouse at the end of the tax year) or whose spouse died between

January 1st of the tax year and April 31st of the following year and

the person did not remarry. Reports taxable income of two tax

filers: a husband and wife.


MARRIED FILING SEPARATELY -

A tax filing status that can be used by anyone who meets the

criteria for ‘married filing joint return,’ however, the tax return

reports the taxable income of ONE tax filer: either the husband OR

the wife.


HEAD OF HOUSEHOLD WITH QUALIFYING PERSON -

A tax filing status that can be used by anyone who is UNMARRIED and

who paid over half of the cost of keeping up a home that was the

main home for all of the tax year for any of the following people:


- the person’s parent(s); or

- the person’s UNMARRIED child, adopted child, stepchild,

grandchild, etc. (the child does not have to be a

dependent); or

- the person’s MARRIED child, adopted child, stepchild,

grandchild, etc. (the child must be a dependent); or

- the person’s foster child (the child must be a

dependent); or

- any other of the person’s relatives who is a dependent


This filing status can also be used by someone who is married

and who is legally separated from his/her spouse in the tax

year and who:

- has lived apart from his/her spouse for the last six

months of the tax year, and

- files a separate return from his/her spouse, and

- paid over half of the cost of keeping up his/her home

during the tax year, and

- provided his/her home as the main home of his/her

child, adopted child, stepchild, or foster child for

more than half of the tax year, and

- claimed this child as his/her dependent.

- Reports taxable income of one tax filer.


QUALIFYING WIDOW(ER) WITH DEPENDENT CHILDREN -

A tax filing status that can be used by anyone whose spouse died in

either of the two years previous to the tax year and the person has

not remarried in the tax year and who:

- has a child, adopted child, stepchild, or foster child

who he/she can claim as a dependent, and

- the child lived in the person’s home for all of the tax

year, and

- paid over half the cost of keeping up his/her home; and

- could have filed a joint return with his/her spouse the

year the spouse died, even if he/she didn’t actually do so.

IN05

FILING JOINTLY -

When the person files his/her tax return under the tax filing status

of ‘married filing joint return.’ This tax filing status can be

used by anyone who was married as of December 31st of the tax year

(even if person was not living with the spouse at the end of the tax

year) or whose spouse died between January 1st of the tax year and

April 31st of the following year and the person did not remarry.

Reports taxable income of two tax filers: a husband and wife.



IN06

DEPENDENTS -

For tax filing purposes, a dependent of the tax filer is someone who

meets all of the following criteria:

- is a relative of the tax filer, and

- if married, does NOT file a joint return, and

- is a U.S. citizen or is a resident alien or is a

resident of either Canada or Mexico or is the person’s

adopted child who is not a U.S. citizen, but who lived

with the person all year in a foreign country, and

- has a gross income of less than $2,500, and

- the tax filer had to provide over half the person’s

total support in the tax year.



IN08

HOUSEHOLD -

The household is all of the family members who are currently living

in the RU being interviewed.



IN10

ITEMIZED AND STANDARD DEDUCTIONS -


ITEMIZED DEDUCTION -

When the deduction that is used in the process of determining the

tax filer’s taxable income is determined by listing and totaling a

variety of expenses (e.g., medical expenses, various taxes such as

estate or real estate taxes, mortgage interest, charitable

contributions, etc.). These expenses are listed on the Schedule A

tax form for itemized deductions.


STANDARD DEDUCTION -

When the deduction that is used in the process of determining the

tax filer’s taxable income is a single dollar amount, determined

by the government. This amount is found on a chart in the tax

booklet and is based on the tax filing status.



IN15

HEALTH INSURANCE DEDUCTION -

A person may be able to deduct 100% of the amount paid for medical

and dental insurance and qualified long-term care insurance for

themselves, their spouse and dependents if they are one of the

following:


A self-employed individual with a net profit reported on

Schedule C, C-EZ or F.


A partner with a net earnings from self-employment reported

on schedule K-1 (Form 1065), Box 14, code A.


A shareholder owning more than 2% of the outstanding stock

of an S corporation with wages from the corporation reported

on form W-2.


The insurance plan must be established under the self-

employed person’s business.


If the person responds that he/she does not qualify for this

deduction, code ‘3’ (not applicable).



IN17

EARNED INCOME CREDIT -

An amount that can be deducted from the tax filer’s net income in

determining his/her taxable income. It is available to tax filers

who do not have any qualifying children, earned less than $9,230 in

the tax year, and the tax filer(s) are at least 25 years old on the

last day of the tax year.



IN18

IN18OV

AMOUNTS TO INCLUDE (FOR WAGES OR SALARY, TIPS, COMMISSIONS, OR

BONUSES) -

This includes all income from wages, salary, commissions, and

bonuses and is shown in Box 2 of the tax filer’s W-2 form. Tips,

scholarships, fellowship grants, and dependent care benefits should

also be included.



IN19

IN19OV

AMOUNTS TO INCLUDE (FOR INTEREST FROM SAVINGS ACCOUNTS, BONDS, NOW

ACCOUNTS, MONEY MARKET ACCOUNTS, OR SIMILAR TYPES OF INVESTMENTS) -

Include interest income from seller-financed mortgages, banks,

savings and loan associations, money market certificates, credit

unions, savings bonds, etc. These amounts can be found on forms

1099-INT or 1099-OID.



IN20

DIVIDENDS -

Money that is divided among stockholders, creditors, members of a

cooperative, etc. These amounts can be found on form 1099-DIV.



IN21

INCOME TAX REFUNDS -

These amounts represent that part of a refund of State (and Local,

if applicable) income tax attributable to itemized deductions taken

in a prior year that resulted in a Federal tax benefit. Typically

the taxpayer reports as an itemized deduction for Federal income

taxes the amount of State (and Local) income tax withheld from their

earnings during the year. If the tax filer has more State and Local

income tax withheld during the year than was required, the State

government will reimburse or “refund” the over-payment during the

following year.



IN22

ALIMONY -

An allowance that the court orders paid to a person by his/his

spouse or former spouse after a legal separation or divorce or

while legal action is pending.



IN23

IN23OV1

IN23OV2

AMOUNTS TO INCLUDE (FOR EARNINGS OR LOSS FROM OWN FARM) -

Include income or loss associated with being the sole proprietor of

a farm. Farm business costs and expenses are deductible from farm

gross business receipts in arriving at farm net profit or loss.

Gains and losses from these sources are calculated on Schedule F.


AMOUNTS TO INCLUDE (FOR NON-FARM BUSINESS OR PRACTICE) -

Include income or loss associated with being the sole proprietor of

a non-farm business, including self-employed members of a

profession. Business costs and expenses are deductible from gross

receipts or gross sales in arriving at net profit or loss.

Compensation of the sole proprietor is taxable income and,

therefore, not allowed as a business deduction in computing net

income. The net gain or loss is computed on Schedule C or C-EZ.



IN24

IN24OV

AMOUNTS TO INCLUDE (FOR NET GAIN/LOSS FROM SALE OF PROPERTY OR OTHER

ASSETS) -

Both sales of capital and non-capital assets are to be included. In

general, capital assets for tax purposes include all property held

for personal use or investment. Examples of such assets are

personal residences, furniture, automobiles, and stocks and bonds.

Net gains or losses from the sale of capital assets are reported on

Schedule D. Net capital gains also include capital gain

distributions reported directly on Form 1040 if the tax filer did

not have other gains or losses to report on Schedule D. Property

other than capital assets generally includes property of a business

nature, and net gains or losses from the sale of such assets is

reported on Form 9747.



IN25

IN25OV

IRA (INDIVIDUAL RETIREMENT ACCOUNT) -

An Individual Retirement Account, or IRA, is a personal retirement

plan whereby a limited amount of annual earnings may be invested, as

in mutual funds or a savings account, with the investment money and

its earnings being tax-free until retirement. Payments from these

accounts must be reported on the tax filer’s income tax return.

Payments include regular distributions, early distributions,

rollovers, and any other money or property the person received from

his/her IRA account or annuity. These amounts can be found on form

1099-R.


KEOGH ACCOUNT -

A retirement plan for self-employed persons and certain groups

of employees whereby a limited amount of annual earnings may be

invested, as in mutual funds or a savings account, with the invested

money and its earnings being tax-free until retirement. These

amounts can be found on form 1099-R.


401K -

A 401(k) is a optional retirement plan supported by many companies.

This money is taken out and invested before the employee’s paycheck

is taxed. The plan is set up by a qualified employer with the

primary contributions being deposited by the employee. Often there

is a company matching plan where they will also contribute a

percentage of the money the employee contributed. While the 401(k)

continues to grow, taxes will not be paid on it. When the employee

withdraws the money at retirement, he/she will be taxed on the

amount in the account. There is a penalty to remove the money prior

to retirement age; however, many plans allow the employee to borrow

money using the plan as collateral or remove the money without

penalty in certain emergencies. These amounts can be found on form

1099-R.



IN26

AMOUNTS TO INCLUDE (FOR PRIVATE PENSIONS, MILITARY RETIREMENT, OTHER

FEDERAL EMPLOYEE PENSIONS, STATE OR LOCAL GOVERNMENT PENSIONS OR

ANNUITIES) -

Payments from pensions and annuities, including payments

(distributions) from retirement plans, life insurance annuity

contracts, profit-sharing plans, employee savings plans, disability

pensions received after the tax filer has reached the minimum

retirement age set by his/her employer.



IN28

IN28OV

AMOUNTS TO INCLUDE (NET GAIN OR LOSS FROM ESTATES OR TRUSTS,

PARTNERSHIPS, S CORPORATIONS, ROYALTIES, OR RENTAL INCOME) -

Gains and losses from these sources are calculated on Schedule E.


ESTATE OR TRUST: Include income that was the beneficiaries’ share

of fiduciary income from any estate or trust, for example,

income required to be distributed, amounts credited to

beneficiaries’ accounts from fiduciary income, and any

“accumulation distribution” made by the fiduciary of a “complex

trust” for income accumulated in prior tax years.


PARTNERSHIP OR S CORPORATION: Since partnerships and

S corporations are not taxable entities, their net profit or

loss is taxed, in general, directly to the members of the

partnership or shareholders in the S corporation. This income

includes the taxpayer’s share of the ordinary gain or loss of

the enterprise and certain payments made to the taxpayer for the

use of capital or as a salary.


RENTAL INCOME: Income or loss less amounts for depreciation,

repairs, improvements and other allowable expenses related to

the rented property.


ROYALTIES: Income from oil, gas and other mineral rights,

patents, and literary, musical or artistic works.



IN30

IN30OV

UNEMPLOYMENT COMPENSATION -

Payments made by a State government to a person who is unemployed.

Payments are usually at regular intervals and over a fixed period of

time. These amounts can be found on form 1099-G.



IN31

IN31OV

SOCIAL SECURITY -

Social Security is also known as the

Old Age, Survivors and Disability Insurance program (OASDI), in

reference to its three parts:

RETIREMENT BENEFITS - The amount of the monthly benefit depends

upon previous earnings and upon the age at which the person

chooses to begin receiving benefits. The earliest age at which

benefits are payable is 62.


DISABILITY - A person who has worked long enough and recently

enough to be covered can receive benefits upon becoming totally

disabled, regardless of his or her age. The person must be unable

to continue in his or her previous job and unable to adjust to

other work; furthermore, the disability must be long-term (lasting

or expected to last for at least one year or to result in death).

The amount of the disability benefit payable depends on the

person's age and previous earnings.


SURVIVORS' BENEFITS - If a worker covered by Social Security dies,

a surviving spouse or children can receive survivors' benefits.

Sometimes, survivors' benefits are available to a divorced spouse.

Children cannot receive survivors' benefits after age 19 unless

the child was disabled before age 22.



IN34

WORKER’S COMPENSATION -

A system, required by law, of compensating workers injured or

disabled in connection with work. This system establishes the

liability of an employer for injuries or sickness that arise over

and in the course of employment. The liability is created without

regard to the fault or negligence of the employer. The benefits

under this system generally include hospital and other medical

payments and compensation for loss of income.



IN37

S.S.I. (SUPPLEMENTAL SECURITY INCOME) -

Also known as Supplemental Security Income (SSI), this federal

program provides monthly cash payments in accordance with uniform,

nationwide eligibility requirements to persons of all ages who are

blind, disabled, or both needy and 65 years or older.



IN41

PUBLIC ASSISTANCE -

Public assistance payments include assistance payments made to

low-income persons, such as temporary assistance for needy families

(TANF), and general assistance.



IN44

TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) -

This is a cash assistance program. TANF is known by different

names in different states. Temporary Assistance for Needy Families

(TANF) provides assistance and work opportunities to needy families.


IN46

CHILD SUPPORT -

Payments that the court orders a parent to pay to cover the cost of

the care of a child who is not living with the parent making the

payment.



IN47

WHO TO INCLUDE (FOR RECEIVING CHILD SUPPORT) -

Any/all members of RU are eligible to receive child support. Child

support are payments that the court orders a parent to pay to cover

the cost of the care of a child who is not living with the parent

making the payment.



IN49

VETERAN’S PAYMENTS -

Veterans’ payments include payments made periodically by the

Department of Veterans Affairs to disabled members of the Armed

Forces or to survivors of deceased veterans for education and

on-the-job training, and means-tested assistance to veterans.



IN52

REGULAR CASH CONTRIBUTIONS AND HOUSEHOLD


REGULAR CASH CONTRIBUTIONS: include periodic payments from

non-household members. Gifts or sporadic assistance from persons

outside the household are not included.


HOUSEHOLD - The household is all of the family members who are

currently living in the RU being interviewed.



IN55

FOOD STAMPS -

The Food Stamp Program enables low-income families to buy eligible,

nutritious food with coupons and Electronic Benefits Transfer (EBT)

cards in authorized retail food stores.



IN59

IN60

IN60OV

IN63

WAGES AND SALARY -

WAGES - Money paid by an employer for each hour the person works.

Hours worked beyond 40 hours a week might be compensated at a

higher rate than regular hours. There is a direct link between

compensation and hours worked.


SALARY - Money paid by an employer for the performance of a job,

regardless of how many hours are worked. The workers are not paid

on an hourly basis and might not receive compensation for hours

worked beyond 40 hours per week. In essence, there is little or

no link between compensation and hours worked.


FARM INCOME (OR LOSS) -

Include income or loss associated with being the sole proprietor of

a farm. Farm business costs and expenses are deductible from farm

gross business receipts in arriving at farm net profit or loss.

Gains and losses from these sources are calculated on Schedule F.


BUSINESS INCOME (OR LOSS) -

Include income or loss associated with being the sole proprietor of

a non-farm business, including self-employed members of a

profession. Business costs and expenses are deductible from gross

receipts or gross sales in arriving at net profit or loss.

Compensation of the sole proprietor is taxable income and,

therefore, not allowed as a business deduction in computing net

income. The net gain or loss is computed on Schedule C or C-EZ.


SOCIAL SECURITY -

Social Security is also known as the

Old Age, Survivors and Disability Insurance program (OASDI), in

reference to its three parts:


RETIREMENT BENEFITS - The amount of the monthly benefit depends

upon previous earnings and upon the age at which the person

chooses to begin receiving benefits. The earliest age at which

benefits are payable is 62.


DISABILITY - A person who has worked long enough and recently

enough to be covered can receive benefits upon becoming totally

disabled, regardless of his or her age. The person must be unable

to continue in his or her previous job and unable to adjust to

other work; furthermore, the disability must be long-term (lasting

or expected to last for at least one year or to result in death).

The amount of the disability benefit payable depends on the

person's age and previous earnings.


SURVIVORS' BENEFITS - If a worker covered by Social Security dies,

a surviving spouse or children can receive survivors' benefits.

Sometimes, survivors' benefits are available to a divorced spouse.

Children cannot receive survivors' benefits after age 19 unless

the child was disabled before age 22.


RAILROAD RETIREMENT -

A federally legislated program which provides retirement,

disability, and survivor annuities to workers whose employment was

connected with the railroad industry for at least 10 years. The

system provides for close coordination with the Social Security

system. Benefits are financed through a combination of employee,

employer, and Federal Government contributions.


PRIVATE, MILITARY, OR GOVERNMENT PENSIONS -

Pensions are employee benefits which provide income payments to

employees upon their retirement. Pensions provide benefits to

employees who have met specified criteria, normally age and/or

length of service requirements. Pensions can be paid by various

employers including private companies, the military, or any level of

the government.


INTEREST -

Money paid to a person as compensation for the use of his/her money

that is held in seller-financed mortgages, banks, savings and loan

associations, money market certificates, credit unions, savings

bonds, etc.


DIVIDENDS -

Money that is divided among stockholders, creditors, members of a

cooperative, etc.


RENTAL INCOME (OR LOSS) -

Income or loss less amounts for depreciation, repairs, improvements

and other allowable expenses related to the rented property.



AS04

VALUE (FOR 'THIS HOME') --

When determining the present value of real estate (the primary

residence), we want to know the market value for the land and

structures on that land. This would be the amount the property

would bring if sold in the current real estate market. The

respondent should not report the profit he or she would make if

the property was sold, but the actual sale price that could be

achieved.


If the respondent has no idea what the property would bring in

the current market, the tax appraisal value may be entered

instead.



AS06

MORTGAGES AND OUTSTANDING LOANS –-


MORTGAGES - Include only the principal balance that has not yet

been paid. The respondent should not include items such as

interest, property tax, insurance, escrow, etc. that might

be included in the mortgage payments.


OUTSTANDING LOANS - These are loans that have not been paid in

full, that is, money is still owed.



AS07

AS14

CURRENTLY OWED (FOR REAL ESTATE AND VEHICLES) --

Include only the principal balance that has not yet been paid. The

respondent should not include items such as interest, property

tax, insurance, escrow, etc. that might be included in the

mortgage or vehicle payments.

AS11

VALUE (FOR VEHICLES) --

When determining the present value of transportation vehicles, we

want to know the market value for the vehicles. This would be the

amount the vehicles would bring if sold in the current market. The

respondent should not report the profit he or she would make if

the vehicle(s) were sold, but the actual sale price(s) that could

be achieved.



AS13

MONEY OWED AND OUTSTANDING LOANS (FOR VEHICLES) –-


MONEY OWED - Include only the principal balance that has not yet

been paid. The respondent should not include items such as

interest, that might be included in the vehicle payments.


OUTSTANDING LOANS - These are loans that have not been paid in

full, that is, money is still owed.



AS16

RETIREMENT ACCOUNTS –-


IRA - An Individual Retirement Account, or IRA, is a personal

retirement plan whereby a limited amount of annual earnings

may be invested, as in mutual funds or a savings account,

with the investment money and its earnings being tax-free

until retirement. Payments from these accounts must be

reported on the tax filer's income tax return. Payments

include regular distributions, early distributions,

rollovers, and any other money or property the person

received from his/her IRA account or annuity.


401K - A 401(k) is an optional retirement plan supported by many

companies. This money is taken out and invested before

the employee's paycheck is taxed. The plan is set up by a

qualified employer with the primary contributions being

deposited by the employee. Often there is a company

matching plan where they will also contribute a percentage

of the money the employee contributed.


403(b) ACCOUNT - A 403(b) is a retirement savings plan

available for public education organizations, some

non-profit employers and self-employed ministers in the

United States. It is similar to a 401(k) plan where part of

the employee's salary is taken out and invested in the

403(b) plan before income tax is paid on it. The investment

is allowed to grow tax deferred until the money is taxed as

income when taken out of the plan.


KEOGH ACCOUNT - A retirement plan for self-employed persons and

certain groups of employees whereby a limited amount of

annual earnings may be invested, as in mutual funds or a

savings account, with the invested money and its earnings

being tax-free until retirement.



AS18

VALUE (FOR RETIREMENT ACCOUNTS) --

The amount of money you would receive today if you withdrew all

the money in these types of accounts. Do not deduct from this

amount any penalties that might be incurred because of early

withdrawal.



AS20

BANK ACCOUNTS –-


CHECKING ACCOUNTS - A bank account against which the depositor can

draw checks for transfer of funds to the name on the check.

Checking accounts may or may not bear interest.


SAVINGS ACCOUNTS - A bank account that bears interest.

Generally, deposits and withdrawals of funds are done at

the banking institution with withdrawn funds going directly

to the holder of the account or another of his or her bank

account.


MONEY MARKET ACCOUNTS - An account that requires that you keep a

minimum balance and allows you to write checks, but limits

the number you may write and has a minimum allowable amount

of each check written.



AS22

VALUE (FOR BANK ACCOUNTS) --

The amount you would receive if you withdrew all the money in

these accounts today. Do not deduct from this amount any

penalties that might be incurred because of early withdrawal.



AS24

OTHER ACCOUNTS OR FINANCIAL ASSETS –


CERTIFICATES OF DEPOSIT (CDs) - A bank certificate acknowledging

the receipt of a specified large sum of money in a special

kind of time deposit drawing interest and requiring

written notice of withdrawal and usually subject to

financial penalties if withdrawals are made before the

maturity date. Also known as CDs.


GOVERNMENT SAVINGS BONDS - Any of various series of interest-

bearing certificates issued by a government (local, state,

or federal) promising to pay the holder a specified sum

on a specified date, usually maturing over long periods.


INDIVIDUAL DEVELOPMENT ACCOUNTS - Matched savings accounts that

enable people with low incomes to save money and build

assets. Every dollar that is saved in an IDA will be

matched with donations from government agencies, non-profit

organizations and private companies


TREASURY BILLS - Also called T-bills. Treasury Bills mature in

one year or less. They do not pay interest prior to

maturity; instead they are sold at a discount of the face

value.


BONDS, BOND MUTUAL FUNDS - A certificate of debt issued by a

corporation, government (local or federal), or foreign

country that guarantees payment of the original investment

plus interest by a specified future date.


SHARES OF STOCK - The capital or funds that a corporation raises

through the sale of shares entitling the holder to

dividends and the other rights of ownership.


STOCK MUTUAL FUNDS - A company without fixed capitalization

freely buys and sells its own shares and uses the capital

to invest in other companies.


EDUCATION SAVINGS ACCOUNTS - Education Savings Accounts can refer

to 529 plans or Coverdell Education Savings Accounts.


529 PLANS - There are two types of 529 plans: prepaid and

savings.

PREPAID - Prepaid plans allow one to purchase tuition

credits, at today's rates, to be used in the

future. Therefore, performance is based upon

tuition inflation. May be administered by states

or higher education institutions.

SAVINGS - Savings plans are different in that all

growth is based upon market performance of the

underlying investments, which typically consist of

mutual funds. May be administered by states, but

record-keeping and administrative services are

usually delegated to a mutual fund company or

other financial services company.


COVERDELL EDUCATION SAVINGS ACCOUNT - Also known as an

Education Savings Account, a Coverdell ESA, a

Coverdell Account, or just an ESA and formerly

known as an Education Individual

Retirement Account. Coverdell ESAs allow money

to grow tax deferred and proceeds to be withdrawn

tax free for qualified education expenses at a

qualified institution. Qualified

expenses in an ESA includes primary and

secondary school, not just college and

university.


ANNUITIES - A contract sold by an insurance company designed to

provide payments to the holder at specified intervals,

usually after retirement. The holder is taxed only when

they start taking distributions or if they withdraw funds

from the account. All annuities are tax-deferred, meaning

that the earnings from investments in these accounts grow

tax-deferred until withdrawal. Annuity earnings are

also tax-deferred so they cannot be withdrawn without

penalty until a certain specified age. Fixed annuities

guarantee a certain payment amount, while variable

annuities do not.


BENEFICIARY TO A TRUST - Another person's asset is being held in

your name by a third party.



AS26

VALUE (FOR OTHER FINANCIAL ASSETS) --

The total amount that would be received if all of the 'other'

assets were sold or otherwise converted to cash.


This includes any amounts you would receive if you withdrew all

the money in any financial account today. Do not deduct from

this amount any penalties that might be incurred because of early

withdrawal.



AS28

ALL OTHER PROPERTY AND ASSETS –-


SECOND HOME - Includes any other homes an RU member owns (i.e., the

RU member's name is on the title) other than his or her

primary residence. Examples include vacation homes and

housing units that are rented to others.


REAL ESTATE - Land, including the buildings and improvements on it

and it's natural assets, such as minerals, water, etc.


BUSINESS - A business exists when one or more of the following

conditions are met: (1) Machinery or equipment of

substantial value is in use in conducting business; (2) an

office, store or other place of business is maintained, or

(3) the business is advertised by listing in the classified

section of the phone book, displaying a sign, distributing

cards or leaflets, or any other methods which publicize

that the work or service is offered to clients.


FARM - Includes buildings on the premises of a farm, such as a barn

or farm house, or on any land that is part of the farm, such

as land under cultivation.


RECREATIONAL VEHICLES - Vehicles used for the purpose of relaxation

or amusement such as mopeds, camping trailers, motor

homes, boats, airplanes, jet skis, snowmobiles,

gliders, canoes, kayaks, or hang gliders, etc.


OTHER SIGNIFICANT ASSETS - Include any savings or assets owned by

an RU member that have not already been accounted for in

previous questions. For example, cash stored in the home,

jewelry, art, antiques, money owed to an RU member by

others, or a collection for investment purposes

('collectibles' such as coins, postage stamps, baseball

cards, etc.).



AS30

VALUE (FOR OTHER PROPERTIES OR ASSETS) -‑

The total amount that would be received if all of the 'other'

assets were sold or otherwise converted to cash.


IF REAL ESTATE - We want to know the market value for the land and

structures on that land. This would be the amount the

property would bring if sold in the current real estate

market. The respondent should not report the profit he or she

would make if the property was sold, but the actual sale price

that could be achieved.


If the respondent has no idea what the property would bring in

the current market, the tax appraisal value may be entered

instead.


IF BUSINESS OR FARM - We want to know the market value of the land,

structures, equipment, and other capital on that land. This

would be the amount the farm or business would bring if sold

in the current market.


The respondent should not report the profit he or she would

make if the farm or business was sold, but the actual sale

price that could be achieved. Also, income from the farm or

business should not be included at this question.


IF BOAT OR RECREATIONAL VEHICLE - We want to know the market value

for the vehicles. This would be the amount the vehicles would

bring if sold in the current market. The respondent should

not report the profit he or she would make if the vehicle(s)

were sold, but the actual sale price(s) that could be

achieved.


IF JEWELRY, ART WORK, ANTIQUES, COLLECTIBLES, ETC. - We want to

know the market value for the item(s). This would be the

amount the item(s) would bring if sold in the current market.

The respondent should not report the profit he or she would

make if the item (s) were sold, but the actual sale price(s)

that could be achieved.


If the respondent has no idea what the item(s) would bring in

the current market, the appraisal value may be entered



AS32

MONEY OWED AND OUTSTANDING LOANS (FOR OTHER PROPERTY AND ASSETS) --


MONEY OWED - Include only the principal balance that has not yet

been paid. The respondent should not include items such as

interest, property tax, insurance, escrow, etc. that might

be included in the mortgage, vehicle, or loan payments.


OUTSTANDING LOANS - These are loans that have not been paid in

full, that is, money is still owed.



AS33

CURRENTLY OWED (FOR OTHER PROPERTY AND ASSETS) --

Include only the principal balance that has not yet been paid. The

respondent should not include items such as interest, property tax,

insurance, escrow, etc. that might be included. in the mortgage,

vehicle, or loan payments.



AS35

DEBTS --

A financial obligation or liability of one person to another or

others. Includes formal arrangements such as bank loans and

credit card debt as well as private arrangements such as loans from

a parent. A debt might or might not include interest on the

principal loan amount.



AS37

DEBTS AMOUNT TO --

Include only the principal balance that has not yet been paid for

all debts other than those specifically asked about in previous

questions. The respondent should not include items such as

interest, property tax, insurance, escrow, etc. that might be

included in debt payments.



CS28

CS28OV

CS29

CS29OV

CS30

CS30OV

CS31

CS31OV

CS32

CS32OV

CS33

CS33OV

CS35

CS35OV

“ADVICE TO YOU” --

“Advice to you” can mean advice given to anyone in the RU or a

parent or guardian outside of the RU on behalf of (PERSON) by

any type of doctor or other health provider. Include advice

given in either written or verbal form.


A health provider could be a general doctor, a specialist doctor,

a nurse practitioner, a physician assistant, a nurse, or anyone

else (PERSON) would see for health care.



CS34

CS34OV

“ADVICE TO YOU (ABOUT HELMETS)” --

“Advice to you” can mean advice given to anyone in the RU or a

parent or guardian outside of the RU on behalf of (PERSON) by

any type of doctor or other health provider. Include advice

given in either written or verbal form.


A health provider could be a general doctor, a specialist doctor,

a nurse practitioner, a physician assistant, a nurse, or anyone

else (PERSON) would see for health care.


In addition to advice given to you about (PERSON) using a helmet

when riding a bicycle or motorcycle, please also include advice

given to you about children wearing helmets when riding ATV’s,

battery powered cars, on the back of an adult’s bicycle, or in

jogging strollers.



PE02

HYPERTENSION -

Hypertension, is also know as high blood pressure. It is defined as

a long-term high resting systolic blood pressure (the

“top” number, which represents the pressure generated when the heart

beats) above 140, and/or high diastolic blood

pressure (the “bottom” number, which represents the pressure in the

vessels when the heart is at rest) above 90. Hypertension often has

no symptoms, though patients often complain of headaches. Treatment

typically includes medications and lifestyle changes, such as weight

loss, exercise, and dietary adjustments. Do NOT include pregnancy-

induced hypertension, also known as preeclampsia, for this question.


Preeclampsia, can happen in late pregnancy and is characterized

by persistently high blood pressure, swelling of the

extremities, and protein in the urine. Typically with

pregnancy-induced hypertension, blood pressure returns to

normal shortly after delivery.



PE17

Bronchitis is an inflammation of the lungs caused by infection or by

inhaling irritating fumes. Symptoms include cough, fever, and chest

pain.


ACUTE BRONCHITIS –-

Acute bronchitis develops suddenly. It generally lasts less than

2 weeks. Most healthy people who develop bronchitis get better

without any complications.


CHRONIC BRONCHITIS --

Chronic bronchitis becomes long-term. A cough that lasts for at

least 3 months to two years in a row suggests chronic bronchitis.

It is a form of COPD (chronic obstructive pulmonary disease).



PE25

REMISSION --

A complete or partial disappearance of the signs and symptoms of

disease in response to treatment. This is generally the period

during which a disease is under control. A remission, however, is

not necessarily a cure.



PE26

DIABETES -

Diabetes is a health problem caused by decreased production of

insulin, or by decreased ability to use insulin. Insulin is a

hormone produced by the pancreas that is necessary for cells to

be able to use blood sugar. Diabetes occurs in several forms, the

most common are: Type I, Type II, and gestational diabetes.

However, do NOT include any occurrence of gestational diabetes

for this question.


Gestational diabetes starts or is first recognized during

pregnancy. It usually becomes apparent during the 24th to 28th

weeks of pregnancy. In many cases, the blood-glucose level

returns to normal after delivery.



PE30

Arthritis is an inflammation of one or more joints of the body,

usually with pain, redness, and stiffness.


RHEUMATOID ARTHRITIS --

Rheumatoid arthritis is a chronic disease that can affect joints

in any part of the body. The immune system mistakenly causes the

joint lining to swell.


OSTEOARTHRITIS --

Osteoarthritis is the most common type of arthritis. It occurs

when the cartilage wears away, and can occur in any joint, but

often affects the hands, knees, hips, and joints in the spine.

Osteoarthritis is sometimes called degenerative joint disease.


PE32

ASTHMA -

Asthma is a lung problem that makes breathing difficult. Asthma

causes attacks of wheezing but there are also time periods with

relatively normal breathing. Treatment for mild asthma (rare

attacks) typically includes the use of inhalers on an as-needed

basis. Treatment for significant asthma (symptoms occur at least

every week) typically includes the regular use of anti-inflammatory

medications, usually inhaled steroids and bronchodilators.



PE34

ASTHMA ATTACK -

When you have an asthma attack, your airways narrow in response to

some form of irritation, or “trigger,” making breathing difficult.

The muscles around the airways also tighten, further closing off

breathing. The resulting symptoms include coughing, wheezing,

shortness of breath, and a tight feeling in the chest. In a severe

attack, breathing may be blocked. Asthma “attacks” range from mild

to life threatening and can last minutes to days.


35-159

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