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

SORT ORDER BY TYPE	TYPE	GLOBAL DISPLAY NOTATION	DISPLAY INSTRUCTIONS	DESCRIPTION
1	Respondent	SP	Display "(PERS.PERSFNAM) (PERS.PERSLNAM)"
2	Respondent	SP's	Display "(PERS.PERSFNAM) (PERS.PERSLNAM)'s"
3	Respondent	him/her	If PERS.SEX = 1, display "him". Else if PERS.SEX = 2 display "her". Else display "him or her".
4	Respondent	his/her	If PERS.SEX = 1, display "his". Else if PERS.SEX = 2 display "her". Else display "his or her".
5	Respondent	he/she	If PERS.SEX = 1, display "he". Else if PERS.SEX = 2 display "she". Else display "he or she".
6	Respondent	Is/Was	If RH7 - RHALIVE <> 0, display "Is". Else display "Was".
7	Respondent	is/was	If RH7 - RHALIVE <> 0, display "is". Else display "was".
8	Respondent	does/did	If RH7 - RHALIVE <> 0, display "does". Else display "did".
9	Respondent	husband/wife	IF PERS.SEX = 2, display "husband". Else if PERS.SEX = 1, display "wife". Else display "spouse".
10	Respondent	SP TYPE	If PERS.CURRTYPE <> 5, SP TYPE = PERS.CURRTYPE label. Else if PERS.SUPPTYPE = 1, SP TYPE = SSM1. Else if PERS.SUPPTYPE = 2, SP TYPE = SSM2. Else SP TYPE = SSM.
11	Reference Date	ADMISSION DATE	Display PERS.RAD.
12	Reference Date	FAD/RAD	Display PERS.RAD.
13	Reference Date	CURRENT YEAR	If PERS.RHDOI = EMPTY, display current date year [system date year] in "YYYY" format. Else display PERS.RHDOI year in "YYYY" format.	Display the current year as 4-digit year.
14	Reference Date	CURRENT DATE	If PERS.RHDOI = EMPTY, display current date [system date] in "MM/DD/YYYY" format. Else display PERS.RHDOI date in "MM/DD/YYYY" format.	Display the current year as 4-digit year.
15	Reference Date	CURRENT MONTH AND DAY	If PERS.RHDOI = EMPTY, display current date month and day [system date] in Month Day format. Else display PERS.RHDOI month and day in Month Day format.
16	Reference Date	RH END OF REFERENCE PERIOD	Display PERS.RHREFEND in Month, Day, Year format
17	Reference Date	REF DATE	Display PERS.RHREFBEG in Month, Day, Year format
18	Health Insurance	MEDICARE NUMBER/RRB NUMBER	If PERS.CARECHK=1, display PERS.ICARENM. Else display PERS.CARERRB.
19	Facility	ADMISSION STAY	Display STAY where STAYSMM + STAYSDD + STAYSYY = RHREFBEG in Month, Day, Year format.
20	Facility	FACILITY	Display PLAC.PLACNAME on PLACNUM = 001
21	Facility	LARGER FACILITY	FQ.LARGPLAC
22	Residence History	CURRENT PLACE	Display PLACNAME of PLAC where PLACNUM = XSTPLAC
23	Prescribed Medicines	DOSAGE NUMBER	If PMDOSEN <> EMPTY, 96, RF display PMDOSEN. Else do not display.
24	Prescribed Medicines	FULL MEDICINE NAME	Display PMNAME + FORM + STRENGTH FORM = If PMFORM = 91 display PMFRMOS. Else display PMFORM English text. STRENGTH = If PMSTRRED <> empty, display PMSTRRED. Else if PMSTRU1 = 96/CombinationDrug: If PMSTRU2 = 91 and PMSTRU3 = 91, display PMSTRN2 + PMSTROS2 “/” PMSTRN3 + PMSTROS3. Else if PMSTRU2 = 91 and PMSTRU3 <> 91, display PMSTRN2 + PMSTROS2 “/” PMSTRN3 + PMSTRU3. Else if PMSTRU2 <> 91 and PMSTRU3 = 91, display PMSTRN2 + PMSTRU2 “/” PMSTRN3 + PMSTROS3. Else display PMSTRN2 + PMSTRU2 “/” PMSTRN3 + PMSTRU3 Else if PMSTRU1 = 95/NoStrength display “NO STRENGTH”. ELSE if PMSTRU1 <> empty, display PMSTRN1 + PMSTRU1. Else do not display strength.
25	Prescribed Medicines	FULL MEDICINE DOSAGE	If PMDOSEU = 91 then display (DOSAGE NUMBER) + PMDOSEOS Else if PMDOSEU = 10 then display (DOSAGE NUMBER) + “Q” + PMDOSEEH + “HOURS” Else if PMDOSEU = 16 then display (DOSAGE NUMBER) + “Q” + PMDOSEEW + “WEEKS” Else if PMDOSEU = 18 then display (DOSAGE NUMBER) + PMDOSEEW + "TIME(S) PER WEEK" Else if PMDOSEU = 19 then display (DOSAGE NUMBER) + “Q” + PMDOSEQW + “WEEK(S)” Else display (DOSAGE NUMBER) + ENGLISH TEXT for PMDOSEU
26	Facility	facility/home	IF FQ.FACHOME = 1/PrefersHome, display "home". Else display "facility".
27	Reference Date	DATE OF DEATH	Display DOD in Month, Day, Year format.
28	Reference Date	PM REFERENCE MONTH	Display PREFYYMM in Month, Year format.
29	Reference Date	PM REFERENCE START MONTH	Display PERS.PMREFBEG in Month, Year format.
30	Reference Date	PM REFERENCE END MONTH	Display PERS.PMREFEND in Month, Year format.
31	Reference Date	HS REF DATE	If PERS.HS1REF <> EMPTY, then display HS1REF in Month, Day, Year format. Else display HSCREF in Month, Day, Year format.
32	Reference Date	BCVAD/CCVAD	If PERS.BCVAD <> EMPTY, display BCVAD. Else display CCVAD.
33	Reference Date	T2 REF DATE	Display PERS.HS2REF in Month, Day, Year format.
34	Reference Date	PREVIOUS YEAR	Display current year-1 in "YYYY" format.	Display the current year as 4-digit year.
35	Reference Date	DATE OF PREVIOUS INTERVIEW	Display STAYEYY + STAYEMM + STAYEDD of last preload chronological STAY where STAYACCS <> current round in Month, Day, Year format.	Display the current year as 4-digit year.
36	Reference Date	US REFERENCE START DATE	Display PERS.USREFBEG in "MM/DD/YYYY" in Month, Day, Year format.	Display the current year as 4-digit year.
37	Reference Date	US REFERENCE END DATE	Display PERS.USREFEMM + PERS.USREFEDD + PERS.USREFEYY in Month, Day, Year format.	Display the current year as 4-digit year.
38	Reference Date	EX REFERENCE START DATE	Display PERS.EXREFBEG in "MM/DD/YYYY" in Month, Day, Year format.	Display the current year as 4-digit year.
39	Reference Date	EX REFERENCE END DATE	Display PERS.EXREFEND in "MM/DD/YYYY" in Month, Day, Year format.	Display the current year as 4-digit year.
40	Reference Date	LAST MDS DATE	Display PreloadSP.LASTVAD in Month, Day, Year format.	Display the current year as 4-digit year.