CMS-P-0015A Inpatient Utilization

2023 MCBS Community Questionnaire

Variable Name

MR Screen Name Question Type

IPQ-INPATIENT UTILIZATION

Question Text/Description

Code List

Routing

INPATIENT HOSPITAL UTILIZATION QUESTIONNAIRE SPECIFICATIONS
CRITERIA
INTTYPE=C001, C002, C004, C005, C006, C007, C010
SPALIVE=ALL
SEASON=ALL
SPPROXY=SP or PROXY
Other: If INTTYPE in(C008), SP must have ongoing IP event.
PLACEMENT
Administer after ERQ.

BOX IP1

routing

IF THE SP WAS STILL IN A HOSPTIAL AT THE TIME OF THE PREVIOUS ROUND INTERVIEW, GO TO IPS1 EVENDMM.
ELSE GO TO BOX IP1AB.

EVENDMM

IPS1

date

Last time [you/(SP)] had been admitted to (HOSPITAL NAME) on (ADMISSION DATE) and [were/was] still a
patient there on (REFERENCE DATE). When [were you/was (SP)] discharged from (HOSPITAL NAME) for that
stay?

(01) [Continuous answer.]
(-7) Empty
(-8) Don't Know
(-9) Refused

IPS1 - EVENDDD

EVENDDD

IPS1

date

Last time [you/(SP)] had been admitted to (HOSPITAL NAME) on (ADMISSION DATE) and [were/was] still a
patient there on (REFERENCE DATE). When [were you/was (SP)] discharged from (HOSPITAL NAME) for that
stay?

(01) [Continuous answer.]
(-7) Empty
(-8) Don't Know
(-9) Refused

IPS1 - EVENDYY

EVENDYY

IPS1

date

Last time [you/(SP)] had been admitted to (HOSPITAL NAME) on (ADMISSION DATE) and [were/was] still a
patient there on (REFERENCE DATE). When [were you/was (SP)] discharged from (HOSPITAL NAME) for that
stay?

(01) [Continuous answer.]
(-7) Empty
(-8) Don't Know
(-9) Refused

IPS1 - STILLHOSP

STILLHOSP

IPS1

date

(01) SP IS STILL IN HOSPITAL
(-7) Empty

BOX IP1A

BOX IP1A

routing

IF SP WAS REPORTED AS STILL IN THE HOSPITAL AT IPS1, GO TO BOX IP6.
ELSE GO TO IP7 - ANYOPERS.

BOX IP1AB

routing

IF THE SP HAD AT LEAST ONE EMERGENCY ROOM VISIT IN THE CURRENT ROUND THAT RESULTED IN
THE SP BEING ADMITTED TO A HOSPITAL, GO TO BOX IP1AA.
ELSE GO TO IP1 - IPPROBE.

BOX IP1AA

routing

CREATE EVENT FOR FIRST/NEXT ER VISIT ADDED WHERE SP WAS ADMITTED TO HOSPITAL
GO TO IP1A - EVENDMM.

Page 1 of 10

2023 MCBS Community Questionnaire

IPQ-INPATIENT UTILIZATION

Variable Name

MR Screen Name Question Type

Question Text/Description

Code List

Routing

EVENDMM

IP1A

date

You told me [you were/(SP) was] admitted to (HOSPITAL NAME) from the emergency room on (ADMISSION
DATE). When [were you/was (SP)] discharged from (HOSPITAL NAME) for the stay that started on (ADMISSION
DATE)?

(01) [Continuous answer.]
(-7) Empty
(-8) Don't Know
(-9) Refused

IP1A - EVENDDD

EVENDDD

IP1A

date

You told me [you were/(SP) was] admitted to (HOSPITAL NAME) from the emergency room on (ADMISSION
DATE). When [were you/was (SP)] discharged from (HOSPITAL NAME) for the stay that started on (ADMISSION
DATE)?

(01) [Continuous answer.]
(-7) Empty
(-8) Don't Know
(-9) Refused

IP1A - EVENDYY

EVENDYY

IP1A

date

You told me [you were/(SP) was] admitted to (HOSPITAL NAME) from the emergency room on (ADMISSION
DATE). When [were you/was (SP)] discharged from (HOSPITAL NAME) for the stay that started on (ADMISSION
DATE)?

(01) [Continuous answer.]
(-7) Empty
(-8) Don't Know
(-9) Refused

IP1A - STILLHOSP

STILLHOSP

IP1A

date

You told me [you were/(SP) was] admitted to (HOSPITAL NAME) from the emergency room on (ADMISSION
DATE). When [were you/was (SP)] discharged from (HOSPITAL NAME) for the stay that started on (ADMISSION
DATE)?

(01) SP IS STILL IN HOSPITAL
(-7) Empty

BOX IP1B

BOX IP1B

routing

IF SP WAS REPORTED AS STILL IN THE HOSPITAL AT IP1A, GO TO BOX IP5.
ELSE GO TO IP7 - ANYOPERS.

(01) YES
(02) NO
(03) INDICATED YES BY DATAPREP
(-8) Don't Know
(-9) Refused

(01) IP2 - PROVIDER_IP
(02) BOX IP6
(03) DO NOT DISPLAY.
DATA EDITING ONLY.
(-8) BOX IP6
(-9) BOX IP6

IPPROBE

IP1

yes/no

[Since (REFERENCE DATE/UTILDATE)/Between (REFERENCE DATE) and (DATE OF DEATH/DATE OF
INSTITUTIONALIZATION/ENDUTILD)], [have you been/has (SP) been/was (SP)] [admitted to a hospital/admitted
any other time to this or any other hospital] as an inpatient -- either for an overnight stay or for a "same day"
procedure?
IF HAD SAME DAY PROCEDURE AND IS NOT SURE IF ADMITTED OR NOT, TREAT AS OUTPATIENT EVENT
AND ENTER WHEN YOU GET TO OP UTILIZATION.
[ENTER A STAY AT A DRUG AND REHABILITATION CENTER AS AN IP EVENT, NOT AN IU EVENT.]

PROVIDER_IP

IP2

roster

Where [were you/was (SP)] admitted -- to which hospital?
SELECT OR ADD ONLY ONE HOSPITAL.
[PROBE TO OBTAIN THE COMPLETE AND FORMAL NAME OF THE HOSPITAL.]
ONLY SELECT "NEED TO EDIT SPELLING OF EXISTING PROVIDER" IF YOU ARE CURRENTLY ENTERING
AN EVENT WITH THAT PROVIDER

[DISPLAY PROVIDER ROSTER AS RESPONSE
OPTIONS:
1. [PROVIDER 1]
2. [PROVIDER 2]
…
N. [PROVIDER N]
N+1. ADD ANOTHER
N+2. NEED TO EDIT SPELLING OF EXISTING
PROVIDER
DISPLAY PROVIDER NAME, SPECIALITY, GROUP
NAME FOR ALL PROVIDERS WHERE PROVNUM>02.

01-N) BOX IP2
(N+1) IP2-PROVNAME
(N+2) CHNGSPL-CHNGSPL
IF EXISTING PROVIDER SELECTED, GO TO BOX IP2.
ELSE IF "ADD ANOTHER" SELECTED, GO TO IP2PROVNAME
ELSE IF "NEED TO EDIT SPELLING OF EXISTING
PROVIDER" SELECTED, GO TO CHNGSPL-CHNGSPL.

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2023 MCBS Community Questionnaire

Variable Name

MR Screen Name Question Type

IPQ-INPATIENT UTILIZATION

Question Text/Description

Code List

Routing

[PROVIDER LOOKUP CALLED FROM THIS SCREEN]
ENTER THE NAME OF THE HOSPITAL BELOW

PROVNAME

IP2

verbatim

YOU MUST ENTER A PROVIDER NAME IN THE ‘NAME’ FIELD. IF THE PROVIDER IS AN INDIVIDUAL BUT
YOU DO NOT KNOW THE PROVIDER’S NAME, OR IF THE PROVIDER IS AN ORGANIZATION, ENTER THE
GROUP OR PRACTICE NAME IN THE ‘NAME’ FIELD AND LEAVE THE ‘GROUP’ FIELD BLANK.

IP2-GROUPNAM

YOU CAN CONSULT THE RESPONDENT’S STATEMENTS AND APPOINTMENT CARDS TO ENSURE THE
PROVIDER NAME IS ENTERED CORRECTLY.
NAME:

GROUPNAM

IP2

verbatim

GROUP:

WHICH PROVIDER IS MISSPELLED?

CHNGSPL

CHNGSPL

roster

THIS SCREEN IS ONLY FOR CORRECTING MISSPELLINGS. TO ADD A NEW PROVIDER, BACK UP AND
SELECT "ADD ANOTHER."
ONLY SELECT A PROVIDER IF YOU ARE CURRENTLY ENTERING AN EVENT WITH THAT PROVIDER. IF
YOU ARE NOT CURRENTLY ENTERING AN EVENT WITH A MISSPELLED PROVIDER, BACK UP TO SELECT
OR ADD THE PROVIDER THE RESPONDENT SAW DURING THIS EVENT.

CRCTSPL

VAPLACE

CRCTSPL

verbatim

WHAT IS THE CORRECT SPELLING OF THIS PROVIDER'S NAME?
THIS SCREEN IS ONLY FOR CORRECTING MISSPELLINGS. TO ADD A NEW PROVIDER, BACK UP AND
SELECT "ADD ANOTHER."
[DISPLAY PROVIDER SELECTED AT CHNGSPL-CHNGSPL]

BOX IP2

routing

IF (SP REPORTED RECEIVING HEALTH CARE SERVICES THROUGH V.A. IN THE CURRENT ROUND OR
ANY PREVIOUS ROUND) AND (IF THIS PROVIDER IS ASSOCIATED WITH V.A. IS UNKNOWN), GO TO IP3 VAPLACE.
ELSE GO TO BOX IP2AA.

IP3

yes/no

Is (HOSPITAL NAME) a Department of Veterans Affairs, or V.A., facility?

routing

IF (SP COVERED BY A MANAGED CARE PLAN ANYTIME DURING THE CURRENT ROUND) AND (IF THIS
PROVIDER IS ASSOCIATED WITH A MANAGED CARE PLAN IS UNKNOWN), GO TO IP3A - HMOASSOC.
ELSE IF (SP COVERED BY A MANAGED CARE PLAN ANYTIME DURING THE CURRENT ROUND) AND (THIS
PROVIDER IS NOT ASSOCIATED WITH A MANAGED CARE PLAN), GO TO IP3B - HMOREFER.
ELSE GO TO IP4 - EVBEGMM.

BOX IP2AA

BOX IP2

[DISPLAY PROVIDER ROSTER AS RESPONSE
OPTIONS:
1. [PROVIDER 1]
2. [PROVIDER 2]
…
N. [PROVIDER N]

CRCTSPL-CRCTSPL

DISPLAY PROVIDER NAME, SPECIALITY, GROUP
NAME FOR ALL PROVIDERS WHERE PROVNUM>02.

(01) [Continuous Answer]

BOX IP2

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

BOX IP2AA

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2023 MCBS Community Questionnaire

IPQ-INPATIENT UTILIZATION

Variable Name

MR Screen Name Question Type

Question Text/Description

Code List

Routing

HMOASSOC

IP3A

yes/no

Is (HOSPITAL NAME) associated with [your/(SP’s)] [READ MANAGED CARE PLAN NAME(S) BELOW] plan?

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

(01) IP4 - EVBEGMM
(02) IP3B - HMOREFER
(-8) IP3B - HMOREFER
(-9) IP3B - HMOREFER

HMOREFER

IP3B

yes/no

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

IP4 - EVBEGMM

EVBEGMM

IP4

date

MM:

IP4 - EVBEGDD

EVBEGDD

IP4

date

When [were you/was (SP)] admitted to and discharged from (HOSPITAL NAME)?

DD:

IP4 - EVBEGYY

EVBEGYY

IP4

date

When [were you/was (SP)] admitted to and discharged from (HOSPITAL NAME)?

YY:

IP4 - EVENDMM

EVENDMM

IP4

date

MM:

IP4 - EVENDDD

EVENDDD

IP4

date

When [were you/was (SP)] admitted to and discharged from (HOSPITAL NAME)?

YY:

IP4 - EVENDYY

EVENDYY

IP4

date

When [were you/was (SP)] admitted to and discharged from (HOSPITAL NAME)?

(01) [Continuous answer.]
(-7) Empty
(-8) Don't Know
(-9) Refused

IP4 - STILLHOSP

STILLHOSP

IP4

date

When [were you/was (SP)] admitted to and discharged from (HOSPITAL NAME)?

(01) SP IS STILL IN HOSPITAL
(-7) Empty

BOX IP2A

BOX IP2A

routing

IF INPATIENT ADMISSION AND DISCHARGE DATE OVERLAP AN EXISTING IP STAY, GO TO IP4_ERR IPOVERLP.
ELSE GO TO BOX IP3.

IP4_ERR

code 1

THE DATE ENTERED SEEMS UNLIKLEY. THIS DATE OVERLAPS AN EXISTING IP STAY FROM (ADMISSION
DATE) TO [(DISCHARGE DATE)/SP STILL IN HOSPITAL]. PLEASE VERIFY.

(01) CORRECT DATES
(02) CONTINUE INTERVIEW

(01) IP4 - EVBEGMM
(02) BOX IP3

BOX IP3

routing

IF SP WAS REPORTED AS STILL IN THE HOSPITAL AT IP4, GO TO BOX IP5.
ELSE GO TO IP5-IPADD

IPOVERLP

[Were you/Was (SP)] referred to (HOSPITAL NAME) by [READ MANAGED CARE PLAN NAME(S) BELOW]?
[INCLUDE REFERRALS BY THE RESPONDENT’S PRIMARY CARE PHYSICIAN (PCP).]

When [were you/was (SP)] admitted to and discharged from (HOSPITAL NAME)?
Admission Date:

When [were you/was (SP)] admitted to and discharged from (HOSPITAL NAME)?
Dishcarge Date:

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2023 MCBS Community Questionnaire

IPQ-INPATIENT UTILIZATION

Variable Name

MR Screen Name Question Type

IPADD

IP5

ANYOPERS

IP7

yes/no

SPECCOND

IP10

yes/no

[Was this visit/Were any of these visits] to the outpatient department for any specific condition?

BOX IP4A

routing

IF CURRENTLY ADMINISTERING ST, GO TO BOX ST23B.
ELSE IF CURRENTLY ADMINISTERING NS, GO TO BOX NS23B.
ELSE GO TO IP13 - PRESMDCN.

IP13

yes/no

At the time [you were /(SP) was] discharged, were any medicines prescribed for [you/(SP)]?

PRESMDCN

Question Text/Description
HAVE ALL DATES BEEN ENTERED?
[DISPLAY ALL EVENTS ASSOCIATED WITH THIS PROVIDER]

IPPMMEDS

Routing

(01) ADD ANOTHER
(02) ALL DONE

(01) IP4-EVBEGMM
(02) IP7 - ANYOPERS

Were any operations performed on [you/(SP)] during the hospital stay that was (ADMISSION DATE) to
(DISCHARGE DATE)?

(01) YES
(02) NO
(-8) Don't Know
[Operations include surgery and other surgical procedures like setting bones, stitching or removing growths, or any
(-9) Refused
cutting of the skin.]

Were any of the prescriptions filled?
PRESFILL

Code List

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

BOX IP4A

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

(01) IP14 - PRESFILL
(02) BOX IP5
(-8) BOX IP5
(-9) BOX IP5

IP14

yes/no

(01) YES
(02) NO
[COUNT A MEDICINE AS "FILLED" REGARDLESS OF WHO OBTAINED IT FOR THE RESPONDENT, WHEN IT
(-8) Don't Know
WAS OBTAINED, WHETHER OR NOT THE PRESCRIPTION COST ANYTHING, AND WHETHER OR NOT THE
(-9) Refused
RESPONDENT ACTUALLY TOOK THE MEDICINE.]

BOX IP4B

routing

IF THE PROBE FOR PRESCRIPTION MEDICINE BOTTLES HAS NOT BEEN ASKED IN THE CURRENT
ROUND, GO TO IP14A - IPPMMEDS.
ELSE GO TO BOX PM2.

IP14A

no entry

It would be helpful if I could look at any medicine bottle(s), container(s), or bag(s) that you have so that I can spell
the medicine name correctly and enter the strength of the medicine. [Also, please take out [your/(SP's)]
(MEDICARE PRESCRIPTION DRUG PLAN NAME) medicine statements, which should have that same information
on them.]

(01) BOX IP4A
(02) IP10 - SPECCOND
(-8) IP10 - SPECCOND
(-9) IP10 - SPECCOND

(01) BOX IP4B
(02) BOX IP5
(-8) BOX IP5
(-9) BOX IP5

BOX PM2

[IF RESPONDENT HAS BOTTLE, ASK:] I’ll need that same information for all of the medicines [you/(SP)] obtained
since (REFERENCE DATE/UTILDATE), if you’d like to get those bottles, too.

BOX PM2

routing

IF THERE IS AT LEAST ONE MEDICINE FROM A PRIOR ROUND ON THE EVENT TABLE FOR THIS CASE,
GO TO MEDICINE_PM1-MEDICINE_PM1.
ELSE GO TO PM2B-PMBOTTLE.

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2023 MCBS Community Questionnaire

Variable Name

MEDICINE_PM1

MR Screen Name Question Type

IPQ-INPATIENT UTILIZATION

Question Text/Description

MEDICINE_PM1

code one

What is the name of the medicine?

BOX PM3

routing

IF THIS MEDICINE HAS AN EXACT MATCH TO THE FDB LIST ( PMEDID^=.), THEN GO TO PM2A-SAMEFSAM.
ELSE GO TO PMBOTTLE-PMBOTTLE.

Code List

Routing

[DISPLAY MEDICINE ROSTER AS RESPONSE
OPTIONS:
1. [MEDICINE 1]
2. [MEDICINE 2]
…
N. [MEDICINE N]
BOX PM3
N+1. ADD ANOTHER
[DISPLAY MEDICINE NAME, STRENGTH, FORM, AND
QUANTITY FOR EACH.

CODE "YES" WITHOUT ASKING IF STATEMENT, RECEIPT, BOTTLE OR BAG IS PRESENT AND FORM,
STRENGTH AND AMOUNT ARE EXACTLY THE SAME AS IN THE PREVIOUS INTERVIEW.
At the time of the last interview, [you/(SP)] purchased (MEDICINE NAME) in the form of (MEDICINE FORM).
SAMEFSAM

SAMEFSAM

yes/no

The strength was [MEDICINE STRENGTH].
The amount in the container when it was obtained was (PREVIOUS ROUND MEDICINE AMOUNT).

(01) YES
(02) NO
(-8) DON'T KNOW
(-9) REFUSED

BOX PM4

Is this medicine in the same strength, form and amount?
CODE "NO" UNLESS FORM, STRENGTH, AND AMOUNT EXACTLY MATCH PREVIOUS ROUND.

PMBOTTLE

BOX PM4

routing

IF SAMEFSAM=1/YES, THEN DO NOT CREATE A NEW EVENT FOR THIS MEDICINE AND GO TO PM6AGETNUM.
ELSE, CREATE A NEW EVENT FOR THIS MEDICINE AND GO TO PM2B-PMBOTTLE.

PMBOTTLE

code one

(01) YES
CODE “YES” WITHOUT ASKING IF BOTTLE, CONTAINER, BAG, STATEMENT, OR RECEIPT IS PRESENT.
(02) NO
Do you have the medicine bottle, container or bag, or Prescription Drug Plan Statement available?
(03) NO BUT R CAN ANSWER QUESTIONS
IF R DOES NOT HAVE DOCUMENTATION, PROBE TO DETERMINE IF R CAN ANSWER QUESTIONS ABOUT
(-8) DON'T KNOW
THE FORM, STRENGTH, AND QUANTITY OF THE MEDICINE.
(-9) REFUSED

(01) MED-PMEDNAME
(02) PMKNWNM-PMKNWNM
(03) MED-PMEDNAME
(-8) PMKNWNM-PMKNWNM
(-9) PMKNWNM-PMKNWNM

TO USE THE MEDICINE LOOKUP, START TYPING THE MEDICINE NAME IN THE BOX BELOW.
CHECK STATEMENT OR MEDICINE BOTTLE FOR SPELLING.
PMEDNAME

MED

[MEDICINE NAME SELECTED FROM LOOKUP OR
MANUALLY TYPED]

lookup
[PRESCRIBED MEDICINE LOOKUP TOOL]

PMBRNAME

MED

lookup

[PM BRAND NAME]

PMGNNAME

MED

lookup

[PM GENERIC NAME]

PMFORMFD

MED

lookup

Medicine Form [FDB LIST FORM NAME]

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2023 MCBS Community Questionnaire

Variable Name

MR Screen Name Question Type

IPQ-INPATIENT UTILIZATION

Question Text/Description

Code List

Routing

Medicine Form [MCBS FORM]

(01) PILLS (TABLETS, CAPSULES)
(02) LIQUID (TO BE TAKEN ORALLY)
(03) DROPS (EYE/EAR/NOSE)
(04) OINTMENT, CREAM, LOTION (TOPICAL OR
INTERNAL)
(05) SUPPOSITORIES
(06) AEROSOL/SPRAY, INHALANT, SOLUTIONS,
DISKUS
(07) SHAMPOO, SOAP
(08) INJECTION
(09) IV INJECTION
(10 PATCHES
(11) GEL OR JELLY (TOPICAL OR INTERNAL)
(12) POWDER, GRANULES
(91) OTHER
(-8) Don't Know
(-9) Refused

(01)-(12) MED-PMSTRNFD
(91) MED-PMFORMOS
(-8) MED-PMSTRNFD
(-9) MED-PMSTRNFD

PMFORMMC

MED

code one

PMFORMOS

MED

verbatim

PMFORMFN

MED

verbatim

[FINAL CONCATENATED MEDICINE FORM]

PMSTRNFD

MED

verbatim

Medicine Strength

(01) [MEDICINE FORM SELECTED FROM LOOKUP]
(-7) NOT FOUND
(-8) DON'T KNOW

STRNNUMBB

MED

numeric

Medicine strength number

(01) CONTINUOUS ANSWER

[MEDICINE FORM OTHER SPECIFY]

STRNUNIT

MED

code one

PMSTRNOS

MED

verbatim

PMSTRUNI

MED

ookup

PMEDID

MED

numeric

[THIS VARIABLE STORES THE UNIQUE IDENTIFIER FOR PRESCRIBED MEDICINES ADDED THROUGH THE
LOOKUP. IT IS HIDDEN ON SCREEN.]

FAMILYID

MED

numeric

[THIS VARIABLE STORES THE UNIQUE IDENTIFIER FOR PRESCRIBED MEDICINES BY NAME ONLY,
EXCLUDING STRENGTH AND FORM, THROUGH THE LOOKUP. IT IS HIDDEN ON SCREEN.]

Medicine strength unit

(01) CONTINUOUS ANSWER

(01) MICROGRAMS (mcg, mc)
(02) MILLIGRAMS (mg)
(03) GRAINS (gr)
(04) MILLIEQUIVALENTS (meq)
(05) GRAMS (g, gm)
(06) PERCENT (%)
(07) INTERNATIONAL UNITS (IU)
(08) UNITS (U)
(91) OTHER
(-8) Don't Know
(-9) Refused

(01)-(08) MED-MEDID
(91) MED-PMSTRNOS
(-8) MED-PMEDID
(-9) MED-PMEDID

[MEDICINE STRENGTH UNIT OTHER SPECIFY]

[FINAL CONCATENATED MEDICINE STRENGTH]

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2023 MCBS Community Questionnaire

IPQ-INPATIENT UTILIZATION

Variable Name

MR Screen Name Question Type

Question Text/Description

Code List

Routing

PMKNWNM

PMKNWNM

DOES THE RESPONDENT KNOW THE NAME OF THE MEDICINE?

(01) YES
(02) NO
(-9) REFUSED

(01) MED-PMEDNAME
(02) PMCOND-PMCOND
(-9) PMCOND-PMCOND

(01) ALLERGY MEDICINE
(02) ALZHEIMERS
(03) ANTIBIOTICS
(04) ANTIPSYCHOTIC
(05) ASTHMA OR COPD
(06) BLOOD PRESSURE
(07) CHOLESTEROL
(08) COUGH AND COLD MEDICINE
(09) DEPRESSION
(10) DIABETES
(11) DIURETICS (WATER PILLS)
(12) EAR DROPS
(13) ESTROGEN
(14) EYE DROPS OR PREPARATION
(15) NASAL SPRAY/DROPS
(16) OSTEOPOROSIS (BONE LOSS)
(17) PAIN MEDICINE
(18) STEROID (GLUCOCORTICOID)
(19) STOMACH ACID OR ULCER
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED

(01)-(19) GETNUM-GETNUM
(91) PMCOND-PMCONDOS
(-8) GETNUM-GETNUM
(-9) GETNUM-GETNUM

code one

PMCOND

PMCOND

code one

PMCONDOS

PMCOND

verbatim

GETNUM

TABNUM

What condition is this medicine prescribed for or what is its primary use?
IF THIS MEDICINE IS TAKEN FOR MORE THAN ONE CONDITION, SELECT ONLY ONE.

OTHER (SPECIFY)

(01) CONTINUOUS ANSWER
(-8) DON'T KNOW
(-9) REFUSED

How many times [since (REFERENCE DATE)/between (REFERENCE DATE) and (DATE OF DEATH/DATE OF
INSTITUTIONALIZATION)] did [(you/(SP)] obtain (MEDICINE NAME)]]?

(01) continuous answer
(996) EVENT ENTERED IN ERROR
(-8) Don't Know
[IF THE MEDICINE WAS ENTERED IN ERROR AND WAS NOT OBTAINED IN THE CURRENT ROUND, CHECK
(-9) Refused
“ENTERED IN ERROR” AND LEAVE THE BOX BLANK WHERE YOU ENTER THE NUMBER OF REFILLS.]

GETNUM

numeric

BOX PM5

routing

IF GETNUM=996/EVENT ENTERED IN ERROR OR PMKNWNM=02/NO, GO TO PMMORE-PMMORE;
IF SAMEFSAM=1/YES AND PMFORMFN=pills (tablets, capsules), GO TO PM12-TABSADAY;
ELSE IF MEDICINE FORM IS PILLS, TABLETS OR CAPSULES [PMFORMMC=1 OR PMFORMFD CONTAINS
("PILL", "TAB", "CAP") GO TO TABNUM-TABNUM;
ELSE GO TO PM16-AMTUNIT.

TABNUM

numeric

HOW MANY PILLS, TABLETS, OR CAPSULES WERE IN THE CONTAINER WHEN IT WAS OBTAINED?

(01) CONTINUOUS ANSWER
(-8) DON'T KNOW

BOX PM5

BOX PM6

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2023 MCBS Community Questionnaire

Variable Name

MR Screen Name Question Type

IPQ-INPATIENT UTILIZATION

Question Text/Description

Code List

Routing

(01) PM16 - AMTNUM
(02) PM16 - AMTNUM
(03) PM16 - AMTNUM
(04) PM16 - AMTNUM
(05) PM16 - AMTNUM
(06) PM16 - AMTNUM
(07) PM16 - AMTNUM
(91) PM16 - AMTUNOS
(-8) PM16 - AMTNUM
(-9) PM16 - AMTNUM

AMTUNIT

PM16

quantity unit

HOW MUCH MEDICINE WAS IN THE CONTAINER WHEN IT WAS OBTAINED?
[PLEASE ENTER THE AMOUNT IN THE CONTAINER, NOT THE STRENGTH OF THE MEDICINE.]

(01) OUNCES (oz)
(02) GRAMS (g, gm)
(03) MILLILITERS (ml, cc)
(04) MILLIEQUIVALENTS (meq)
(05) MILLIGRAMS (mg)
(06) MICROGRAMS (mcg)
(07) PUFFS, DOSES, BLISTERS
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED

AMTUNOS

PM16

text

OTHER (SPECIFY)

(01) CONTINUOUS ANSWER

PM16 - AMTNUM

AMTNUM

PM16

numeric

(01) CONTINUOUS ANSWER

BOX PM6

BOX PM6

routing

IF PRESCRIPTION MEDICINE FORM IS PILLS, TABLETS OR CAPSULES, GO TO PM12 - TABSADAY.
ELSE GO TO BOX PM7.

HOW MANY PILLS, TABLETS, OR CAPSULES ARE PRESCRIBED TO BE TAKEN IN A DAY?

TABSADAY

PM12

numeric

TABSADAY95

PM12

code one

IF LESS THAN ONE UNIT IS TO BE TAKEN PER DAY, ENTER THE APPROPRIATE DECIMAL VALUE (EX:
HALF A PILL SHOULD BE ENTERED AS "0.5")
FOR MEDICINES TO BE TAKEN “AS NEEDED,” ENTER THE MAXIMUM AMOUNT THAT IS TO BE TAKEN IN A (01) CONTINUOUS ANSWER
DAY AND SELECT "TAKE AS NEEDED".
FOR MEDICINES TO BE TAKEN ON AN IRREGULAR SCHEDULE OR THAT VARY BY DAY, SELECT "OTHER
DOSING INSTRUCTIONS".
IF THE AMOUNT TO BE TAKEN PER DAY IS NOT CLEAR OR NOT INDICATED, SELECT "DON'T KNOW".

(02) TAKE AS NEEDED
(03) OTHER DOSING INSTRUCTIONS
(-7) Empty

PM12 - TABSADAY95

PM13-TABTAKE

How many pills, tablets, or capsules (do/did/does) [you/(SP)] usually take in a day?
[READ IF NECESSARY: This question is asking about how often you actually take the medicine, not how often the
medicine is prescribed to be taken.]

TABTAKE

PM13

numeric

TABTAKE96

PM13

code one

(01) CONTINUOUS ANSWER
(-7) EMPTY
IF LESS THAN ONE UNIT IS TAKEN PER DAY, ENTER THE APPROPRIATE DECIMAL VALUE (EX: HALF A
(-8) DON'T KNOW
PILL SHOULD BE ENTERED AS "0.5")
FOR MEDICINES TAKEN “AS NEEDED,” SELECT "TAKE AS NEEDED".
FOR MEDICINES TAKEN ON AN IRREGULAR SCHEDULE OR THAT VARY BY DAY, SELECT "OTHER DOSING
INSTRUCTIONS".

(01) DON'T TAKE EVERY DAY
(02) TAKE AS NEEDED
(03) OTHER DOSING INSTRUCTIONS
(-7) EMPTY

PM13 - TABTAKE96

BOX PM7

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2023 MCBS Community Questionnaire

Variable Name

PMSATVA

PMSATHMO

IPQ-INPATIENT UTILIZATION

MR Screen Name Question Type

Question Text/Description

BOX PM7

routing

IF (SP REPORTED RECEIVING HEALTH CARE SERVICES THROUGH V.A. IN THE CURRENT ROUND OR
ANY PREVIOUS ROUND), GO TO PMSATVA - PMSATVA.
ELSE GO TO BOX PM8.

PMSATVA

yes/no

Did [you/(SP)] obtain (this purchase/any of these purchases) of (MEDICINE NAME) through the Department of
Veterans Affairs or V.A.?

BOX PM8

routing

IF SP COVERED BY A MEDICARE MANAGED CARE PLAN OR A PRIVATE MANAGED CARE PLAN ANYTIME
DURING THE CURRENT ROUND, GO TO PMSATHMO - PMSATHMO.
ELSE GO TO PMMORE-PMMORE.

PMSATHMO

yes/no

Did [you/(SP)] obtain (this purchase/any of these purchases) of (MEDICINE NAME) at [READ MANAGED CARE
PLAN NAME(S) BELOW] or through a service or discount offered through [READ MANAGED CARE PLAN
NAME(S) BELOW]?
[PROBE: This could include obtaining the purchases at a plan pharmacy; at a pharmacy that honors [your/(SP’s)]
plan card; or through a mail order service that the managed care plan referred [you/(SP)] to.]

([NO MEDICINES HAVE BEEN REPORTED FOR (SP) FOR THE CURRENT REFERENCE PERIOD/THE NAMES
OF ALL MEDICINES REPORTED FOR THE CURRENT REFERENCE PERIOD ARE DISPLAYED BELOW.])
PMMORE

PM17

BOX IP5

IPMORE

IP16

yes/no

routing

yes/no

[REVIEW THE INFORMATION BELOW WITH THE RESPONDENT. ASK, OR CODE AS APPROPRIATE IF R
ALREADY INDICATED: Are there any (more) medicines since (REFERENCE DATE/UTILDATE) that we haven't
talked about?]

Code List

Routing

(01) YES
(02) NO
(-8) DON'T KNOW
(-9) REFUSED

BOX PM8

(01) YES
(02) NO
(-8) DON'T KNOW
(-9) REFUSED

PMMORE-PMMORE

(01) ADD ANOTHER
(02) ALL DONE

(01) BOX PM2
(02) BOX IP5

(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

(01) IP2 - PROVIDER_IP
(02) BOX IP6
(-8) BOX IP6
(-9) BOX IP6

IF ANOTHER IP EVENT WAS ADDED WITH THIS IP PROVIDER, GO TO IP7-ANYOPERS.
ELSE IF ASKING ABOUT ONGOING IP STAY FROM THE PREVIOUS ROUND, GO TO BOX IP1AB.
ELSE IF ASKING ABOUT AN EMERGENCY ROOM VISIT IN THE CURRENT ROUND THAT RESULTED IN AN
IP STAY, THEN
IF SP HAS ANOTHER EMERGENCY ROOM VISIT IN THE CURRENT ROUND THAT RESULTED IN AN IP
STAY THAT HAS NOT BEEN ASKED ABOUT, GO TO BOX IP1AA.
ELSE GO TO IP1 - IPPROBE.
ELSE GO TO IP16 - IPMORE.

IF RESPONDENT HAS ALREADY MENTIONED ANOTHER INPATIENT STAY, ENTER “YES” WITHOUT
ASKING. OTHERWISE, ASK:
[Since (REFERENCE DATE/UTILDATE)/Between (REFERENCE DATE) and (DATE OF DEATH/DATE OF
INSTITUTIONALIZATION/ENDUTILD)], [have you had/has (SP) had/did (SP) have] any other admissions to this or
any other hospital as an inpatient -- either for an overnight stay or for a "same day" procedure?
IF RESPONDENT HAD A SAME DAY PROCEDURE AND IS NOT SURE IF ADMITTED OR NOT, TREAT AS
OUTPATIENT EVENT AND ENTER WHEN YOU GET TO OP UTILIZATION.
[ENTER A STAY AT A DRUG AND REHABILITATION CENTER AS AN IP EVENT, NOT AN IU EVENT.]

BOX IP6

routing

IF INTTYPE in(C001, C002, C004, C005, C006, C007), GO TO OPQ.

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