Attachment 64 Attachment 64 HC Priority Conditions Enumeration Section

Medical Expenditure Panel Survey (MEPS) COVID-19 Changes

Attachment 64 HC Priority Conditions Enumeration Section

MEPS-HC Core Interview

OMB: 0935-0118

Document [pdf]
Download: pdf | pdf
SpecWriter Data

Form Version:

10/17/2017 4:01:06 PM

Report Type:

Full Detail

Project Database:
Language:

English

WESSQL6.MEPS_V2

Spec Label:

This is the cover page. Additional contents currently project specific.

PE - Page 1 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Rout

Full Detail Spec

BOX_00

(PE1003)

Route Details:

BOX_05

Item Type: Route

Type Class: If Then

01 Box = BOX_00, BOX_10, BOX_20, BOX_30, BOX_40, BOX_50, BOX_60
02 Loop = LOOP_10, LOOP_20
03 End Loop = END_LP10, END_LP20
04 S ingle S e le ct = PE10, PE20, PE50, PE90, PE160, PE170, PE210, PE220, PE230,
PE240, PE250, PE260, PE270, PE280, PE290, PE300, PE320, PE330
08 Multiple S e le ct = PE140
19 Nume ric Fie ld = PE40, PE60, PE70, PE80, PE100, PE110, PE120, PE130, PE150,
PE180, PE190, PE200, PE310, PE340
20 OS Te xt Fie ld = PE90OS , PE140OS
22 S te m a nd Le a f = PE30A, PE30B, PE30C, PE30D, PE30E, PE30F, PE30G, PE30H,
PE30I, PE30J , PE30K, PE30L, PE30M

(PE1004)

Programmer
Instructions:

PEIntroduction
Item Type:
Type Class:
Answer Type:

Help Available (

Item Type: Route

Type Class: If Then

In PE, CAPI will allow the interviewer to press CTRL-S to select a different RU member and
complete the section (including not starting with the respondent/reference person) at any
point during the section. CAPI should return to the first unanswered question when
returning to an RU member’s section that has already been started but not completed.

(PE1005)
Question

BLAISE NAME: PEIntroduction
Field kind: Datafield
ArrayMin:

Enumerated
TContinue

)

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

Question Text:
PRIORITY CONDITION ENUMERATION (PE) SECTION – ASKED FOR EACH RU MEMBER.
CTRL-S: SWITCH TO PE QUESTIONS FOR A DIFFERENT RU MEMBER.
PRESS 1 AND ENTER TO CONTINUE.

Responses:

CONTINUE

BOX_10

PE - Page 2 of 58

(PE1006)

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

Programmer
Instructions:

This item is presented only for the first person that goes through the PE section. Skip
PEIntroduction for all other RU members.

Display
Instructions:

Testing/Editing
Notes:

BOX_10

Route Details:

LOOP_10

Route Details:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

(PE1006)

Item Type: Route

Type Class: If Then

Conte xt he a de r dis pla y ins tructions :
Dis pla y PERS .FULLNAME, {PRND.BEGREFMM, PRND.BEGREFDD,
PRND.BEGREFYY, PRND.ENDREFMM, PRND.ENDREFDD, PRND.ENDREFYY}.

(PE1010)

Item Type: Route

Type Class: Begin Loop

For each element in the RU-members-roster, ask PE10-END_LP10.
Loop definition: LOOP_10 collects general health ratings and enumerates the priority
health conditions of each person in the RU. This loop cycles on each person in the RUmembers-roster, starting with the respondent and then in order of age, oldest to youngest,
who meets the following conditions:
-Person is a current or institutionalized RU member
-Person is not deceased

PE - Page 3 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE10
Item Type:

(PE1015)
Question

Type Class:

Enumerated

Answer Type:

TPHEALTH

Help Available (
Context Header:

)

BLAISE NAME: PersGnrlHlth
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

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

Question Text:
Please think about {your/{PERSON}'s} health between {START DATE} and {END DATE}.
In general, compared to other people of {your/his/her} age, would you say that {your/his/her} health is excellent, very good,
good, fair, or poor?

Responses:

EXCELLENT
VERY GOOD
GOOD
FAIR
POOR
REFUSED
DON'T KNOW

1
2
3
4
5
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 4 of 58

PE20
PE20
PE20
PE20
PE20
PE20
PE20

(PE1020)
(PE1020)
(PE1020)
(PE1020)
(PE1020)
(PE1020)
(PE1020)

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE20
Item Type:

(PE1020)
Question

Type Class:

Enumerated

Answer Type:

TPHEALTH

Help Available (
Context Header:

)

BLAISE NAME: PersMntlHlth
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

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

Question Text:
In general, would you say that {your/{PERSON}'s} mental health is excellent, very good, good, fair, or poor?

Responses:

EXCELLENT
VERY GOOD
GOOD
FAIR
POOR
REFUSED
DON'T KNOW

1
2
3
4
5
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 5 of 58

BOX_20
BOX_20
BOX_20
BOX_20
BOX_20
BOX_20
BOX_20

(PE1025)
(PE1025)
(PE1025)
(PE1025)
(PE1025)
(PE1025)
(PE1025)

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Rout

Full Detail Spec

BOX_20

Route Details:

(PE1025)

Item Type: Route

Type Class: If Then

PE30A –PE30M re pre s e nt a s te m a nd le a f s e rie s .
If:
Round 1, or
Round 2, 4 a nd the pe rs on ha s be e n a dde d to DU-me mbe rs -ros te r during the curre nt
round,
As k PE30A-PE30M for this pe rs on, a s a pplica ble ba s e d on pe rs on ’s a ge :
- > or = 18 a nd a ge ca te gorie s 4-9: As k PE30A –PE30J
- All a ge s a nd a ge ca te gorie s : As k PE30K a nd PE30L
- Age s 5-17 inclus ive a nd a ge ca te gorie s 3 or 4: As k PE30K-PE30M
Othe rwis e , go to END_LP10.
If:
Round 3, a s k the PE30 s e rie s for a ll curre nt a nd ins titutiona lize d RU me mbe rs ,
including
a ny RU me mbe rs turne d 18 s ince round 1. As k PE30A-PE30M a s a pplica ble for this
pe rs on only whe n the pe rs on did not re port in a pre vious round e ve r ha ving be e n
dia gnos e d
with ‘CONDITION’ in the PE s e ction (preload.xxx). If the s e conditions do not a pply to
RU me mbe r,
che ck for ne xt ‘CONDITION’ unle s s othe rwis e s pe cifie d a t ite m le ve l progra mming.
-If > or = 18 ye a rs of a ge or in a ge ca te gory 4-9,
- As k PE30A if ‘HYPERTENS ION-HI BLOOD PRES S URE’ is not lis te d on pe rs on's
me dica l conditions ros te r a s cre a te d in the PE s e ction,
- As k PE30B if ‘CORONARY HEART DIS EAS E’ is not lis te d on pe rs on's me dica l
conditions ros te r a s cre a te d in the PE s e ction,
- As k PE30C if ‘ANGINA’ is not lis te d on pe rs on's me dica l conditions ros te r a s cre a te d
in
the PE s e ction,
- As k PE30D if ‘HEART ATTACK –MYOCARDIAL INFARC’ is not lis te d on pe rs on's
me dica l conditions ros te r a s cre a te d in the PE s e ction,
- As k PE30E if the following conditions a re not lis te d on pe rs on's me dica l conditions
ros te r
a s cre a te d in the PE s e ction:
‘HEART MURMUR’
‘ARRHYTHMIA/IRREGULAR HEARTBEAT’
‘BLOCKED OR CLOGGED ARTERY’
‘CONGES TIVE HEART FAILURE’
‘ATRIAL FIBRILLATION’.
‘MITRAL VALVE PROLAPS E’
‘ENLARGED HEART’
‘HEART VALVE PROBLEMS ’
‘TACHYCARDIA/RAPID HEART RATE’
‘BRADYCARDIA/S LOW HEART RATE’
‘OTH HRT COND -- {S PECIFY TEXT…
.}',
- As k PE30F if ‘S TROKE-TIA’ is not lis te d on pe rs on's me dica l conditions ros te r a s
cre a te d in the PE s e ction,
- As k PE30G if ‘EMPHYS EMA’ is not lis te d on pe rs on's me dica l conditions ros te r a s
cre a te d in the PE s e ction,
- As k PE30H if ‘HIGH CHOLES TEROL’ is not lis te d on pe rs on's me dica l conditions
ros te r a s cre a te d in the PE s e ction,
- As k PE30I if ‘CANCER’ (OF ANY KIND) is not lis te d on pe rs on's me dica l conditions
ros te r a s cre a te d in the PE s e ction,
PE - Page 6 of 58

MEPS_V2
Full Detail Spec

Priority Condition Enumeration (PE) Section
(Rout

- As k PE30J if ‘RHEUMATOID ARTHRITIS ’, ‘OS TEOARTHRITIS ’ or ‘ARTHRITIS
(NOT S PECIFIED)’ is not lis te d on pe rs on's me dica l conditions ros te r a s cre a te d in the
PE
s e ction.

PE - Page 7 of 58

MEPS_V2
Full Detail Spec

Priority Condition Enumeration (PE) Section
(Rout

For a ll a ge s a nd a ge ca te gorie s :
- As k PE30K if ‘DIABETES ’ is not lis te d on pe rs on's me dica l conditions ros te r a s
cre a te d
in the PE s e ction,
- As k PE30L if ‘AS THMA’ is not lis te d on pe rs on's me dica l conditions ros te r a s cre a te d
in
the PE s e ction.
If 5-17 ye a rs of a ge inclus ive or in a ge ca te gory 3 or 4,
- As k PE30M if "ATTEN DEFICIT/HYPERACTIVITY" is not lis te d on pe rs on's me dica l
conditions ros te r a s cre a te d in the PE s e ction.
Afte r che cking for e a ch condition a nd a s king the corre s ponding s te m a nd le a f
que s tions , go
to BOX_30.
Cycle through the le a f te xt in the A-# s e que nce until a ll rows a re dis pla ye d.
If:
Round 5, go to END_LP10.

PE - Page 8 of 58

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Priority Condition Enumeration (PE) Section
(Rout

Each leaf in this stem and leaf series, should display on the same form pane. Use the same
question stem display.
Display “{Now I’m going to ask you about certain medical conditions {you/{PERSON}}
may have had. For these questions, please think about {your/his/her} health over
{your/his/her} lifetime.}” only when presenting the first condition question for this person.
Display the question stem “{Have/Has} {you/{PERSON}} ever been told by a doctor or
other health professional that {you/he/she} had…” in bold black for every 4th item applicable
to this person. Otherwise always display question stem in brackets and “grayed-out” text.
Display each leaf in bold black when its entry field is active. Otherwise always display in
“grayed-out” text. Use a null display for any leaves that are not applicable to this person. For
example, in Round 1, a current RU member who is age 6 would only see leaves for PE30K,
PE30L, and PE30M. Those three leaves would shift from bold black to grayed-out
depending on the cursor placement in the response pane. A current RU member in Round 1
who is 30 would see the leaves for PE30A-PE30L. PE30M would be a null display as it
would never be applicable to someone who is not 5-17 years of age. PE30A-PE30L would
shift from bold black to grayed-out depending on the cursor placement in the response pane.
The same is true in Round 3 when certain leaves are not asked because they were answered in
the positive in either Round 1 or Round 2.
General Flag Rule for conditions - There are four flags for every condition:
- Question created
- Round created
- Question selected
- Round selected
Note that conditions can be created and selected in the same round (e.g., created in PE and
selected in MV).
Note that conditions created in PE cannot be edited or deleted at person's-medical-conditions
roster. These are protected, uneditable fields for display on the person's-medical-conditions
roster.

PE - Page 9 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE30A
Item Type:

(PE1030)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

BLAISE NAME: DxHypertension
Field kind: Datafield
ArrayMin:

Help Available (DxHypertensionHelp)
Context Header:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Show Card (

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Now I’m going to ask you about certain medical conditions {you/{PERSON}} may have had. For these questions, please
think about {your/his/her} health over {your/his/her} lifetime.} [{Have/Has} {you/{PERSON}} ever been told by a doctor
or other health professional that {you/he/she} had…]
a. hypertension, also called high blood pressure{, other than during pregnancy}?
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If coded ‘1’ (YES), add ‘HYPERTENSION-HI BLOOD PRESSURE’ to person’s-medicalconditions-roster.

Display
Instructions:

Testing/Editing
Notes:

1
2
RF
DK

PE30B
PE30B
PE30B
PE30B

(PE1035)
(PE1035)
(PE1035)
(PE1035)

Display ‘,other than during pregnancy’ if person being asked about is female and is 15 years
of age or older or in categories 4-9. Otherwise, use a null display.

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 10 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE30B
Item Type:

(PE1035)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: DxCHD
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Now I’m going to ask you about certain medical conditions {you/{PERSON}} may have had. For these questions, please
think about {your/his/her} health over {your/his/her} lifetime.} [{Have/Has} {you/{PERSON}} ever been told by a doctor
or other health professional that {you/he/she} had…]
b. coronary heart disease?

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If coded ‘1’ (YES), add ‘CORONARY HEART DISEASE’ to person’s-medical-conditionsroster.

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 11 of 58

PE30C
PE30C
PE30C
PE30C

(PE1040)
(PE1040)
(PE1040)
(PE1040)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE30C
Item Type:

(PE1040)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: DxAngina
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Now I’m going to ask you about certain medical conditions {you/{PERSON}} may have had. For these questions, please
think about {your/his/her} health over {your/his/her} lifetime.} [{Have/Has} {you/{PERSON}} ever been told by a doctor
or other health professional that {you/he/she} had…]
c. angina, also called angina pectoris?

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If coded ‘1’ (YES), add ‘ANGINA’ to person’s-medical-conditions-roster.

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 12 of 58

PE30D
PE30D
PE30D
PE30D

(PE1045)
(PE1045)
(PE1045)
(PE1045)

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE30D
Item Type:

(PE1045)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

BLAISE NAME: DxHeartAttack
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

)

Show Card (

ArrayMax:

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Now I’m going to ask you about certain medical conditions {you/{PERSON}} may have had. For these questions, please
think about {your/his/her} health over {your/his/her} lifetime.} [{Have/Has} {you/{PERSON}} ever been told by a doctor
or other health professional that {you/he/she} had…]
d. a heart attack, also called myocardial infarction or MI?

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If coded ‘1’ (YES), add ‘HEART ATTACK-MYOCARDIAL INFARC’ to person’s-medicalconditions-roster.

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 13 of 58

PE30E
PE30E
PE30E
PE30E

(PE1050)
(PE1050)
(PE1050)
(PE1050)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE30E
Item Type:

(PE1050)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (DxOthHeartHelp)
Context Header:

BLAISE NAME: DxOthHeartCond
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Show Card (

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Now I’m going to ask you about certain medical conditions {you/{PERSON}} may have had. For these questions, please
think about {your/his/her} health over {your/his/her} lifetime.} [{Have/Has} {you/{PERSON}} ever been told by a doctor
or other health professional that {you/he/she} had…]
e. any other kind of heart condition or heart disease, other than coronary heart disease, angina, or heart attack?
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

Note that condition record for OTHER HEART CONDITION is not created here, but at
PE90.

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 14 of 58

PE30F
PE30F
PE30F
PE30F

(PE1055)
(PE1055)
(PE1055)
(PE1055)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE30F
Item Type:

(PE1055)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (DxStrokeHelp)
Context Header:

BLAISE NAME: DxStroke
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Show Card (

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Now I’m going to ask you about certain medical conditions {you/{PERSON}} may have had. For these questions, please
think about {your/his/her} health over {your/his/her} lifetime.} [{Have/Has} {you/{PERSON}} ever been told by a doctor
or other health professional that {you/he/she} had…]
f. a stroke, ministroke, or TIA? A TIA is short for Transient Ischemic Attack.
HELP:F1

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If coded ‘1’ (YES), add ‘STROKE-TIA’ to person’s-medical-conditions-roster.

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 15 of 58

PE30G
PE30G
PE30G
PE30G

(PE1060)
(PE1060)
(PE1060)
(PE1060)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE30G
Item Type:

(PE1060)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (DxEmphysemaHelp)
Context Header:

BLAISE NAME: DxEmphysema
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Show Card (

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Now I’m going to ask you about certain medical conditions {you/{PERSON}} may have had. For these questions, please
think about {your/his/her} health over {your/his/her} lifetime.} [{Have/Has} {you/{PERSON}} ever been told by a doctor
or other health professional that {you/he/she} had…]
g. emphysema?
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If coded ‘1’ (YES), add ‘EMPHYSEMA’ to person’s-medical-conditions-roster.

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 16 of 58

PE30H
PE30H
PE30H
PE30H

(PE1065)
(PE1065)
(PE1065)
(PE1065)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE30H
Item Type:

(PE1065)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: DxHghCholest
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Now I’m going to ask you about certain medical conditions {you/{PERSON}} may have had. For these questions, please
think about {your/his/her} health over {your/his/her} lifetime.} [{Have/Has} {you/{PERSON}} ever been told by a doctor
or other health professional that {you/he/she} had…]
h. high cholesterol?

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If coded ‘1’ (YES), add ‘HIGH CHOLESTEROL’ to person’s-medical-conditions-roster.

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 17 of 58

PE30I
PE30I
PE30I
PE30I

(PE1070)
(PE1070)
(PE1070)
(PE1070)

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE30I
Item Type:

(PE1070)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: DxCancer
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Now I’m going to ask you about certain medical conditions {you/{PERSON}} may have had. For these questions, please
think about {your/his/her} health over {your/his/her} lifetime.} [{Have/Has} {you/{PERSON}} ever been told by a doctor
or other health professional that {you/he/she} had…]
i. cancer or a malignancy of any kind?

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

Note that condition record for CANCER is not created here but at PE140 and/or PE140OS.

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 18 of 58

PE30J
PE30J
PE30J
PE30J

(PE1075)
(PE1075)
(PE1075)
(PE1075)

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE30J
Item Type:

(PE1075)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: DxArthritis
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Now I’m going to ask you about certain medical conditions {you/{PERSON}} may have had. For these questions, please
think about {your/his/her} health over {your/his/her} lifetime.} [{Have/Has} {you/{PERSON}} ever been told by a doctor
or other health professional that {you/he/she} had…]
j. arthritis?

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

Note that condition record for arthritis is not created here but at PE170.

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 19 of 58

PE30K
PE30K
PE30K
PE30K

(PE1080)
(PE1080)
(PE1080)
(PE1080)

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE30K
Item Type:

(PE1080)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

BLAISE NAME: DxDiabetes
Field kind: Datafield
ArrayMin:
Field Size:
Answers allowed: 1

Help Available (DxDiabetesHelp)
Context Header:

Min value:

ArrayMax:

Show Card (

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Now I’m going to ask you about certain medical conditions {you/{PERSON}} may have had. For these questions, please
think about {your/his/her} health over {your/his/her} lifetime.} [{Have/Has} {you/{PERSON}} ever been told by a doctor
or other health professional that {you/he/she} had…]
k. diabetes or sugar diabetes {, other than during pregnancy}?
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If coded ‘1’ (YES) add ‘DIABETES’ to person’s-medical-conditions-roster.

Display
Instructions:

Testing/Editing
Notes:

1
2
RF
DK

PE30L
PE30L
PE30L
PE30L

(PE1085)
(PE1085)
(PE1085)
(PE1085)

Display ‘other than during pregnancy’ if person being asked about is female and is age 15 or older or in
age categories 4-9. Otherwise use a null display.

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 20 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE30L
Item Type:

(PE1085)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (DxAsthmaHelp)
Context Header:

BLAISE NAME: DxAsthma
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Show Card (

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Now I’m going to ask you about certain medical conditions {you/{PERSON}} may have had. For these questions, please
think about {your/his/her} health over {your/his/her} lifetime.} [{Have/Has} {you/{PERSON}} ever been told by a doctor
or other health professional that {you/he/she} had…]
l. asthma ?
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If coded ‘1’ (YES) add 'ASTHMA' to person’s-medical-conditions-roster.

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 21 of 58

PE30M
PE30M
PE30M
PE30M

(PE1090)
(PE1090)
(PE1090)
(PE1090)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE30M
Item Type:

(PE1090)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: DxADHDADD
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Now I’m going to ask you about certain medical conditions {you/{PERSON}} may have had. For these questions, please
think about {your/his/her} health over {your/his/her} lifetime.} [{Have/Has} {you/{PERSON}} ever been told by a doctor
or other health professional that {you/he/she} had…]
m. Attention Deficit Hyperactivity Disorder (ADHD) or Attention Deficit Disorder (ADD)?

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If coded ‘1’ (YES), add the priority condition ‘ATTEN DEFICIT/HYPERACTIVITY’ to
person’s-medical-conditions-roster.

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 22 of 58

BOX_30
BOX_30
BOX_30
BOX_30

(PE1095)
(PE1095)
(PE1095)
(PE1095)

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Rout

Full Detail Spec

BOX_30

Route Details:

(PE1095)

Item Type: Route

Type Class: If Then

For each condition coded ‘1’ (YES), ask appropriate follow-up question(s), then return and
check for the next condition = ‘1’ (YES).
If condition coded ‘2’ (NO), continue and check for next condition coded ‘1’ (YES), unless
otherwise specified.
If PE30A (HYPERTENSION-HI BLOOD PRESSURE) is coded ‘1’ (YES) ask PE40,
otherwise,
If PE30B (CORONARY HEART DISEASE) is coded ‘1’ (YES) ask PE60, otherwise,
If PE30C (ANGINA) is coded ‘1’(YES) ask PE70, otherwise,
If PE30D (HEART ATTACK-MYOCARDIAL INFARC) is coded ‘1’ (YES) ask PE80
otherwise,
If PE30E (OTH HRT COND) is coded ‘1’ (YES) ask PE90, otherwise,
If PE30F (STROKE-TIA) is coded ‘1’ (YES) ask PE110, otherwise,
If PE30G (EMPHYSEMA) is coded ‘1’ (YES) ask PE120, otherwise,
If PE30H (HIGH CHOLESTEROL) is coded ‘1’ (YES) ask PE130, otherwise,
If PE30I (CANCER) is coded ‘1’ (YES) ask PE140, otherwise,
If PE30J (ARTHRITIS) is coded ‘1’ (YES), ask PE170, otherwise,
If PE30K (DIABETES) is coded ‘1’ (YES), ask PE190, otherwise,
If PE30L (ASTHMA) is coded ‘1’ (YES), ‘RF’ or ‘DK’ go to BOX_40.
If PE30M (ATTEN DEFICIT/HYPERACTIVITY) is coded ‘1’ (YES), ask PE310.
If ‘ASTHMA’ was added to person’s-medical-conditions-roster as created in the PE section
prior to current round, go to BOX_40.
Otherwise, go to BOX_50 after all condition detail questions have been asked.

Programmer
Instructions:

For each condition follow-up question:
Display “I have a few more… with {CONDITION}.” if first condition being followed-up on
in the current round. Otherwise, display “Now let’s talk … {CONDITION}.’
For ‘CONDITION,’ display the condition name from person’s-medical-conditions-roster that
is being followed-up on, unless otherwise specified.

PE - Page 23 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE40
Item Type:

(PE1100)
Question

Type Class:

Integer

Answer Type:

Help Available (
Context Header:

BLAISE NAME: AgeDxHypertension
Field kind: Datafield
ArrayMin:

Field Size: 3
{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMax:

)

Min value: 0
Max value: 120

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{I have a few more questions to ask about each of {your/{PERSON}’s} conditions. Let’s start with {CONDITION}./Now
let’s talk about {your/{PERSON}’s} {CONDITION}.} How old {were/was} {you/{PERSON}} when the hypertension, also
called high blood pressure, was first diagnosed?
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
ENTER AGE.

Responses:
REFUSED
DON'T KNOW

Programmer
Instructions:

RF
DK

Hard range check: 0 to person’s current age.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 24 of 58

PE50

(PE1105)

PE50
PE50

(PE1105)
(PE1105)

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE50
Item Type:

(PE1105)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: HghBld2x
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

)

Max value:

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Were/Was} {you/{PERSON}} told on two or more different visits that {you/he/she} had hypertension, also called high
blood pressure?

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

Refer to BOX_30 for routing instructions.

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 25 of 58

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE60
Item Type:

(PE1110)
Question

Type Class:

Integer

Answer Type:

Help Available (
Context Header:

BLAISE NAME: AgeDxCHD
Field kind: Datafield
ArrayMin:

Field Size: 3
{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMax:

)

Min value: 0
Max value: 120

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{I have a few more questions to ask about each of {your/{PERSON}’s} conditions. Let’s start with {CONDITION}./Now
let’s talk about {your/{PERSON}’s} {CONDITION}.} How old {were/was} {you/{PERSON}} when the coronary heart
disease was first diagnosed?
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
ENTER AGE.

Responses:
REFUSED
DON'T KNOW

Programmer
Instructions:

RF
DK

Refer to BOX_30 for routing instructions.
Hard range check: 0 to person’s current age.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 26 of 58

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE70
Item Type:

(PE1115)
Question

Type Class:

Integer

Answer Type:

Help Available (
Context Header:

BLAISE NAME: AgeDxAngina
Field kind: Datafield
ArrayMin:

Field Size: 3
{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMax:

)

Min value: 0
Max value: 120

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{I have a few more questions to ask about each of {your/{PERSON}’s} conditions. Let’s start with {CONDITION}./Now
let’s talk about {your/{PERSON}’s} {CONDITION}.} How old {were/was} {you/{PERSON}} when the angina, also called
angina pectoris, was first diagnosed?
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
ENTER AGE.

Responses:
REFUSED
DON'T KNOW
Programmer
Instructions:

RF
DK

Refer to BOX_30 for routing instructions.
Hard range check: 0 to person’s current age.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 27 of 58

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE80
Item Type:

(PE1120)
Question

Type Class:

Integer

Answer Type:

Help Available (
Context Header:

BLAISE NAME: AgeDxHeartAttack
Field kind: Datafield
ArrayMin:

Field Size: 3
{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMax:

)

Min value: 0
Max value: 120

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{I have a few more questions to ask about each of {your/{PERSON}’s} conditions. Let’s start with {CONDITION}./Now
let’s talk about {your/{PERSON}’s} {CONDITION}.} How old {were/was} {you/{PERSON}} when the heart attack, also
called myocardial infarction or MI, was first diagnosed?
IF MORE THAN ONE HEART ATTACK, PROBE FOR AGE WHEN FIRST HEART ATTACK DIAGNOSED.
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
ENTER AGE.

Responses:
REFUSED
DON'T KNOW
Programmer
Instructions:

RF
DK

Refer to BOX_30 for routing instructions.
Hard range check: 0 to person’s current age.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 28 of 58

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE90
Item Type:

(PE1125)
Question

Type Class:

Enumerated

Answer Type:

Help Available (
Context Header:

BLAISE NAME: OthHeartCond
Field kind: Datafield
ArrayMin:

Field Size:
TOTHHEARTDISEA Answers allowed: 1

)

Show Card (

ArrayMax:

Min value:
Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{I have a few more questions to ask about each of {your/{PERSON}’s} conditions. Let’s start with the other kind of heart
condition or heart disease, other than coronary heart disease, angina, or heart attack./Now let’s talk about
{your/{PERSON}’s}
other kind of heart condition or heart disease, other than coronary heart disease, angina, or heart
attack.} What did the doctor or other health professional call it?

Responses:

HEART MURMUR
HEART ARRHYTHMIA/IRREGULAR
HEARTBEAT
BLOCKED OR CLOGGED ARTERY
CONGESTIVE HEART FAILURE
ATRIAL FIBRILLATION
MITRAL VALVE PROLAPSE
ENLARGED HEART
HEART VALVE PROBLEMS (E.G.,
LEAKY, BLOCKED, COLLAPSED)
TACHYCARDIA/RAPID HEART RATE
BRADYCARDIA/SLOW HEART RATE
OTHER (SPECIFY)
REFUSED
DON'T KNOW

1
2

PE100
PE100

(PE1135)
(PE1135)

3
4
5
6
7
8

PE100
PE100
PE100
PE100
PE100
PE100

(PE1135)
(PE1135)
(PE1135)
(PE1135)
(PE1135)
(PE1135)

PE100
PE100
PE90OS
PE100
PE100

(PE1135)
(PE1135)
(PE1130)
(PE1135)
(PE1135)

9
10
91
RF
DK

PE - Page 29 of 58

)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Display
Instructions:

Testing/Editing
Notes:

Priority Condition Enumeration (PE) Section
(Que

If coded ‘1’ at PE90, add ‘HEART MURMUR’ to person’s-medical-conditions-roster.
If coded ‘2’ at PE90, add ‘ARRHYTHMIA/IRREGULAR HEARTBEAT’ to person’smedical-conditions-roster.
If coded ‘3’ at PE90, add ‘BLOCKED OR CLOGGED ARTERY’ to person’s-medicalconditions-roster.
If coded ‘4’ at PE90, add ‘CONGESTIVE HEART FAILURE’ to person’s-medicalconditions-roster.
If coded ‘5’ at PE90, add ‘ATRIAL FIBRILLATION’ to person’s-medical-conditions-roster.
If coded ‘6’ at PE90, add ‘MITRAL VALVE PROLAPSE’ to person’s-medical-conditionsroster.
If coded ‘7’ at PE90, add ‘ENLARGED HEART’ to person’s-medical-conditions-roster.
If coded ‘8’ at PE90, add ‘HEART VALVE PROBLEMS’ to person’s-medical-conditionsroster.
If coded ‘9’ at PE90, add ‘TACHYCARDIA/RAPID HEART RATE’ to person’s-medicalconditions-roster.
If coded '10' at PE90, add ‘BRADYCARDIA/SLOW HEART RATE’ to person’s-medicalconditions-roster.
If coded ‘RF’ at PE90, add ‘OTH HRT COND-REFUSED’ to person’s-medical- conditionsroster.
If coded ‘DK’ at PE90, add ‘OTH HRT COND-DON’T KNOW’ to person’s-medicalconditions-roster.

Display “I have a few more… with the other kind of heart condition or heart disease, other than
coronary heart disease, angina, or heart attack.” if first condition being followed-up on in the current
round. Otherwise, display “Now let’s talk … the other kind of heart condition or heart disease, other
than coronary heart disease, angina, or heart attack.

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 30 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE90OS
Item Type:

(PE1130)
Question

Type Class:

String

Answer Type:

Help Available (
Context Header:

BLAISE NAME: DxHeartCondOS
Field kind: Datafield
ArrayMin:

Field Size: 45
{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMax:

Min value:
Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
[What did the doctor or other health professional call it?]

Responses:
REFUSED
DON'T KNOW
Programmer
Instructions:

RF
DK

(PE1135)

PE100
PE100

(PE1135)
(PE1135)

If coded ‘91’ at PE90, add the priority condition ‘OTH HRT COND-{SPECIFY TEXT....}’
to person’s-medical-conditions-roster. Use first 17 characters of the other specify text entered
at PE90OS as part of the condition name. Use "DON'T KNOW" and "REFUSED" for
"SPECIFY TEXT...." when coded "DK" or "RF" at PE90OS.

Display
Instructions:

Testing/Editing
Notes:

PE100

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 31 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE100
Item Type:

(PE1135)
Question

Type Class:

Integer

Answer Type:

Help Available (
Context Header:

BLAISE NAME: AgeDxOthHeartCond
Field kind: Datafield
ArrayMin:

Field Size: 3
{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMax:

)

Min value: 0
Max value: 120

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
How old {were/was} {you/{PERSON}} when the {CONDITION} was first diagnosed?
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
ENTER AGE.

Responses:
REFUSED
DON'T KNOW
Programmer
Instructions:

RF
DK

Hard range check: 0 to person’s current age.
Refer to BOX_30 for routing instructions.

Display
Instructions:

Testing/Editing
Notes:

For ‘CONDITION’ display the condition roster text entered at PE90 or PE90OS.

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 32 of 58

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE110
Item Type:

(PE1140)
Question

Type Class:

Integer

Answer Type:

Help Available (
Context Header:

BLAISE NAME: AgeDxStroke
Field kind: Datafield
ArrayMin:

Field Size: 3
{Continuous Answer.} Answers allowed: 1

)

Show Card (

Min value: 0

ArrayMax:

)

Max value: 120

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{I have a few more questions to ask about each of {your/{PERSON}’s} conditions. Let’s start with {CONDITION}./Now
let’s talk about {your/{PERSON}’s} {CONDITION}.} How old {were/was} {you/{PERSON}} when the stroke, ministroke,
or TIA was first diagnosed?
IF MORE THAN ONE STROKE, PROBE FOR AGE WHEN FIRST STROKE DIAGNOSED.
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
ENTER AGE.

Responses:
REFUSED
DON'T KNOW
Programmer
Instructions:

RF
DK

Refer to BOX_30 for routing instructions.
Hard range check: 0 to person’s current age.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 33 of 58

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE120
Item Type:

(PE1145)
Question

Type Class:

Integer

Answer Type:

Help Available (
Context Header:

BLAISE NAME: AgeDxEmphysema
Field kind: Datafield
ArrayMin:

Field Size: 3
{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMax:

)

Min value: 0
Max value: 120

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{I have a few more questions to ask about each of {your/{PERSON}’s} conditions. Let’s start with {CONDITION}./Now
let’s talk about {your/{PERSON}’s} {CONDITION}.} How old {were/was} {you/{PERSON}} when the emphysema was
first diagnosed?
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
ENTER AGE.

Responses:
REFUSED
DON'T KNOW

Programmer
Instructions:

RF
DK

Refer to BOX_30 for routing instructions.
Hard range check: 0 to person’s current age.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 34 of 58

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE130
Item Type:

(PE1150)
Question

Type Class:

Integer

Answer Type:

Help Available (
Context Header:

BLAISE NAME: AgeDxHghCholest
Field kind: Datafield
ArrayMin:

Field Size: 3
{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMax:

)

Min value: 0
Max value: 120

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{I have a few more questions to ask about each of {your/{PERSON}’s} conditions. Let’s start with {CONDITION}./Now
let’s talk about {your/{PERSON}’s} {CONDITION}.} How old {were/was} {you/{PERSON}} when the high cholesterol
was first diagnosed?
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
ENTER AGE.

Responses:
REFUSED
DON'T KNOW

Programmer
Instructions:

RF
DK

Refer to BOX_30 for routing instructions.
Hard range check: 0 to person’s current age.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 35 of 58

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE140
Item Type:

(PE1155)
Question

Type Class:

Enumerated

Answer Type:

Tbw_PE11

Help Available (
Context Header:

)

BLAISE NAME: CodeAllCancer
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 30 ArrayMax:

Show Card (PE-1)

Max value:

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
PE-1.
{I have a few more questions to ask about each of {your/{PERSON}’s} conditions. Let’s start with cancer./Now let’s talk
about {your/PERSON}’s} cancer.} Looking at show card PE-1, what kind of cancer was it?
ENTER ALL THAT APPLY.

Responses:

BLADDER
BLOOD
BONE
BRAIN
BREAST
CERVICAL
COLON
ESOPHAGUS
GALLBLADDER
KIDNEY/RENAL
LARYNX-WINDPIPE
LEUKEMIA
LIVER
LUNG
LYMPHOMA (NON-HODGKIN'S)
MOUTH/TONGUE/LIP
OVARIAN
PANCREAS
PROSTATE
RECTUM
SKIN MELANOMA
SKIN NON-MELANOMA
SKIN (UNKNOWN TYPE)
SOFT TISSUE MUSCLE OR FAT
STOMACH
TESTICULAR
THROAT OR PHARYNX
THYROID
UTERINE
OTHER

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
91
PE - Page 36 of 58

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

REFUSED
DON'T KNOW
Programmer
Instructions:

RF
DK

If ‘OTHER’ (91) selected alone or in combination with any other response, continue with
PE140OS.
Otherwise, go to LOOP_20.
For each type of cancer selected at PE140, Add the priority condition ‘Cancer-{Specify
Type…}' to person’s-medical-conditions-roster, where ‘Specify Type’ is the name of the
cancer type selected. Since the length of the CONDNAM is limited to 30 characters,
abbreviate ‘SOFT TISSUE’ option to ‘CANCER-SOFT TISSUE MUSCL/FAT’. Use
"DON'T KNOW" and "REFUSED" for ‘Specify Type’ when coded "DK" or "RF" at
PE140.For each type of cancer selected, create a condition and condition-by-round record.
Display response options ‘6’ (CERVICAL), ‘17’ (OVARIAN) or ‘29’ (UTERINE), if the
person is female. Otherwise, use a null display.
Display response options ‘19’ (PROSTATE) or ‘26’ (TESTICULAR), if the person is male.
Otherwise, use a null display.

Display
Instructions:

Testing/Editing
Notes:

Display 3 columns for the answer list pane. For males, the columns with each display 9 response
options. For females, the first two columns will each display 10 response options and the third column
will display 8 options. The space between the columns should be minimized to prevent horizontal
scrolling. The current UI spec says to display the categories in 13px, but the point size can be reduced
(no lower than 9 px) to enable the choices to fit within the answer list pane in 3 columns without
horizontal scrolling.

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 37 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE140OS
Item Type:

(PE1160)
Question

Type Class:

String

Field Size: 23
{Continuous Answer.} Answers allowed: 1

Answer Type:

Help Available (
Context Header:

BLAISE NAME: CancerOS
Field kind: Datafield
ArrayMin:

)

Show Card (

ArrayMax:

Min value:
Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
SPECIFY: OTHER TYPE OF CANCER:

Responses:
REFUSED
DON'T KNOW
Programmer
Instructions:

RF
DK

LOOP_20

(PE1165)

LOOP_20
LOOP_20

(PE1165)
(PE1165)

Add the priority condition ‘Cancer - {other specify}’ to person’s-medical-conditions-roster
and set associated PE flags.
Use first 23 characters of the other specify text entered at PE140OS as part of the condition
name. Use "DON'T KNOW" and "REFUSED" for "SPECIFY TEXT...." when coded "DK"
or "RF" at PE140OS.

Display
Instructions:

Testing/Editing
Notes:

LOOP_20

Route Details:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

(PE1165)

Item Type: Route

Type Class: Begin Loop

For each element in person’s-medical-conditions-roster, ask PE150-END_LP20.
Loop definition: LOOP_20 cycles on each type of cancer enumerated at PE140 or
PE140OS for person. LOOP_20 collects the age the cancer was diagnosed and whether it is
in remission. This loop cycles on each condition in person’s-medical-conditions-roster that
meets the following conditions:
- condition was created at PE140 or PE140OS in the current round.

PE - Page 38 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE150
Item Type:

(PE1170)
Question

Type Class:

Integer

Answer Type:

Help Available (
Context Header:

BLAISE NAME: AgeDxCancer
Field kind: Datafield
ArrayMin:

Field Size: 3
{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMax:

Min value: 0
Max value: 120

)

Look Up File (

{PERSON'S FIRST MIDDLE AND LAST NAME} {PERSON'S MEDICAL
CONDITION.}

Question Text:
How old {were/was} {you/{PERSON}} when the {CONDITION} was first diagnosed?
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
ENTER AGE.

Responses:
REFUSED
DON'T KNOW
Programmer
Instructions:
Display
Instructions:

Testing/Editing
Notes:

RF
DK

PE160

(PE1175)

PE160
PE160

(PE1175)
(PE1175)

Hard range check: 0 to person’s current age.

For {PERSON'S MEDICAL CONDITION} in the header, display the type of cancer
enumerated at PE140 or PE140OS that is currently being asked about.

Variable collected at MEPSSpring2018.PE_Main.PE_Loop20[1..30]
Variable stored at MEPSSpring2018_PersSect.PE_Main.PE_Loop20[1..30]

PE - Page 39 of 58

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE160
Item Type:

(PE1175)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

BLAISE NAME: Remission
Field kind: Datafield
ArrayMin:
Field Size:
Answers allowed: 1

Help Available (RemissionHelp)
Context Header:

Min value:

ArrayMax:

Show Card (

Max value:

)

Look Up File (

)

{PERSON'S FIRST MIDDLE AND LAST NAME} {PERSON'S MEDICAL
CONDITION.}

Question Text:
Is {your/{PERSON}'s} {CONDITION} in remission, that is, the {CONDITION} is under control?
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

END_LP20
END_LP20
END_LP20
END_LP20

(PE1180)
(PE1180)
(PE1180)
(PE1180)

Display
Instructions:

Testing/Editing
Notes:

END_LP20

Route Details:

Variable collected at MEPSSpring2018.PE_Main.PE_Loop20[1..30]
Variable stored at MEPSSpring2018_PersSect.PE_Main.PE_Loop20[1..30]

(PE1180)

Item Type: Route

Type Class: End Loop

Cycle on next condition in person’s-medical-conditions-roster that meets the conditions
stated in the loop definition.
If no other conditions meet the stated conditions, end LOOP_20 and check conditions in
BOX_30, continuing according to routing instructions.

PE - Page 40 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE170
Item Type:

(PE1185)
Question

Type Class:

Enumerated

Answer Type:

TARTHTYPE

BLAISE NAME: ArthritisTp
Field kind: Datafield
ArrayMin:
Field Size:
Answers allowed: 1

Help Available (ArthritisTpHelp)
Context Header:

Min value:

ArrayMax:

Show Card (

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{I have a few more questions to ask about each of {your/[PERSON}’s} conditions. Let’s start with arthritis./Now let’s talk
about {your/{PERSON}’s} arthritis.} What type of arthritis was that?
PROBE: {Were/Was} {you/{PERSON} diagnosed with rheumatoid arthritis or osteoarthritis?
SELECT ‘NOT SPECIFIED’ IF RESPONDENT DOES NOT KNOW THE TYPE OF ARTHRITIS.
HELP: F1

Responses:

RHEUMATOID ARTHRITIS
OSTEOARTHRITIS
NOT SPECIFIED
REFUSED

Programmer
Instructions:

If coded ‘1’ (RHEUMATOID ARTHRITIS), add the priority condition ‘RHEUMATOID
ARTHRITIS’ to person’s-medical-conditions-roster.

1
2
3
RF

PE180
PE180
PE180
PE180

(PE1190)
(PE1190)
(PE1190)
(PE1190)

If coded ‘2’ (OSTEOARTHRITIS), add the priority condition ‘OSTEOARTHRITIS’ to
person’s-medical-conditions-roster.
If coded ‘3’ (NOT SPECIFIED) or ‘RF’ (REFUSED), add the priority condition
‘ARTHRITIS (NOT SPECIFIED)’ to person’s-medical- conditions-roster.
Code ‘DK’ (DON'T KNOW) disallowed.

Display
Instructions:

Testing/Editing
Notes:

Display “I have a few more… with arthritis.” if first condition being followed-up on in the
current round. Otherwise, display “Now let’s talk … arthritis.

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 41 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE180
Item Type:

(PE1190)
Question

Type Class:

Integer

Answer Type:

Help Available (
Context Header:

BLAISE NAME: AgeDxArthritis
Field kind: Datafield
ArrayMin:

Field Size: 3
{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMax:

)

Min value: 0
Max value: 120

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
How old {were/was} {you/{PERSON}} when the {rheumatoid arthritis/osteoarthritis/arthritis} was first diagnosed?
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
ENTER AGE.

Responses:
REFUSED
DON'T KNOW
Programmer
Instructions:

RF
DK

Hard range check: 0 to person’s current age.
Refer to BOX_30 for routing instructions.

Display
Instructions:

Testing/Editing
Notes:

Display ‘rheumatoid arthritis’ if PE170 is coded ‘1’ (RHEUMATOID ARTHRITIS). Display
‘osteoarthritis’ if PE170 is coded ‘2’ (OSTEOARTHRITIS). Display ‘arthritis’ if PE170 is
coded ‘3’ (NOT SPECIFIED) or ‘RF’ (REFUSED).

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 42 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE190
Item Type:

(PE1195)
Question

Type Class:

Integer

Field Size: 3
{Continuous Answer.} Answers allowed: 1

Answer Type:

Help Available (
Context Header:

BLAISE NAME: AgeDxDiabetes
Field kind: Datafield
ArrayMin:

)

Show Card (

ArrayMax:

Min value: 0
Max value: 120

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{I have a few more questions to ask about each of {your/{PERSON}’s} conditions. Let’s start with {CONDITION}./Now
let’s talk about {your/{PERSON}’s} {CONDITION}.} How old {were/was} {you/{PERSON}} when the diabetes or sugar
diabetes was first diagnosed?
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
ENTER AGE.

Responses:
REFUSED
DON'T KNOW

Programmer
Instructions:

RF
DK

Hard range check: 0 to person’s current age.
Refer to BOX_30 for routing instructions.

Display
Instructions:

Testing/Editing
Notes:

BOX_40

Route Details:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

(PE1200)

Item Type: Route

Type Class: If Then

If ‘AS THMA’ is a dde d to pe rs on’s -me dica l-conditions -ros te r a s cre a te d in the PE
s e ction prior to curre nt round, go to PE210.
Els e if ‘AS THMA’ a dde d to pe rs on’s -me dica l-conditions -ros te r a s cre a te d in the PE
s e ction in curre nt round continue with PE200.

PE - Page 43 of 58

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE200
Item Type:

(PE1205)
Question

Type Class:

Integer

Answer Type:

Help Available (
Context Header:

BLAISE NAME: AgeDxAsthma
Field kind: Datafield
ArrayMin:

Field Size: 3
{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMax:

Min value: 0
Max value: 120

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{I have a few more questions to ask about each of {your/{PERSON}’s} conditions. Let’s start with {CONDITION}./Now
let’s talk about {your/{PERSON}’s} {CONDITION}.} How old {were/was} {you/{PERSON}} when the asthma was first
diagnosed?
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
ENTER AGE.

Responses:
REFUSED
DON'T KNOW

Programmer
Instructions:

RF
DK

Hard range check: 0 to person’s current age.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 44 of 58

PE210

(PE1210)

PE210
PE210

(PE1210)
(PE1210)

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE210
Item Type:

(PE1210)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (DxAsthmaHelp)
Context Header:

BLAISE NAME: AsthmaStill
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Show Card (

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{I have a few more questions to ask about each of {your/{PERSON}’s} conditions. Let’s start with {CONDITION}./Now
let’s talk about {your/{PERSON}’s} {CONDITION}.} {During an earlier interview, it was mentioned that
{you/{PERSON}} {have/has} asthma.} {Do/Does} {you/{PERSON}} still have asthma?
HELP: F1

Responses:

Display
Instructions:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

PE220
PE220
PE220
PE220

(PE1215)
(PE1215)
(PE1215)
(PE1215)

Display either “{I have a few more questions to ask about each…/Now let’s talk about…}”
only when PE200 has not been asked.
Display ‘During an earlier interview, it…’ if asthma was added during a previous round
(preload.xxx). Otherwise (asthma added for person in current round), use a null display.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 45 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE220
Item Type:

(PE1215)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

BLAISE NAME: AsthmaAttack
Field kind: Datafield
ArrayMin:
Field Size:
Answers allowed: 1

Help Available (AsthmaAttackHelp)
Context Header:

Min value:

ArrayMax:

Show Card (

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
During the past 12 months, {have/has} {you/{PERSON}} had an episode of asthma or an asthma attack?
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If PE220 is coded ‘2’ (NO) and if asthma created this round (PE30L coded ‘1’ (YES) this
round), continue with PE230.

1
2
RF
DK

If PE220 is coded ‘2’ (NO) and if asthma created in any prior round (preload.xxx) and PE230
(AsthmaLAttack)=EMPTY in a prior round (preload.xxx), continue with PE230.
Otherwise, go to PE240

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 46 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE230
Item Type:

(PE1220)
Question

Type Class:

Enumerated

Answer Type:

TASTHEPIS

BLAISE NAME: AsthmaLAttack
Field kind: Datafield
ArrayMin:
Field Size:
Answers allowed: 1

Help Available (AsthmaAttackHelp)
Context Header:

Min value:

ArrayMax:

Show Card (

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
When did {you/{PERSON}} last have an episode of asthma or an asthma attack?
HELP: F1

Responses:

WITHIN PAST 2 YEARS
WITHIN PAST 3 YEARS
WITHIN PAST 5 YEARS
MORE THAN 5 YEARS
NEVER
REFUSED
DON'T KNOW

1
2
3
4
5
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 47 of 58

PE240
PE240
PE240
PE240
PE240
PE240
PE240

(PE1221)
(PE1221)
(PE1221)
(PE1221)
(PE1221)
(PE1221)
(PE1221)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE240
Item Type:

(PE1221)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: LungPM
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Even though {you/{PERSON}} {{don’t/doesn’t} currently have asthma}/{haven’t/hasn’t} had an asthma attack in the past
year}, we have a few questions about {your/his/her} use of asthma medications in the past.} There are two different kinds of
asthma medicine. One is for quick relief. The other does not give quick relief but protects your lungs and prevents symptoms
over the long term.
{Have/Has} {you/{PERSON}} ever taken the preventive kind of asthma medicine used every day to protect your lungs and
keep you from having attacks? Include both oral medicine and inhalers. This is different from inhalers used for quick relief.

Responses:

YES
NO
REFUSED
DON'T KNOW

Display
Instructions:

If [PE210 is coded ‘2’ (NO) and PE220 is coded '1' (YES)] or PE220 is coded
'2' (NO), 'RF' (REFUSED) or 'DK' (DON'T KNOW), display "Even though ...
use of asthma medications in the past." Otherwise, use a null display.

1
2
RF
DK

PE250
PE260
PE260
PE260

(PE1222)
(PE1223)
(PE1223)
(PE1223)

If PE210 is coded ‘2’ (NO) and PE220 is coded '1' (YES) , display
“{don’t/doesn’t} currently have asthma". Otherwise (i.e., PE220 is coded '2'
(NO), 'RF' (REFUSED) or 'DK' (DON'T KNOW), display "{haven’t/hasn’t}
had an asthma attack in the past year".

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 48 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE250
Item Type:

(PE1222)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: TakePMDaily
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Are/Is} {you/{PERSON}} now taking this medication (that protects the lungs) daily or almost daily?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

PE260
PE260
PE260
PE260

(PE1223)
(PE1223)
(PE1223)
(PE1223)

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE260
Item Type:

(PE1223)
Question

Type Class:
Answer Type:

Enumerated

Help Available (
Context Header:

TYESNO

)

BLAISE NAME: Inhaler
Field kind: Datafield
ArrayMin:
Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Min value:
Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
During the past 3 months, {have/has} {you/{PERSON}} used the kind of prescription inhaler that you breathe in through
your mouth that gives quick relief from asthma symptoms?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK
PE - Page 49 of 58

PE270
PE280
PE280
PE280

(PE1224)
(PE1225)
(PE1225)
(PE1225)

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE270
Item Type:

(PE1224)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: InhalerGT3Can
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
During the past 3 months, did {you/{PERSON}} use more than three canisters of this type of inhaler?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 50 of 58

PE280
PE280
PE280
PE280

(PE1225)
(PE1225)
(PE1225)
(PE1225)

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE280
Item Type:

(PE1225)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: PeakFlow
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
A peak flow meter measures how hard you can blow air out of your lungs. {Do/Does} {you/{PERSON}} currently have a
peak flow meter at home?

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If coded '2' (NO), 'RF' (REFUSED), or 'DK' (DON'T KNOW), refer to BOX_30 for routing
instructions.

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 51 of 58

PE290

(PE1226)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE290
Item Type:

(PE1226)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

BLAISE NAME: HaveFlowMeter
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

)

Show Card (

ArrayMax:

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
Did {you/{PERSON}} ever use the peak flow meter?

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If coded '2' (NO), 'RF' (REFUSED), or 'DK' (DON'T KNOW), refer to BOX_30 for routing
instructions.

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 52 of 58

PE300

(PE1227)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE300
Item Type:

(PE1227)
Question

Type Class:

Enumerated

Answer Type:

TFLOWPEAK

Help Available (
Context Header:

)

BLAISE NAME: LUseFlowMeter
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Show Card (PE-2)

Max value:

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
PE-2.
Looking at show card PE-2, when did {you/{PERSON}} last use the peak flow meter? Was it within the last seven days,
more than seven days ago but within the last thirty days, or more than thirty days ago?

Responses:

Programmer
Instructions:

WITHIN LAST 7 DAYS
MORE THAN 7, BUT WITHIN LAST 30
DAYS
MORE THAN 30 DAYS AGO
REFUSED
DON'T KNOW

1
2
3
RF
DK

Refer to BOX_30 for routing instructions.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 53 of 58

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE310
Item Type:

(PE1228)
Question

Type Class:

Integer

Field Size: 3
{Continuous Answer.} Answers allowed: 1

Answer Type:

Help Available (
Context Header:

BLAISE NAME: AgeDxADHDADD
Field kind: Datafield
ArrayMin:

)

Show Card (

ArrayMax:

Min value: 0
Max value: 120

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{I have a few more questions to ask about each of {your/{PERSON}’s} conditions. Let’s start with {CONDITION}./Now
let’s talk about {your/{PERSON}’s} {CONDITION}.}How old {were/was} {you/{PERSON}} when the Attention Deficit
Hyperactivity Disorder (ADHD) or Attention Deficit Disorder (ADD) was first diagnosed?
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
ENTER AGE.

Responses:
REFUSED
DON'T KNOW

Programmer
Instructions:

RF
DK

BOX_50

(PE1230)

BOX_50
BOX_50

(PE1230)
(PE1230)

Hard range check: 0 to person’s current age.

Display
Instructions:

Testing/Editing
Notes:

BOX_50

Route Details:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

(PE1230)

Item Type: Route

Type Class: If Then

If person being asked about is > or = 18 years of age or in age category 4-9, continue with
BOX_60.
Otherwise, go to END_LP10.

PE - Page 54 of 58

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Rout

Full Detail Spec

BOX_60

(PE1296)

Route Details:

Item Type: Route

Type Class: If Then

If ‘RHEUMATOID ARTHRITIS ’ or ‘OS TEOARTHRITIS ’ or ‘ARTHRITIS (NOT
S PECIFIED)’ on pe rs on’s -me dica l- conditions -ros te r a s cre a te d in the PE s e ction, go
to PE330.
Othe rwis e :
If ‘Round 1 or 3
Or
If Round 2 or 4 a nd pe rs on a dde d to DU-me mbe rs -ros te r during the curre nt round,
continue with PE320.

PE320
Item Type:

(PE1298)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: DxJointPain
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
For these next two questions, please think about the last 12 months, that is between {MONTH YEAR-1} and today.
{Have/Has} {you/{PERSON}} had pain, aching, stiffness or swelling around a joint in the past 12 months?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

PE - Page 55 of 58

PE330
PE330
PE330
PE330

(PE1299)
(PE1299)
(PE1299)
(PE1299)

)

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

Programmer
Instructions:

If PE320 is coded '1' (yes) and one of the following is true:
- Round 1, 2, or 4
- Round 3 and the priority condition ‘JOINT PAIN’ is not on person’s-medical- conditionsroster
Add the priority condition ‘JOINT PAIN’ to the person's-medical-conditions-roster.
If PE320 is coded '1' (yes) in Round 3 and the priority condition ‘JOINT PAIN’ reported in a
previous round in the PE section (preload.xxx), the priority condition ‘JOINT PAIN’ should
be flagged as 'selected' this round (with round status).

Display
Instructions:

Testing/Editing
Notes:

For “MONTH YEAR-1” display the month of the current interview and the current interview
year minus 1.

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE330
Item Type:

(PE1299)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

BLAISE NAME: DxChronBronch
Field kind: Datafield
ArrayMin:

Help Available (DxChronBronchHelp)
Context Header:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Show Card (

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{For this next question, please think about the last 12 months, that is between {MONTH YEAR-1} and today.} {Have/Has}
{you/{PERSON}} been told by a doctor or other health professional that {you/he/she} had chronic bronchitis? Do not
include isolated instances of acute bronchitis.
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

PE - Page 56 of 58

END_LP10
END_LP10
END_LP10

(PE1305)
(PE1305)
(PE1305)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Priority Condition Enumeration (PE) Section
(Que

If coded '1' (yes) and:
- The priority condition 'CHRONIC BRONCHITIS' not reported in a previous round in the
PE section (preload.xxx), add the priority condition 'CHRONIC BRONCHITIS' to person'smedical-conditions roster.
If coded '1' (yes) and:
- Round 3 and
- The priority condition 'CHRONIC BRONCHITIS' reported in a previous round in the PE
section (preload.xxx), the priority condition 'CHRONIC BRONCHITIS' should be flagged as
'selected' this round (with the round status).
If:
- coded ‘1’ (yes) and
- Round 1 or [not Round 1 and PE340 not asked in a previous round (preload.xxx)] continue
with PE340.
Otherwise, go to END_LP10.

Display
Instructions:

Display ‘{For the next question, please think about the last 12 months….}’ only if PE320 was not
asked, otherwise, use a null display.
For “MONTH YEAR-1” display the month of the current interview and the current interview year
minus 1.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

PE - Page 57 of 58

MEPS_V2

Priority Condition Enumeration (PE) Section
(Que

Full Detail Spec

PE340
Item Type:

(PE1300)
Question

Type Class:

Integer

Field Size: 3
{Continuous Answer.} Answers allowed: 1

Answer Type:

Help Available (
Context Header:

BLAISE NAME: AgeDxChronBronch
Field kind: Datafield
ArrayMin:

)

Show Card (

ArrayMax:

Min value: 0
Max value: 120

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
How old {were/was} {you/{PERSON}} when the chronic bronchitis was first diagnosed?
IF LESS THAN ONE YEAR OLD WHEN DIAGNOSED, ENTER 0 FOR AGE.
ENTER AGE.

Responses:
REFUSED
DON'T KNOW
Programmer
Instructions:

RF
DK

END_LP10
END_LP10
END_LP10

(PE1305)
(PE1305)
(PE1305)

Hard range check: 0 to person’s current age.

Display
Instructions:

Testing/Editing
Notes:

END_LP10

Route Details:

Variable collected at MEPSSpring2018.PE_Main
Variable stored at MEPSSpring2018_PersSect.PE_Main

(PE1305)

Item Type: Route

Type Class: End Loop

Cycle on next person in RU-members-roster who meets the conditions stated in the loop
definition.
If no other person’s meet the stated conditions, end LOOP_10 and continue with next
section of questionnaire.

[End of PE]
PE - Page 58 of 58

)


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