Disability Days (DD) Section
BOX_00
======
----------------------------------------------------
| CONTEXT HEADER DISPLAY INSTRUCTIONS: |
| DISPLAY PERS.FULLNAME, PRND.BEGREFMM, |
| PRND.BEGREFDD, PRND.BEGREFYY, PRND.ENDREFMM, |
| PRND.ENDREFDD, PRND.ENDREFYY |
| |
| IF PRND DATES ARE MISSING USE RU DATES: |
| RUBEGMM, RUBEGDD, RUENDMM, RUENDDD |
----------------------------------------------------
BOX_01
======
----------------------------------------------------
| IF PERSON IS LESS THAN 1 YEAR OF AGE (OR AGE |
| CATEGORY 1), GO TO BOX_03 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, CONTINUE WITH DD01 |
----------------------------------------------------
DD01
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
The next questions ask about time when (PERSON) may have
missed a half day or more from work or school or spent a half
day or more in bed {since (START DATE)/between (START DATE) and
(END DATE)}. In answering these questions, please include any
time when this occurred because of (PERSON)’s physical illness
or injury, or a mental or emotional problem such as stress or
depression.
PRESS ENTER OR SELECT NEXT PAGE TO CONTINUE.
----------------------------------------------------
| DISPLAY ‘since (START DATE)’ IF NOT ROUND 5. |
| DISPLAY ‘between (START DATE) and (END DATE)’ IF |
| ROUND 5. |
----------------------------------------------------
----------------------------------------------------
| NOTE: THERE IS NO UPPER AGE LIMIT RESTRICTION FOR |
| PERSONS WHO ARE ASKED THE WORK-LOSS DISABILITY |
| DAYS QUESTION. |
----------------------------------------------------
----------------------------------------------------
| IF PERSON IS = OR > 1 YEAR OLD AND < 3 YEARS OLD |
| (OR AGE CATEGORY 2), GO TO DD08 |
----------------------------------------------------
----------------------------------------------------
| IF PERSON IS = OR > 3 YEARS OLD AND < OR = 15 |
| YEARS OLD (OR AGE CATEGORY 3), GO TO DD05 |
----------------------------------------------------
----------------------------------------------------
| IF PERSON IS = OR > 16 YEARS OLD (OR AGE |
| CATEGORIES 4-9), CONTINUE WITH DD02 |
----------------------------------------------------
DD02
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
{NUMBER OF DAYS IN HOSPITAL: {NUMBER OF DAYS}}
Let's start with work. {Including the time (PERSON) (were/was)
in the hospital, how/How} many days did (PERSON) miss a half
day or more from work {since (START DATE)/between (START DATE)
and (END DATE)}? Please do not include work around the house.
PROBE: Include any time when a half day or more was missed
because of a physical illness or injury, or a mental or
emotional problem.
IF NO DAYS MISSED FROM WORK, CODE ‘995’.
IF PERSON DOES NOT WORK, CODE ‘996’.
[Enter Number of Days] .................
NONE ................................... 995
DOES NOT WORK (OTHER THAN AROUND THE
HOUSE) ................................. 996
REF .................................... -7
DK ..................................... -8
HELP AVAILABLE FOR DEFINITION OF HALF DAY OR MORE.
----------------------------------------------------
| DISPLAY ‘NUMBER OF DAYS IN HOSPITAL: { }’ IF |
| PERSON HAS AT LEAST ONE HOSPITAL STAY THAT ENDED |
| IN CURRENT ROUND (I.E., DISCHARGE DATE NOT |
| CODED ‘95’ (STILL IN HOSPITAL)). OTHERWISE, USE A |
| NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| FOR ‘NUMBER OF DAYS’, DISPLAY TOTAL NUMBER OF DAYS|
| PERSON WAS IN HOSPITAL FOR ALL HOSPITAL STAYS THAT|
| ENDED IN CURRENT ROUND (I.E., DISCHARGE DATE NOT |
| CODED ‘95’ (STILL IN HOSPITAL)). OTHERWISE, USE A |
| NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘Including the time..., how’ IF PERSON HAS|
| AT LEAST ONE HOSPITAL STAY THAT ENDED IN CURRENT |
| ROUND (I.E., DISCHARGE DATE NOT CODED ‘95’ (STILL |
| IN HOSPITAL)). |
| OTHERWISE, DISPLAY ‘How’. |
| DISPLAY ‘since (START DATE)’ IF NOT ROUND 5. |
| DISPLAY ‘between (START DATE) and (END DATE)’ IF |
| ROUND 5. |
----------------------------------------------------
----------------------------------------------------
| IF ‘0’ ENTERED, DISPLAY THE FOLLOWING ERROR |
| MESSAGE: ‘IF NO WORK DAYS MISSED, ENTER ‘995’ TO |
| RECORD THIS INFORMATION. |
----------------------------------------------------
----------------------------------------------------
| IF NUMBER ENTERED > NUMBER OF DAYS IN REFERENCE |
| PERIOD, DISPLAY THE FOLLOWING ERROR MESSAGE: |
| ‘NUMBER OF DAYS MUST BE EQUAL TO OR LESS THAN |
| NUMBER IN REFERENCE PERIOD.’ |
----------------------------------------------------
----------------------------------------------------
| IF CODED '995' (NO DAYS MISSED FROM WORK), '996' |
| (DOES NOT WORK), '-7' (REFUSED), OR '-8' (DON'T |
| KNOW) AND PERSON IS 16 THROUGH 22 YEARS OF AGE |
| INCLUSIVE (OR AGE CATEGORY 4), GO TO DD05 |
----------------------------------------------------
----------------------------------------------------
| IF CODED '995' (NO DAYS MISSED FROM WORK), '996' |
| (DOES NOT WORK), '-7' (REFUSED), OR '-8' (DON'T |
| KNOW) AND PERSON IS 23 YEARS OF AGE OR OLDER (OR |
| AGE CATEGORIES 5-9), GO TO DD08 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, CONTINUE WITH BOX_01A |
----------------------------------------------------
----------------------------------------------------
| HARD CHECK: |
| RANGE CHECK: 1 THROUGH NUMBER OF DAYS IN REFERENCE|
| PERIOD OR 996 FOR THIS PERSON. |
----------------------------------------------------
BOX_01A
=======
----------------------------------------------------
| IF ROUND 3, CONTINUE WITH DD02A |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (I.E., IF NOT ROUND 3), GO TO DD03 |
----------------------------------------------------
DD02A
=====
{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
NUMBER OF DAYS MISSED WORK: {NUMBER OF DAYS}
Of those days, how many were in {YEAR}?
[Enter Number of Days] ................. {DD03}
REF ................................... -7 {DD03}
DK .................................... -8 {DD03}
----------------------------------------------------
| FOR ‘NUMBER OF DAYS,’ DISPLAY THE NUMBER ENTERED |
| AT DD02 |
----------------------------------------------------
----------------------------------------------------
| (FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES |
| AUTOMATICALLY): ‘YEAR’ IN QUESTION TEXT IS FIRST |
| CALENDAR YEAR OF PANEL. |
----------------------------------------------------
----------------------------------------------------
| HARD CHECK: |
| DAYS IN {YEAR} AT DD02A MUST BE < OR = DAYS MISSED|
| FROM WORK AT DD02. |
----------------------------------------------------
DD03
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
What are the health problems that caused (PERSON) to miss work
on those days?
PROBE: Any other health problems?
IF CONDITION IS ALREADY LISTED, SELECT ENTRY ON ROSTER.
[1. Medical Condition]
[2. Medical Condition]
[3. Medical Condition]
----------------------------------------------------
| FLAG ALL CONDITIONS SELECTED OR ADDED AS BEING |
| ASSOCIATED WITH MISSED WORK DAYS IN THIS ROUND. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘ADD CONDITION’ AS AN OPTION ON THIS |
| SCREEN. |
----------------------------------------------------
----------------------------------------------------
| GO TO DD04 |
----------------------------------------------------
----------------------------------------------------
| ROSTER DETAILS: |
| Title: PERS_COND_1 |
| |
| COL #1 HEADER: MEDICAL CONDITION |
| INSTRUCTIONS: DISPLAY NAME OF MEDICAL CONDITION |
| (COND.CONDNAM) |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: |
| DISPLAY THE PERSON-MEDICAL-CONDITIONS-ROSTER FOR |
| THE SELECTION AND ADDITION OF ONE OR MANY MEDICAL |
| CONDITION(S) ASSOCIATED WITH THIS EVENT. |
----------------------------------------------------
----------------------------------------------------
| ROSTER BEHAVIOR: |
| 1. MULTIPLE SELECT ALLOWED. |
| |
| 2. MULTIPLE ADD ALLOWED. |
| |
| 3. LIMITED DELETE ALLOWED. INTERVIEWER MAY DELETE |
| A CONDITION ADDED ON THIS SCREEN AS LONG AS THE |
| INTERVIEWER HAS NOT YET LEFT THE SCREEN. IF THE |
| INTERVIEWER ATTEMPTS TO DELETE A CONDITION WHEN |
| DELETE IS NOT ALLOWED, DISPLAY THE FOLLOWING |
| MESSAGE: “DELETE ALLOWED ONLY WHEN CONDITION IS |
| FIRST ENTERED.” |
----------------------------------------------------
----------------------------------------------------
| ROSTER FILTER: |
| DISPLAY ALL CONDITIONS ON PERSON’S ROSTER; NO |
| FILTER. |
----------------------------------------------------
DD04
====
{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
NUMBER OF DAYS MISSED WORK: {NUMBER OF DAYS}
Of those days, how many did (PERSON) stay in bed for a half
day or more?
[Enter Number of Days] .................
REF ................................... -7
DK .................................... -8
HELP AVAILABLE FOR DEFINITION OF STAY IN BED.
----------------------------------------------------
| FOR ‘NUMBER OF DAYS’, DISPLAY THE NUMBER ENTERED |
| AT DD02. |
----------------------------------------------------
----------------------------------------------------
| IF DD02A OR DD04 EQUALS 0, DON'T KNOW OR REFUSED |
| AND PERSON IS 16 THROUGH 22 YEARS OF AGE INCLUSIVE|
| (OR AGE CATEGORY 4), GO TO DD05 |
----------------------------------------------------
----------------------------------------------------
| IF DD02A OR DD04 EQUALS 0, DON'T KNOW OR REFUSED |
| AND PERSON IS 23 YEARS OF AGE OR OLDER (OR AGE |
| CATEGORIES 5-9), GO TO DD08 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, CONTINUE WITH BOX_01B |
----------------------------------------------------
----------------------------------------------------
| HARD CHECK: |
| DAYS IN BED AT DD04 MUST BE < OR = DAYS MISSED |
| FROM WORK AT DD02. |
----------------------------------------------------
BOX_01B
=======
----------------------------------------------------
| IF ROUND 3, CONTINUE WITH DD04A |
----------------------------------------------------
----------------------------------------------------
| IF NOT ROUND 3 AND PERSON IS 16 THROUGH 22 YEARS |
| OF AGE INCLUSIVE (OR AGE CATEGORY 4), GO TO DD05 |
----------------------------------------------------
----------------------------------------------------
| IF NOT ROUND 3 AND PERSON IS 23 YEARS OF AGE OR |
| OLDER (OR AGE CATEGORIES 5-9), GO TO DD08 |
----------------------------------------------------
DD04A
=====
{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
NUMBER OF DAYS IN BED: {NUMBER OF DAYS}
Of those days, how many were in {YEAR}?
[Enter Number of Days] .................
REF ................................... -7
DK .................................... -8
----------------------------------------------------
| FOR ‘NUMBER OF DAYS,’ DISPLAY THE NUMBER ENTERED |
| AT DD04 |
----------------------------------------------------
----------------------------------------------------
| (FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES |
| AUTOMATICALLY): ‘YEAR’ IN QUESTION TEXT IS FIRST |
| CALENDAR YEAR OF PANEL. |
----------------------------------------------------
----------------------------------------------------
| IF PERSON IS 16 THROUGH 22 YEARS OF AGE INCLUSIVE |
| (OR AGE CATEGORY 4), CONTINUE WITH DD05 |
----------------------------------------------------
----------------------------------------------------
| IF PERSON IS 23 YEARS OF AGE OR OLDER (OR AGE |
| CATEGORIES 5-9), GO TO DD08 |
----------------------------------------------------
----------------------------------------------------
| HARD CHECK: |
| DAYS IN BED IN {YEAR} AT DD04A MUST BE < OR = DAYS|
| IN BED AT DD04. |
| |
| DAYS IN BED IN {YEAR} AT DD04A MUST BE < OR = DAYS|
| MISSED FROM WORK IN {YEAR} AT DD02A. |
----------------------------------------------------
DD05
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
{NUMBER OF DAYS IN HOSPITAL: {NUMBER OF DAYS}}
Let's talk about school (and day care). {Including the time
(PERSON) (were/was) in the hospital, how/How} many days did
(PERSON) miss a half day or more of school (or day care) {since
(START DATE)/between (START DATE) and (END DATE)}?
PROBE: Include any time when a half day or more of school (or
day care) was missed because of a physical illness or injury, or
a mental or emotional problem.
IF NO DAYS MISSED FROM SCHOOL, CODE ‘995’.
IF PERSON DOES NOT ATTEND SCHOOL, CODE ‘996’.
[Enter Number of Days] .................
NONE ................................... 995 {DD08}
DOES NOT ATTEND SCHOOL ................. 996 {DD08}
REF .................................... -7 {DD08}
DK ..................................... -8 {DD08}
HELP AVAILABLE FOR DEFINITION OF HALF DAY OR MORE.
[Code One]
----------------------------------------------------
| DISPLAY ‘NUMBER OF DAYS IN HOSPITAL: { }’ IF |
| PERSON HAS AT LEAST ONE HOSPITAL STAY THAT ENDED |
| IN CURRENT ROUND (I.E., DISCHARGE DATE NOT |
| CODED ‘95’ (STILL IN HOSPITAL)). OTHERWISE, USE A |
| NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| FOR ‘NUMBER OF DAYS’, DISPLAY TOTAL NUMBER OF DAYS|
| PERSON WAS IN HOSPITAL FOR ALL HOSPITAL STAYS THAT|
| ENDED IN CURRENT ROUND (I.E., DISCHARGE DATE NOT |
| CODED ‘95’ (STILL IN HOSPITAL)). OTHERWISE, USE A |
| NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘Including the time..., how’ IF PERSON HAS|
| AT LEAST ONE HOSPITAL STAY THAT ENDED IN CURRENT |
| ROUND (I.E., DISCHARGE DATE NOT CODED ‘95’ (STILL |
| IN HOSPITAL)). |
| OTHERWISE, DISPLAY ‘How’. |
| DISPLAY ‘since (START DATE)’ IF NOT ROUND 5. |
| DISPLAY ‘between (START DATE) and (END DATE)’ IF |
| ROUND 5. |
----------------------------------------------------
----------------------------------------------------
| IF ‘0’ ENTERED, DISPLAY THE FOLLOWING ERROR |
| MESSAGE: ‘IF NO SCHOOL DAYS MISSED, ENTER ‘995’ |
| TO RECORD THIS INFORMATION.’ |
----------------------------------------------------
----------------------------------------------------
| IF NUMBER ENTERED > NUMBER OF DAYS IN REFERENCE |
| PERIOD, DISPLAY THE FOLLOWING ERROR MESSAGE: |
| ‘NUMBER OF DAYS MUST BE EQUAL TO OR LESS THAN |
| NUMBER OF DAYS IN REFERENCE PERIOD.’ |
----------------------------------------------------
----------------------------------------------------
| IF ‘995’ OR ‘996’ ENTERED FOR NUMBER OF DAYS, GO |
| TO DD08. |
----------------------------------------------------
----------------------------------------------------
| IF NUMBER OF DAYS ENTERED (AND NOT ‘995’, ‘996’, |
| DK, OR RF), CONTINUE WITH BOX_01C. |
----------------------------------------------------
----------------------------------------------------
| HARD CHECK: |
| RANGE CHECK: 1 THROUGH NUMBER OF DAYS IN REFERENCE|
| PERIOD FOR THIS PERSON. |
----------------------------------------------------
BOX_01C
=======
----------------------------------------------------
| IF ROUND 3, CONTINUE WITH DD05A |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (I.E., IF NOT ROUND 3), GO TO DD06 |
----------------------------------------------------
DD05A
=====
{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
NUMBER OF DAYS MISSED SCHOOL: {NUMBER OF DAYS}
Of those days, how many were in {YEAR}?
[Enter Number of Days] ................. {DD06}
REF ................................... -7 {DD06}
DK .................................... -8 {DD06}
----------------------------------------------------
| FOR ‘NUMBER OF DAYS,’ DISPLAY THE NUMBER ENTERED |
| AT DD05. |
----------------------------------------------------
----------------------------------------------------
| (FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES |
| AUTOMATICALLY): ‘YEAR’ IN QUESTION TEXT IS FIRST |
| CALENDAR YEAR OF PANEL. |
----------------------------------------------------
----------------------------------------------------
| HARD CHECK: |
| DAYS MISSED FROM SCHOOL IN {YEAR} AT DD05A MUST BE|
| < OR = DAYS MISSED FROM SCHOOL AT DD05. |
----------------------------------------------------
DD06
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
What are the health problems that caused (PERSON) to miss
school on those days?
PROBE: Any other health problems?
IF CONDITION IS ALREADY LISTED, SELECT ENTRY ON ROSTER.
[1. Medical Condition]
[2. Medical Condition]
[3. Medical Condition]
----------------------------------------------------
| FLAG ALL CONDITIONS SELECTED OR ADDED AS BEING |
| ASSOCIATED WITH MISSED SCHOOL DAYS IN THIS ROUND. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘ADD CONDITION’ AS AN OPTION ON THIS |
| SCREEN. |
----------------------------------------------------
----------------------------------------------------
| GO TO DD07 |
----------------------------------------------------
----------------------------------------------------
| ROSTER DETAILS: |
| Title: PERS_COND_1 |
| |
| COL #1 HEADER: MEDICAL CONDITION |
| INSTRUCTIONS: DISPLAY NAME OF MEDICAL CONDITION |
| (COND.CONDNAM) |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: |
| DISPLAY THE PERSON-MEDICAL-CONDITIONS-ROSTER FOR |
| THE SELECTION AND ADDITION OF ONE OR MANY MEDICAL |
| CONDITION(S) ASSOCIATED WITH THIS EVENT. |
----------------------------------------------------
----------------------------------------------------
| ROSTER BEHAVIOR: |
| 1. MULTIPLE SELECT ALLOWED. |
| |
| 2. MULTIPLE ADD ALLOWED. |
| |
| 3. LIMITED DELETE ALLOWED. INTERVIEWER MAY DELETE |
| A CONDITION ADDED ON THIS SCREEN AS LONG AS THE |
| INTERVIEWER HAS NOT YET LEFT THE SCREEN. IF THE |
| INTERVIEWER ATTEMPTS TO DELETE A CONDITION WHEN |
| DELETE IS NOT ALLOWED, DISPLAY THE FOLLOWING |
| MESSAGE: “DELETE ALLOWED ONLY WHEN CONDITION IS |
| FIRST ENTERED.” |
----------------------------------------------------
----------------------------------------------------
| ROSTER FILTER: |
| DISPLAY ALL CONDITIONS ON PERSON’S ROSTER; NO |
| FILTER. |
----------------------------------------------------
DD07
====
{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
NUMBER OF DAYS MISSED SCHOOL: {NUMBER OF DAYS}
Of those days, how many did (PERSON) stay in bed a half day or
more?
[Enter Number of Days] .................
REF ................................... -7 {DD08}
DK .................................... -8 {DD08}
HELP AVAILABLE FOR DEFINITION OF STAY IN BED.
----------------------------------------------------
| FOR ‘NUMBER OF DAYS’, DISPLAY NUMBER RECORDED IN |
| DD05. |
----------------------------------------------------
----------------------------------------------------
| IF DD05A OR DD07 EQUALS 0, DON'T KNOW, OR REFUSED,|
| GO TO DD08 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, CONTINUE WITH BOX_01D |
----------------------------------------------------
----------------------------------------------------
| HARD CHECK: |
| DAYS IN BED AT DD07 MUST BE < OR = DAYS MISSED |
| FROM SCHOOL AT DD05. |
| |
| TOTAL BED DAYS (SUM OF ENTRY AT DD04 PLUS ENTRY AT|
| DD07) MUST BE < OR = NUMBER OF DAYS IN REFERENCE |
| PERIOD FOR PERSON. |
----------------------------------------------------
BOX_01D
=======
----------------------------------------------------
| IF ROUND 3, CONTINUE WITH DD07A |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (I.E., IF NOT ROUND 3), GO TO DD08 |
----------------------------------------------------
DD07A
=====
{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
NUMBER OF DAYS IN BED: {NUMBER OF DAYS}
Of those days, how many were in {YEAR}?
[Enter Number of Days] .................
REF ................................... -7
DK .................................... -8
----------------------------------------------------
| FOR ‘NUMBER OF DAYS,’ DISPLAY THE NUMBER ENTERED |
| AT DD07. |
----------------------------------------------------
----------------------------------------------------
| (FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES |
| AUTOMATICALLY): ‘YEAR’ IN QUESTION TEXT IS FIRST |
| CALENDAR YEAR OF PANEL. |
----------------------------------------------------
----------------------------------------------------
| HARD CHECK: |
| DAYS IN BED IN {YEAR} AT DD07A MUST BE < OR = DAYS|
| IN BED AT DD07. |
| |
| DAYS IN BED IN {YEAR} AT DD07A MUST BE < OR = DAYS|
| MISSED SCHOOL IN {YEAR} AT DD05A. |
----------------------------------------------------
DD08
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
{NUMBER OF DAYS IN HOSPITAL: {NUMBER OF DAYS}}
{Besides the days in bed you just told me about, how/How} many
{additional} days did (PERSON) spend a half day or more in bed
{since (START DATE)/between (START DATE) and (END DATE)} because
of a physical illness or injury, or mental or emotional problem?
{Please include the time (PERSON) (were/was) in the hospital.}
IF NO {ADDITIONAL} BED DAYS, CODE ‘995’.
[Enter Number of Days] .................
NONE ................................... 995 {BOX_02}
REF .................................... -7 {BOX_02}
DK ..................................... -8 {BOX_02}
HELP AVAILABLE FOR DEFINITION OF HALF DAY OR MORE AND STAY IN BED.
----------------------------------------------------
| DISPLAY ‘NUMBER OF DAYS IN HOSPITAL: { }’ IF |
| PERSON HAS AT LEAST ONE HOSPITAL STAY THAT ENDED |
| IN CURRENT ROUND (I.E., DISCHARGE DATE NOT |
| CODED ‘95’ (STILL IN HOSPITAL)). OTHERWISE, USE A |
| NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| FOR ‘NUMBER OF DAYS’, DISPLAY TOTAL NUMBER OF DAYS|
| PERSON WAS IN HOSPITAL FOR ALL HOSPITAL STAYS THAT|
| ENDED IN CURRENT ROUND (I.E., DISCHARGE DATE NOT |
| CODED ‘95’ (STILL IN HOSPITAL)). OTHERWISE, USE A |
| NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ’Besides the days...how’, ‘additional’, |
| IN THE QUESTION TEXT, AND ‘ADDITIONAL’ IN THE |
| LABEL OF THE RADIO BUTTON IF ANY BED DAYS RECORDED|
| FOR THIS PERSON IN EITHER DD04 OR DD07. IF NO BED|
| DAYS RECORDED AT DD04 AND DD07, DISPLAY, ‘How’. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘since (START DATE)’ IF NOT ROUND 5. |
| DISPLAY ‘between (START DATE) and (END DATE)’ IF |
| ROUND 5. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘Please include...’ IF PERSON HAS AT |
| LEAST ONE HOSPITAL STAY THAT ENDED IN CURRENT |
| ROUND (I.E., DISCHARGE DATE NOT CODED ‘95’ (STILL |
| IN HOSPITAL)). |
----------------------------------------------------
----------------------------------------------------
| IF ‘0’ ENTERED, DISPLAY THE FOLLOWING ERROR |
| MESSAGE: ‘IF NO ADDITIONAL BED DAYS, RECORD ‘995’|
| IN NUMBER OF DAYS.’ |
----------------------------------------------------
----------------------------------------------------
| IF’995’ ENTERED FOR NUMBER OF DAYS, GO TO BOX_02 |
----------------------------------------------------
----------------------------------------------------
| IF NUMBER OF DAYS ENTERED (NOT ‘995’, RF, OR DK), |
| CONTINUE WITH BOX_01E |
----------------------------------------------------
----------------------------------------------------
| HARD CHECK: |
| RANGE CHECK: 1 THROUGH NUMBER OF DAYS IN REFERENCE|
| PERIOD FOR THIS PERSON. |
| |
| EDIT: TOTAL BED DAYS (SUM OF ENTRY AT DD04 PLUS |
| ENTRY AT DD07 PLUS ENTRY AT DD08) MUST BE LESS |
| THAN OR EQUAL TO NUMBER OF DAYS IN REFERENCE |
| PERIOD FOR PERSON. |
----------------------------------------------------
BOX_01E
=======
----------------------------------------------------
| IF ROUND 3, CONTINUE WITH DD08A |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (I.E., IF NOT ROUND 3), GO TO DD09 |
----------------------------------------------------
DD08A
=====
{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
NUMBER OF {ADDITIONAL} DAYS IN BED: {NUMBER OF DAYS}
Of those days, how many were in {YEAR}?
[Enter Number of Days] ................. {DD09}
REF ................................... -7 {DD09}
DK .................................... -8 {DD09}
----------------------------------------------------
| DISPLAY ‘ADDITIONAL’ IF ANY BED DAYS RECORDED FOR |
| THIS PERSON IN EITHER DD04 OR DD07. OTHERWISE, |
| USE A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| FOR ‘NUMBER OF DAYS,’ DISPLAY THE NUMBER ENTERED |
| AT DD08. |
----------------------------------------------------
----------------------------------------------------
| (FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES |
| AUTOMATICALLY): ‘YEAR’ IN QUESTION TEXT IS FIRST |
| CALENDAR YEAR OF PANEL. |
----------------------------------------------------
----------------------------------------------------
| HARD CHECK: |
| DAYS IN {YEAR} AT DD08A MUST BE < OR = ADDITIONAL |
| DAYS IN BED AT DD08. |
----------------------------------------------------
DD09
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
What are the health problems that caused (PERSON) to spend a half
day or more in bed on those days?
PROBE: Any other health problems?
IF CONDITION IS ALREADY LISTED, SELECT ENTRY ON ROSTER.
[1. Medical Condition]
[2. Medical Condition]
[3. Medical Condition]
----------------------------------------------------
| FLAG ALL CONDITIONS SELECTED OR ADDED AS BEING |
| ASSOCIATED WITH BED DAYS IN THIS ROUND. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘ADD CONDITION’ AS AN OPTION ON THIS |
| SCREEN. |
----------------------------------------------------
----------------------------------------------------
| GO TO BOX_02 |
----------------------------------------------------
----------------------------------------------------
| ROSTER DETAILS: |
| Title: PERS_COND_1 |
| |
| COL #1 HEADER: MEDICAL CONDITION |
| INSTRUCTIONS: DISPLAY NAME OF MEDICAL CONDITION |
| (COND.CONDNAM) |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: |
| DISPLAY THE PERSON-MEDICAL-CONDITIONS-ROSTER FOR |
| THE SELECTION AND ADDITION OF ONE OR MANY MEDICAL |
| CONDITION(S) ASSOCIATED WITH THIS EVENT. |
----------------------------------------------------
----------------------------------------------------
| ROSTER BEHAVIOR: |
| 1. MULTIPLE SELECT ALLOWED. |
| |
| 2. MULTIPLE ADD ALLOWED. |
| |
| 3. LIMITED DELETE ALLOWED. INTERVIEWER MAY DELETE |
| A CONDITION ADDED ON THIS SCREEN AS LONG AS THE |
| INTERVIEW HAS NOT YET LEFT THE SCREEN. IS |
| IF THE INTERVIEWER ATTEMPTS TO DELETE A CONDITION |
| WHEN DELETE IS NOT ALLOWED, DISPLAY THE FOLLOWING |
| MESSAGE: “DELETE ALLOWED ONLY WHEN CONDITION IS |
| FIRST ENTERED.” |
----------------------------------------------------
----------------------------------------------------
| ROSTER FILTER: |
| DISPLAY ALL CONDITIONS ON PERSON’S ROSTER; NO |
| FILTER. |
----------------------------------------------------
BOX_02
======
----------------------------------------------------
| CHECK AGE AND WORK STATUS: |
| IF LESS THAN 16 YEARS OF AGE (OR AGE CATEGORIES |
| 1-3), GO TO BOX_03 |
----------------------------------------------------
----------------------------------------------------
| IF 16 YEARS OF AGE OR OLDER (OR AGE CATEGORIES |
| 4-9) AND DD02 IS NOT CODED '996' (DOES NOT WORK |
| OTHER THAN AROUND THE HOUSE), CONTINUE WITH DD10 |
----------------------------------------------------
----------------------------------------------------
| IF 16 YEARS OF AGE OR OLDER (OR AGE CATEGORIES |
| 4-9) AND DD02 IS CODED '996' (DOES NOT WORK |
| OTHER THAN AROUND THE HOUSE), GO TO BOX_03 |
----------------------------------------------------
DD10
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
{Besides the {NUMBER OF MISSED WORK DAYS} days (PERSON) missed
a half day or more from work because of (PERSON)'s own illness
or injury, did/Did} (PERSON) miss more than a half day from
work {between (START DATE) and (END DATE)} because of someone
else's illness, injury, or health care needs, for example, to
take care of a sick child or a relative?
YES .................................... 1 {DD11}
NO/DO NOT WORK ......................... 2 {BOX_03}
REF ................................... -7 {BOX_03}
DK .................................... -8 {BOX_03}
[Code One]
HELP AVAILABLE FOR DEFINITION OF HALF DAY OR MORE.
----------------------------------------------------
| DISPLAY ‘Besides the ..., did’ IF ANY MISSED WORK |
| DAYS RECORDED FOR THIS PERSON IN DD02. DISPLAY |
| ‘Did’ IF NO MISSED WORK DAYS RECORDED FOR THIS |
| PERSON IN DD02. |
| |
| DISPLAY NUMBER RECORDED IN DD02 FOR ‘NUMBER OF |
| MISSED WORK DAYS’ IF DD02 DOES NOT = ‘-7’ |
| (REFUSED) OR ‘-8’ (DON’T KNOW). IF DD02 = ‘-7’ |
| (REFUSED) OR ‘-8’ (DON’T KNOW), USE A NULL |
| DISPLAY. |
| |
| DISPLAY ‘between (START DATE) and (END DATE)’ IF |
| ROUND 5. OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
DD11
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
How many days did (PERSON) miss a half day or more from work
because of someone else's illness, injury, or health care needs?
[Enter Number of Days] ................. {BOX_02A}
REF ................................... -7 {BOX_03}
DK .................................... -8 {BOX_03}
----------------------------------------------------
| IF ‘0’ ENTERED, DISPLAY THE FOLLOWING ERROR |
| MESSAGE: ‘IF NO WORK DAYS MISSED, BACK UP AND |
| CORRECT PREVIOUS ANSWER.’ |
----------------------------------------------------
----------------------------------------------------
| IF NUMBER ENTERED > NUMBER OF DAYS IN REFERENCE |
| PERIOD, DISPLAY THE FOLLOWING ERROR MESSAGE: |
| ‘NUMBER OF DAYS MUST BE EQUAL TO OR LESS THAN |
| NUMBER IN REFERENCE PERIOD.’ |
----------------------------------------------------
----------------------------------------------------
| HARD CHECK: |
| DAYS ENTERED AT DD11 MUST BE < OR = NUMBER OF DAYS|
| IN REFERENCE PERIOD FOR PERSON. |
----------------------------------------------------
BOX_02A
=======
----------------------------------------------------
| IF ROUND 3, CONTINUE WITH DD11A |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (I.E., IF NOT ROUND 3), GO TO BOX_03 |
----------------------------------------------------
DD11A
=====
{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}
NUMBER OF DAYS MISSED WORK DUE TO SOMEONE ELSE’S HEALTH:
{NUMBER OF DAYS}
Of those days, how many were in {YEAR}?
[Enter Number of Days] ................. {BOX_03}
REF ................................... -7 {BOX_03}
DK .................................... -8 {BOX_03}
----------------------------------------------------
| FOR ‘NUMBER OF DAYS,’ DISPLAY THE NUMBER ENTERED |
| AT DD11. |
----------------------------------------------------
----------------------------------------------------
| (FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES |
| AUTOMATICALLY): ‘YEAR’ IN QUESTION TEXT IS FIRST |
| CALENDAR YEAR OF PANEL. |
----------------------------------------------------
----------------------------------------------------
| HARD CHECK: |
| DAYS IN {YEAR} AT DD11A MUST BE < OR = DAYS MISSED|
| WORK DUE TO SOMEONE ELSE’S HEALTH AT DD11. |
----------------------------------------------------
BOX_03
======
----------------------------------------------------
| GO TO NEXT QUESTIONNAIRE SECTION |
----------------------------------------------------
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