Off Path Navigation (OF) Section

BOX_00 (OF1000)

Route Details: 01 Box = BOX_00, BOX_10, BOX_20, BOX_30, BOX_40

04 Single Select = OF10, OF90, OF120, OF130, OF150, OF160, OF170, OF180, OF190, OF210, OF220, OF230

05 Single Select with Display Roster = OF20, OF30, OF40, OF50, OF60

06 Single Select with Fill in Answer Text = OF70

12 Address - Newly Collected = OF200_02, OF200_03, OF200_04, OF200_05, OF200_06

14 Regular date entry = OF100_01, OF100_02, OF100_03, OF140_01, OF140_02, OF140_03

19 Numeric Field = OF110

23 Text Field = OF80_01, OF80_02, OF80_03, OF200_01

24 Information Screen = OF240, OF250, OF260

BOX_10 (OF1005)

Route Details: Continue with OF10.

Programmer Instructions: The OF section is a combination of Manipula pop-up boxes and Blaise screens with a green background (i.e., "green path"). The OF section is accessed with the F2 hot key or selection of "Review/Add" from the menu and runs "parallel" to the main interview.

Items OF10-OF60 are all Manipula pop-up boxes with the blue background. Items OF70-OF260 are traditional Blaise screens with a green (instead of beige) background. The color of the green background is: rgb(153, 255, 153).

If the FI doesn't complete the entire OF section, no data is saved for added person or added event(s).

The options available via the F2 function will be customized based on which section of the CAPI interview you are in.

The F2 function is disabled in the following sections:

Reenumeration (RE)

Off Path Navigation (OF)

Otherwise, F2 is enabled in all sections, but with limited functionality as described below and at applicable items in the OF section.

ST80 (only - F2 disabled at other items in ST) - F2 available for:

PERSONS (review only)

EVENTS (review only)

MEDICINES (review only)

JOBS (review only)

INSURANCE (review only)

PE – F2 available for:

PERSONS (can review or add)

CA, PP, EV, PV, ED, Utilization, CP, FF, EF – F2 available for:

PERSONS (can review or add)

EVENTS (review only; add is grayed out)

PM, OM, AH, CS – F2 available for:

PERSONS (can review or add)

EVENTS (can review or add)

MEDICINES (review only; add is grayed out)

QS, AC – F2 available for:

PERSONS (can review or add)

EVENTS (can review or add)

MEDICINES (can review or add in comments)

EM, RJ, EW – F2 available for:

PERSONS (can review or add)

EVENTS (can review or add)

MEDICINES (can review or add in comments)

JOBS (review only; add is grayed out)

HX, HP, HQ, MC, OE, PR – F2 available for:

PERSONS (can review or add)

EVENTS (can review or add)

MEDICINES (can review or add in comments)

JOBS (can review or add in comments)

INSURANCE (review only; add is grayed out)

IN, AS, RF, CL – F2 available for:

PERSONS (can review or add)

EVENTS (can review or add)

MEDICINES (can review or add in comments)

JOBS (can review or add in comments)

INSURANCE (can review or add in comments)

OF10 (OF1010)

BLAISE NAME: AddRosterItem

Question Text:

WHAT WOULD YOU LIKE TO REVIEW?

Responses: PERSONS 1 OF20 (OF1015)

EVENTS 2 OF30 (OF1020)

MEDICINES 3 OF40 (OF1025)

JOBS 4 OF50 (OF1030)

INSURANCE 5 OF60 (OF1035)

Programmer Instructions: This is a Manipula pop-up box that allows FIs to choose what they would like to review.

It is called whenever the F2 hotkey is pressed or when Review/Add is selected from the menu.

The response options listed should be radio-buttons with two larger buttons at the bottom of the box labeled "OK" and "CANCEL".

If "OK" is selected, go to the item specified next to the response. If "CANCEL" is selected, go to BOX_40.

Display Instructions: Customize the response options listed in the pop-up based on the section F2 is called.

PE - Display only response option '1' (PERSONS)

CA, PP, EV, PV, ED, Utilization, CP, FF, EF - Display response options '1' (PERSONS) and '2' (EVENTS) PM, OM, AH, CS, QS, AC - Display response options '1' (PERSONS), '2' (EVENTS), and '3' (MEDICINES) EM, RJ, EW - Display response options '1' (PERSONS), '2' (EVENTS), '3' (MEDICINES), and '4' (JOBS) HX, HP, HQ, MC, OE, PR, IN, AS, CL - Display response options '1' (PERSONS), '2' (EVENTS), '3' (MEDICINES), '4' (JOBS), and '5' (INSURANCE)

OF20 (OF1015)

BLAISE NAME: AddPers

Question Text:

Person Sex Age Keyness Ref Period Start Date Ref Period End Date Status

{Text} {M/F} {XXX} {Yes/No} {Text} {Text} {Text}

Responses: ADD PERSON 1

CLOSE 2 BOX_40 (OF1205)

Programmer Instructions: This is a Manipula pop-up box.

Display a list of all DU members (RE_Person.PERSID), including DU members from a multi-RU DU and including those with PriorRndInelig flag=YES and those who were just added off path via OF80_01-OF80_03. Display a blank line between RU members on the current Person array and other DU members.

Display grid as a Manipula look-up with two larger buttons at the bottom of the box labeled "ADD PERSON" and "CLOSE".

The pop-up should be scrollable.

The "ADD PERSON" button is always active when F2 is accessible.

If "ADD PERSON" is selected and only current RU members are listed in this pop-up, go to OF80_01. Otherwise (when “ADD PERSON” is selected), go to OF70.

Display Instructions: The following fields should be displayed in the DU Members Overview screen.

Format Columns headers: Person, Sex, Age, Keyness, Ref Period Start Date, Ref Period End Date, Status.

Col #1: Person

Display DU members' full name

Col #2: Sex

Display the sex of the DU member. Display "M" for male and "F" for female.

Col #3: Age

Display the age or age category of the DU member.

Col #4: Keyness

Display only for current RU members on the person array. Leave empty for all other DU members.

Display "Yes" if CtrlPersKey=Yes. Display "No" if CtrlPersKey=No.

Col #5: Ref Period Start Date

Display only for current RU members on the person array. Leave empty for all other DU members.

Display the person's reference period start date using BegRefM, BegRefD, BegRefY. Display as "Mon DD, YYYY" (3 letter month abbreviation in mixed case, then the day, then the year).

Col #6: Ref Period End Date

Display only for current RU members on the person array. Leave empty for all other DU members.

Display the person's reference period end date using EndRefM, EndRefD, EndRefY. Display as "Mon

DD, YYYY" (3 letter month abbreviation in mixed case, then the day, then the year).

Col #7: Status

Display a customized status for each person listed.

Display "Current RU Member" for all persons on the person array (anyone part of this RU).

For all other persons who are part of the DU, but not the RU, use the following status labels.

If person is already part of another RU within the DU (never merged into this RU), display their status as their RU letter. For example, "RU-B", "RUC", etc.

Display "Mover" if CtrlTrackSumm=7, 10 or 11 for this person.

Display "Student Mover" if CtrlNewStudent = YES for this person.

Display "Incorrectly Listed" if RemovedAtRE330=Yes for this person.

Display "Still Institutionalized" if RemovedatRE180=Yes for this person.

Display "Not Eligible" if MoverAtLoop10=No or MoverAtLoop20=No or MoverAtLoop30=NO or

MoverAtRE940=NO or StudentMoverAtLoop80 =NO or RemoveAtBOX_350=YES or

RemoveAtBOX_400=YES for this person or PriorRndInelig flag=YES for this person

Display "Added Off Path" if person added via OF80_01-OF80_03 during the current round.

OF30 (OF1020)

BLAISE NAME: AddEvnt

Question Text:

Person:

Sort Field:

RU Member Event Type Provider Doctor/ Dept (Admit/ Visit) Date Discharge Date Repeat Visit Util Status C/P Status

{Text} {XX} {Text} {Text} {MM/DD/YYYY} {MM/DD/YYYY} {XX} {Text} {Text}

Responses: ADD EVENT 1 OF250 (OF1185)

CLOSE 2 BOX_40 (OF1205)

Programmer Instructions: This is a Manipula pop-up box.

Display the events by person i.e., all events for one person listed in order (as described below), followed by the events for the next person, etc. Each person will be separated by a blank row.

Display grid as a Manipula look-up with two larger buttons at the bottom of the box labelled "ADD EVENT" and "CLOSE".

You should be able to sort by person and the column headers should be sortable and the pop-up should be scrollable.

The "ADD EVENT" button is:

INACTIVE (grayed-out) during: CA, PP, EV, PV, ED, Utilization, CP, FF, EF

ACTIVE during: PM, OM, AH, CS, QS, AC, EM sections, HX sections, IN, AS, CL

Display Instructions: The following fields should be displayed in the RU Event Overview screen:

Format Columns headers: RU member, Event Type, Provider, Doctor/Dept, Date, Repeat Visit, Util Status, C/P Status.

Col #1: RU member

Display RU members' full name

Col#2: Event Type

Display the abbreviation for the event type associated with the event.

Col#3: Provider

Display the provider for the event

Col#4: Doctor/Dept

Display the doctor or department that was selected or added at PV70, if PV70 has a value other than 0.

Col#5: (Admit/Visit) Date

Display the date the event took place. For HS and IC events, display the admit date. For HH events, display the Month (3 letter abbreviation) the care took place. Dates should display as MM/DD/YYYY.

Col# 5a: Discharge Date

For HS and IC events, display the discharge date of the event. Leave this field empty if event type is not HS or IC.

Col# 6: Repeat Visit

Display the letter associated with the repeat visit group. Allow empty.

Col#7: Util Status

Display the status of the corresponding utilization section (Not Started, Started, Done, N/A)

Col# 8: C/P Status

Display the status of the C/P status. If applicable, display the status of the EF section (Not Started, Started, Done, N/A).

Display the rows on this pop-up in ascending event ID order within each RU member.

Display the RU members by ascending PID order.

OF40 (OF1025)

BLAISE NAME: AddPM

Question Text:

Person: Ú

RU Member Medicine Number of times obtained during ref period

{Text} {Text} {XXX}

Responses: ADD/EDIT MEDICINE IN COMMENT 1

CLOSE 2 BOX_40 (OF1205)

Programmer Instructions: This is a Manipula pop-up box.

Display all current round medicines by person i.e., all medicines for one person listed in order, followed by the medicines for the next person, etc. Each person will be separated by a blank row. If there are no medicines for this person, display their name with a blank entry next to it.

Display grid as a Manipula look-up with two larger buttons at the bottom of the box labelled "ADD/EDIT MEDICINE IN COMMENT" and "CLOSE".

You should be able to sort by person and the pop-up should be scrollable.

The "ADD/EDIT MEDICINE IN COMMENT" button is:

INACTIVE (grayed-out) during: PM, OM, AH, CS

ACTIVE during: QS, AC, EM sections, HX sections, IN, AS, CL

If "ADD/EDIT MEDICINE IN COMMENT" option is selected when it is active, go to the comments type box (where you select the topic for the comment) and then go to the comment area to record text. When routing to the comment type box - link the comment to the item where F2 was called from. When the comment box is closed, go to BOX_40.

Display Instructions: The following fields should be displayed in the RU Medicines Overview screen.

Format Columns headers: RU member, Medicine, Number of times obtained during ref period.

Col #1: RU member

Display RU members' full name

Col #2: Medicine

Display the name of each medicine for this person that is flagged as selected this round. Display the full length of the allowable characters for a medicine = 60 characters.

Col #3: Number of times obtained during ref period

Display the value of PM140 for this medicine. Leave cell empty if PM140 not yet collected. Display the RU members by ascending PID order.

OF50 (OF1030)

BLAISE NAME: AddJob

Question Text:

Person: Ú

RU Member Age Job Job Start Job End

{Text} {XXX} {Text} {Text} {Text}

Responses: ADD/EDIT JOB IN COMMENT 1

CLOSE 2 BOX_40 (OF1205)

Programmer Instructions: This is a Manipula pop-up box.

Display all jobs by person who is = or > 16 years of age (or age categories 4-9), i.e., all jobs for one person listed in order, followed by the jobs for the next person, etc. Each person will be separated by a blank row. If there are no jobs for this person who is = or > 16 years of age (or age categories 4-9), display their name with a blank entry next to it.

Display grid as a Manipula look-up with two larger buttons at the bottom of the box labelled "ADD/EDIT JOB IN COMMENT" and "CLOSE".

You should be able to sort by person and the pop-up should be scrollable.

The "ADD/EDIT JOB IN COMMENT" button is:

INACTIVE (grayed-out) during: EM sections

ACTIVE during: HX sections, IN, AS, CL

If "ADD/EDIT JOB IN COMMENT" option is selected when it is active, go to the comments type box (where you select the topic for the comment) and then go to the comment area to record text. When routing to the comment type box - link the comment to the item where F2 was called from. When the comment box is closed, go to BOX_40.

Display Instructions: The following fields should be displayed in the RU Jobs Overview screen.

Format Columns headers: RU member, Age, Job, Job Start, and Job End.

Col #1: RU member

Display RU members' full name. Display only RU members = or >16 years of age or in age categories (4-9).

Col #2: Age

Display the age or age category of the RU member.

Col #3: Job

Display all jobs on the jobs array for this person. No filter.

Col #3: Job Start

Display the Job start date using JobStartMM/DD/YYYY. Display as the "Mon DD, YYYY" (3 letter month abbreviation in mixed case, then the day, then the year). If MM or DD is missing for JobStart, display that piece as empty.

Col #4: Job End

Display the Job end date using JobStopMM/DD/YYYY. Display as the "Mon DD, YYYY" (3 letter month abbreviation in mixed case, then the day, then the year). If MM or DD is missing for JobStop, display that piece as empty. If JobStopYYYY is '0', display "Current Job".

Display the RU members by ascending PID order.

OF60 (OF1035)

BLAISE NAME: AddIns

Question Text:

Policyholder Insurance Source Plan Covered RU Members

{Text} {Text} {Text} {Text}

Responses: ADD/EDIT INSURANCE IN COMMENT 1

CLOSE 2 BOX_40 (OF1205)

Programmer Instructions: This is a Manipula pop-up box.

Display insurance in the insurance array. Display all insurance that is public insurance first, then all insurance that is private insurance. Separate public from private insurance with a blank row. Display insurance that is "active" and covers at least one person during the current round (at least one RU member is in the covered person array for this insurance).

Display grid as a Manipula look-up with two larger buttons at the bottom of the box labelled "ADD/EDIT INSURANCE IN COMMENT" and "CLOSE".

The pop-up should be scrollable.

The "ADD/EDIT INSURANCE IN COMMENT" button is:

INACTIVE (grayed-out) during: HX sections

ACTIVE during: IN, AS, CL

If "ADD/EDIT INSURANCE IN COMMENT" option is selected when it is active, go to the comments type box (where you select the topic for the comment) and then go to the comment area to record text. When routing to the comment type box - link the comment to the item where F2 was called from. When the comment box is closed, go to BOX_40.

Display Instructions: The following fields should be displayed in the RU Insurance Overview screen.

Format Columns headers: Policyholder, Insurance Source, Plan, Covered RU Members.

Column Header #1: Policyholder

Display the first 35 characters of the full name (Person.FullName) of policyholder for this insurance source (Insurance.Plcyhldr). This includes the full name of any RU or DU member selected as the policyholder. If the policyholder is outside of the DU, display the policyholder name as 'PLCYHLDR NOT IN DU-' followed by the first 15 characters of the entry at HP100. If the policyholder is deceased, display the policyholder name as 'PLCYHLDR DECEASED-'followed by the first 15 characters of the entry at HP110.

Column Header #2: Insurance Source

Display the first 30 characters of the name of the insurance source name (Insurance.HISrcName)

Column Header #3: Plan

Display the first 25 characters of the plan name of the insurance source (Insurance.Insurer). Leave cell blank if plan name is empty.

Column Header #4: Covered RU Members

Display the first 11 characters of the first names (Pers.FName) of all current RU members listed in the covered person array for this insurance source (Pers.PersID =CovdPers.Depend). Separate each name with a comma. Do not substitute "you" for respondent. Allow up to 95 characters for this column (which would allow for the first 8 covered persons if each first name is truncated to 11 characters).

OF70 (OF1040)

BLAISE NAME: SelectPers

Question Text:

IF PERSON RESPONDENT INDICATED SHOULD BE PART OF THE HOUSEHOLD IS ALREADY LISTED, SELECT THAT PERSON BELOW.

OTHERWISE, SELECT '0' TO ADD A PERSON.

Responses: ADD A PERSON 0 OF80_01 (OF1045)

{FIRST NAME, [MIDDLE NAME], LAST NAME}1 1 OF240 (OF1180)

{FIRST NAME, [MIDDLE NAME], LAST NAME}2 2 OF240 (OF1180)

{FIRST NAME, [MIDDLE NAME], LAST NAME}3 3 OF240 (OF1180)

{FIRST NAME, [MIDDLE NAME], LAST NAME}4 4 OF240 (OF1180)

{FIRST NAME, [MIDDLE NAME], LAST NAME}N 5 OF240 (OF1180)

Programmer Instructions: Roster behavior:

1. Only single select allowed.

Display Instructions: Roster 2 - no add/edit/delete

Roster definition:

Display the DU-Members-Roster for selection.

Roster filter:

Display all DU members (RE_Person.PERSID), including those with the flag PriorRndInelig flag=YES, but exclude any person marked as a current RU member (i.e., any person on the current person array)

OF80_01 (OF1045)

BLAISE NAME: AddPersFName

Question Text:

I'm going to pause the questions I was asking and make sure I have all the needed information about this person.

What is their first name?

VERIFY SPELLING.

Responses: 1 OF80_02 (OF1050)

Display Instructions: Display OF80_01, OF80_02, and OF80_03 on the same form pane.

OF80_02 (OF1050)

BLAISE NAME: AddPersMName

Question Text:

What is {{FIRST NAME}'s/their} middle name or initial?

IF NO MIDDLE NAME, LEAVE FIELD BLANK.

Responses: 1 OF80_03 (OF1055)

EMPTY Empty OF80_03 (OF1055)

Display Instructions: For "FIRST NAME", display the text entry from OF80_01.

Display OF80_01, OF80_02, and OF80_03 on the same form pane.

OF80_03 (OF1055)

BLAISE NAME: AddPersLName

Question Text:

What is {{FIRST NAME}'s/their} last name?

Responses: 1 OF90 (OF1060)

Display Instructions: For "FIRST NAME", display the text entry from OF80_01.

Display OF80_01, OF80_02, and OF80_03 on the same form pane.

OF90 (OF1060)

BLAISE NAME: SexC

Question Text:

SELECT SEX.

IF NOT OBVIOUS, ASK: What is {PERSON}'s sex?

Responses: MALE 1 OF100_01 (OF1065)

FEMALE 2 OF100_01 (OF1065)

REFUSED RF OF100_01 (OF1065)

DON'T KNOW DK OF100_01 (OF1065)

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

OF100_01 (OF1065)

BLAISE NAME: DOBMMC

Question Text:

What is {PERSON}'s date of birth?

ENTER MONTH.

Responses: 1 OF100_02 (OF1070)

REFUSED RF OF100_02 (OF1070)

DON'T KNOW DK OF100_02 (OF1070)

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

Display OF100_01, OF100_02, and OF100_03 on the same form pane.

OF100_02 (OF1070)

BLAISE NAME: DOBDDC

Question Text:

[What is {PERSON}'s date of birth?]

ENTER DAY.

Responses: 1 OF100_03 (OF1075)

REFUSED RF OF100_03 (OF1075)

DON'T KNOW DK OF100_03 (OF1075)

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

Display OF100_01, OF100_02, and OF100_03 on the same form pane.

Display question text in brackets and lighter "grayed-out" text.

OF100_03 (OF1075)

BLAISE NAME: DOBYYYYC

Question Text:

[What is {PERSON}'s date of birth?]

ENTER 4- DIGIT YEAR.

Responses: 1 OF110 (OF1080)

REFUSED RF OF110 (OF1080)

DON'T KNOW DK OF110 (OF1080)

Programmer Instructions: Hard check:

1. Date entered must be between {YEAR} - 120 years where 'YEAR' is the current year and RU level reference period end date/interview date (RUEndM, RUEndD, RUEndY). If a date outside of this range is entered, display the following message: "UNLIKELY RESPONSE. DATE CANNOT BE AFTER TODAY'S DATE OR BEFORE {YEAR-120}. VERIFY WITH RESPONDENT AND RE-ENTER."

Control Variables Impacted during MHOP: CtrlCurrHere

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

Display OF100_01, OF100_02, and OF100_03 on the same form pane.

Display question text in brackets and lighter "grayed-out" text.

OF110 (OF1080)

BLAISE NAME: AgeRndC

Question Text:

{VERIFY {PERSON}'s AGE - IF AGE IS INCORRECT, RE-ENTER DATE OF BIRTH. IF DATE OF BIRTH UNKNOWN, ASK:} How old is {PERSON}?

Responses: 1 OF140_01 (OF1095)

REFUSED RF OF120 (OF1085)

DON'T KNOW DK OF120 (OF1085)

Programmer Instructions: For Round 5, AGE is calculated as of DECEMBER 31, {YEAR}, where 'YEAR' is the second calendar year of the panel.

If the interviewer enters an AGE that contradicts the DOB, CAPI will still calculate AGE (See GL spec) based on DOB when the interviewer leaves the screen. No error message is displayed.

Display Instructions: Prefill OF110 with RU member's age as calculated from responses entered at OF100_01-OF100_03 if age can be calculated. If age cannot be calculated, do not prefill an age.

Display "VERIFY {PERSON}'s AGE - IF AGE IS INCORRECT, RE-ENTER DATE OF BIRTH. IF DATE OF BIRTH UNKNOWN, ASK:" if age can be calculated from responses entered at OF100_01-OF100_03. Otherwise, use a null display.

For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

OF120 (OF1085)

BLAISE NAME: AgeRngC

Question Text:

PROBE FOR RESPONDENT'S BEST ESTIMATE OF AGE.

Is {PERSON} less than 1 year old, 1-4, 5-15, 16-23, 24-34, 35-44, 45-54, 55-64, or 65 years or older?

Responses: LESS THAN 1 YEAR OLD 1 OF140_01 (OF1095)

1 - 4 2 OF140_01 (OF1095)

5 - 15 3 OF140_01 (OF1095)

16 - 23 4 OF140_01 (OF1095)

24 - 34 5 OF140_01 (OF1095)

35 - 44 6 OF140_01 (OF1095)

45 - 54 7 OF140_01 (OF1095)

55 - 64 8 OF140_01 (OF1095)

65 YEARS OR OLDER 9 OF140_01 (OF1095)

REFUSED RF OF130 (OF1090)

DON'T KNOW DK OF130 (OF1090)

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

OF130 (OF1090)

BLAISE NAME: AgeGuessC

Question Text:

ENTER YOUR BEST GUESS FOR {PERSON}'S AGE.

Responses: LESS THAN 1 YEAR OLD 1 OF140_01 (OF1095)

1 - 4 2 OF140_01 (OF1095)

5 - 15 3 OF140_01 (OF1095)

16 - 23 4 OF140_01 (OF1095)

24 - 34 5 OF140_01 (OF1095)

35 - 44 6 OF140_01 (OF1095)

45 - 54 7 OF140_01 (OF1095)

55 - 64 8 OF140_01 (OF1095)

65 YEARS OR OLDER 9 OF140_01 (OF1095)

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

OF140_01 (OF1095)

BLAISE NAME: LiveFamStartMM

Question Text:

On what date did {PERSON} start living with {{First Name,[Middle Name],Last Name}1 ,{First Name,[Middle Name],Last Name}2 ,{First Name,[Middle Name],Last Name}3, {First Name,[Middle Name],Last Name}4, {First Name,[Middle Name],Last Name}N}?

ENTER MONTH.

Responses: 1 OF140_02 (OF1100)

Programmer Instructions: DK and RF disallowed for month.

Display Instructions: Roster definition: Roster 1 - Report

This item displays current NHIS/previous round roster. Display RU member's first, middle, and last names.(PL_Person.FullName)

Roster filter:

If round 1 display all RU members on the original NHIS roster.

If round 2-5 display all RU members on the previous rounds roster (i.e. if round 2 display the roster from round 1.)

(RE_Person.PreloadRU = RUUnit)

Display OF140_01, OF140_02 and OF140_03 on the same form pane.

For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

OF140_02 (OF1100)

BLAISE NAME: LiveFamStartDD

Question Text:

[On what date did {PERSON} start living with {{First Name,[Middle Name],Last Name}1 ,{First Name,[Middle Name],Last Name}2 ,{First Name,[Middle Name],Last Name}3, {First Name,[Middle Name],Last Name}4, {First Name,[Middle Name],Last Name}N}?]

ENTER DAY.

Responses: 1 OF140_03 (OF1105)

REFUSED RF OF140_03 (OF1105)

DON'T KNOW DK OF140_03 (OF1105)

Display Instructions: Roster definition:

Roster 1 - Report

This item displays current NHIS/previous round roster. Display RU member's first, middle, and last names.(PL_Person.FullName)

Roster filter:

If round 1 display all RU members on the original NHIS roster.

If round 2-5 display all RU members on the previous rounds roster (i.e. if round 2 display the roster from round 1.)

(RE_Person.PreloadRU = RUUnit)

Display OF140_01, OF140_02 and OF140_03 on the same form pane.

Display question text in brackets and lighter "grayed-out" text.

For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

OF140_03 (OF1105)

BLAISE NAME: LiveFamStartYYYY

Question Text:

ENTER 4-DIGIT YEAR.

Responses: 1

Programmer Instructions: If Round 1 date entered is [on or before NHIS date (NHISDt)] or if [(month is equal to NHIS month) and (day is RF or DK) and (year entered is equal to NHIS year)], go to OF150.

If Rounds 2-5 and date entered is [on or before NHIS date (NHISDt)] or if [month is equal to NHIS month) and (day is RF or DK) and (year entered is equal to NHIS year), autocode OF150 as '1' (YES) and go to OF240.

Otherwise, go to OF160.

DK and RF disallowed for year.

Hard Check:

(for Round 5): Date entered must be on or before 12/31/{YEAR}, where 'YEAR' is the second calendar year of the panel. If a date after 12/31/{YEAR} is entered, display the following message: "DATE MUST BE ON OR BEFORE 12/31/{YEAR}. VERIFY DATE ENTERED. ONLY PERSONS JOINING RU BEFORE 12/31/{YEAR} SHOULD BE ADDED. IF PERSON JOINED RU AFTER 12/31/{YEAR}, CANCEL OUT OF OFF-PATH AND DO NOT ADD THIS PERSON TO THE RU."
Hard Check: Date entered must be between Person's DOB (DOBD, DOBM, DOBY) and the RU reference period end date/interview date (RUEndM, RUEndD, RUEndY). If a date outside of this range is entered, display the following message: DATE CANNOT BE AFTER {REFERENCE PERIOD END DATE} OR BEFORE PERSON'S DATE OF BIRTH. VERIFY WITH RESPONDENT AND RE-ENTER."

Control Variables Impacted during MHOP: BegRefM, BegRefD, and BegRefY

Display Instructions: Roster definition:

Roster 1 - Report

This item displays current NHIS/previous round roster. Display RU member's first, middle, and last names. (PL_Person.FullName)

Roster filter:

If round 1 display all RU members on the original NHIS roster.

If round 2-5 display all RU members on the previous rounds roster (i.e. if round 2 display the roster from round 1.)

(RE_Person.PreloadRU = RUUnit)

Display OF140_01, OF140_02 and OF140_03 on the same form pane.

Display question text in brackets and lighter "grayed-out" text.

For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

OF150 (OF1110)

BLAISE NAME: VerfBegDate

Question Text:

I have recorded that {PERSON} began living at {NHIS ADDRESS} on {OF140_[1-3] DATE}. Is that correct?

IF NECESSARY SAY: We're trying to establish if {PERSON} was living with this household when they participated in the previous interview on {DATE OF NHIS INTERVIEW}.

Responses: YES 1 OF240 (OF1180)

NO 2

REFUSED RF OF160 (OF1115)

DON'T KNOW DK OF160 (OF1115)

Programmer Instructions: Hard Check:

If coded '2' (NO), display message: 'BACKUP AND CORRECT DATE PERSON JOINED RU AT PREVIOUS SCREEN.' Control Variables Impacted during MHOP: CtrlPersKey, CtrlSampNHIS

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

For 'NHIS ADDRESS' display the NHIS full address, including city and state but not zip code. Use Preload.CurrStrt1, Preload.CurrStrt2, Preload.CurrCity, Preload.CurrState.

Separate address components with a comma, for example: "123 Main Street, Apt. 101, Rockville, MD".

For 'OF140_[1-3] DATE', display date entered at OF140_[01-03].

For 'DATE OF NHIS INTERVIEW', display date of NHIS interview. Use NHISDt.

OF160 (OF1115)

BLAISE NAME: Jan1Abroad

Question Text:

Was {PERSON} living within the U.S. or outside the U.S. on {MONTH, DAY, YEAR OF NHIS INTERVIEW/January 1, {YEAR}}?

HELP: F1

Responses: WITHIN U.S. 1

OUTSIDE U.S. 2 OF240 (OF1180)

REFUSED RF

DON'T KNOW DK

Programmer Instructions: If coded '1' (WITHIN US), 'RF' (REFUSED), or 'DK' (DON'T KNOW), and person is 18 years old or older or in age categories 4-9 (use age variables collected at OF100 through OF130), continue with OF170. Otherwise, go to OF180.

Control Variables Impacted during MHOP: CtrlPersKey, CtrlSampNHIS

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

Display 'MONTH, DAY, YEAR OF NHIS INTERVIEW' if Round 1. Use NHISDt.

Otherwise, display 'January 1, {YEAR}' with 'YEAR' as the first calendar year of the panel.

OF170 (OF1120)

BLAISE NAME: Jan1Milit

Question Text:

Was {PERSON} serving on full-time active duty with the Armed Forces of the United States on {{MONTH, DAY, YEAR OF NHIS INTERVIEW}/January 1, {YEAR}}?

HELP: F1

Responses: YES 1 OF180 (OF1125)

NO 2 OF180 (OF1125)

REFUSED RF OF180 (OF1125)

DON'T KNOW DK OF180 (OF1125)

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

Display 'MONTH, DAY, YEAR OF NHIS INTERVIEW' if Round 1. Use NHISDt.

Otherwise, display 'January 1, {YEAR}' with 'YEAR' as the first calendar year of the panel.

OF180 (OF1125)

BLAISE NAME: WherePersJan1

Question Text:

{Was {PERSON} living away at school, living on a military facility, institutionalized, or living at a private residence when {{First Name,[Middle Name],Last Name}1, {First Name,[Middle Name],Last Name}2, {First Name,[Middle Name],Last Name}3, {First Name,[Middle Name],Last Name}4, {First Name,[Middle Name],Last Name}N } participated in the National Health Interview Survey on {NHIS INTERVIEW DATE} at {NHIS ADDRESS}? / On January 1, {YEAR}, was {PERSON} living away at school, living on a military facility, institutionalized, or living at a private residence?}

HELP: F1

Responses: LIVING AWAY AT SCHOOL 1

LIVING ON A MILITARY FACILITY 2 OF240 (OF1180)

INSTITUTIONALIZED IN A FACILITY 3 OF190 (OF1130)

IN A PRIVATE RESIDENCE/HOUSEHOLD 4 OF240 (OF1180)

IF VOLUNTEERED: BORN AFTER {DATE} 5 OF240 (OF1180)

REFUSED RF OF240 (OF1180)

DON'T KNOW DK OF240 (OF1180)

Programmer Instructions: If coded '1' (LIVING AWAY AT SCHOOL) and Round 1, calculate the age from NHIS interview date (NHISDt). If Rounds 2-5, calculate age from January 1, {YEAR} where year is the first calendar year of panel for 'YEAR'. This calculation is using the age-at-NHIS (or age-at-1/1/First Panel Year) rather than the age calculation described in the GL spec.

Therefore, age categories cannot be included in the check.

If calculated age at NHIS or 1/1/{YEAR} is < = 23 , go to OF220.

If calculated age at NHIS or 1/1/{YEAR} is unknown or cannot be calculated, go to OF210.

Control Variables Impacted during MHOP: CtrlPersKey, CtrlSampNHIS

HARD CHECK: If coded '1' (LIVING AWAY AT SCHOOL) and calculated age at NHIS or 1/1/{YEAR} > 23, display the following message: "For the purposes of this survey, students older than 23 are considered living in a private household. INTERVIEWER: PLEASE CHANGE OF180 (WherePersJan1) TO CODE 4 (IN A PRIVATE RESIDENCE/HOUSEHOLD)."

Display Instructions: Roster 1 - Report Roster definition:

This item displays the current NHIS roster. Display RU member's first, middle, and last names (PL_Person.FullName).

Roster filter:

Display all RU members on the current NHIS roster. (RE_Person.PreloadRU = RUUnit). Substitute "you" for the person's name if the respondent is included in this list. If exactly two names displayed, separate names with the word "and" and no comma. If more than two names listed, separate names using commas, except for between the last two names displayed. Between the last two names displayed, separate names using the word "and".

Display response category '5' (IF VOLUNTEERED: BORN AFTER {DATE}) if the person's date of If round 2-5, display "On January 1, {YEAR}, was {PERSON} living away at school, living on a military facility, institutionalized, or living at a private residence?" Display the first calendar year of panel for 'YEAR'. birth year is on or after NHIS year (PesonDOBY=>NHISDt (year)) or if DOB is unknown and person is age category 1 (Person.AgeRng=1 or Person.AgeGuess=1).

For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

For "DATE" in the response category display, display NHISDt (as a 3 character month DD, YYYY) if Round 1 or "Jan 1, {YEAR}" where "YEAR" is the first panel year if Rounds 2-5.

If round 1, display "Was {PERSON} living away at school, living on a military facility, institutionalized, or living at a private residence when {{First Name,[Middle Name],Last Name}1, {First Name,[Middle Name],Last Name}2, {First Name,[Middle Name],Last Name}3, {First Name,[Middle Name],Last Name}4, {First Name,[Middle Name],Last Name}N } participated in the National Health Interview Survey on {NHIS INTERVIEW DATE} at {NHIS ADDRESS}?"

For '{NHIS ADDRESS}', display the NHIS full address, including city and state, but not zip code. Use Preload.CurrStrt1, Preload.CurrStrt2, Preload.CurrCity, Preload.CurrState. Separate address components with a comma, for example: "123 Main Street, Apt. 101, Rockville, MD".

For "{NHIS INTERVIEW DATE}", display the date of the NHIS interview. Use NHISDt.

If round 2-5, display "On January 1, {YEAR}, was {PERSON} living away at school, living on a military facility, institutionalized, or living at a private residence?" Display the first calendar year of panel for 'YEAR'.

OF190 (OF1130)

BLAISE NAME: Jan1InstTp

Question Text:

Was {PERSON} living in a nursing home or any other long-term care institution that provides 24 hour skilled nursing care on {{MONTH, DAY, YEAR OF NHIS INTERVIEW}/January 1, {YEAR}}?

HELP: F1

Responses: YES 1 OF200_01 (OF1135)

NO 2 OF240 (OF1180)

REFUSED RF OF200_01 (OF1135)

DON'T KNOW DK OF200_01 (OF1135)

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

Display 'MONTH, DAY, YEAR OF NHIS INTERVIEW' if Round 1. Use NHISDt.

Otherwise, display 'January 1, {YEAR}' with 'YEAR' as the first calendar year of the panel.

OF200_01 (OF1135)

BLAISE NAME: BefFamPlaceName

Question Text:

Please give me the name and address of the nursing home or long term care facility where {PERSON} was {on January 1, {YEAR}/ living at the time of the National Health Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW}}?

What is the name?

Responses: 1 OF200_02 (OF1140)

REFUSED RF OF200_02 (OF1140)

DON'T KNOW DK OF200_02 (OF1140)

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

Display 'living at the time of the National Health Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW}' if Round 1. Use NHISDt

Otherwise, display 'January 1, {YEAR}' with 'YEAR' as the first calendar year of the panel.

Display OF200_01, OF200_02, OF200_03, OF200_04, OF200_05, and OF200_06 on the same form pane.

OF200_02 (OF1140)

BLAISE NAME: BefFamStrt1

Question Text:

[Please give me the name and address of the nursing home or long term care facility where {PERSON} was {on January 1, {YEAR}/ living at the time of the National Health Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW}}?]

What is the address?

Responses: 1 OF200_03 (OF1145)

REFUSED RF OF200_03 (OF1145)

DON'T KNOW DK OF200_03 (OF1145)

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

Display 'living at the time of the National Health Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW}' if Round 1. Use NHISDt

Otherwise, display 'January 1, {YEAR}' with 'YEAR' as the first calendar year of the panel.

Display OF200_01, OF200_02, OF200_03, OF200_04, OF200_05, and OF200_06 on the same form pane.

Display question text "Please give me the name and address of the nursing home or long term care facility where {PERSON} was {on January 1, {YEAR}/ living at the time of the National Health Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW}}?" in brackets and lighter "grayed out" text.

OF200_03 (OF1145)

BLAISE NAME: BefFamStrt2

Question Text:

What is the second address?

IF NONE, PRESS ENTER TO CONTINUE.

Responses: 1 OF200_04 (OF1150)

EMPTY Empty OF200_04 (OF1150)

REFUSED RF OF200_04 (OF1150)

DON'T KNOW DK OF200_04 (OF1150)

Programmer Instructions: Allow empty.

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

Display 'living at the time of the National Health Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW}' if Round 1. Use NHISDt

Otherwise, display 'January 1, {YEAR}' with 'YEAR' as the first calendar year of the panel.

Display OF200_01, OF200_02, OF200_03, OF200_04, OF200_05, and OF200_06 on the same form pane.

OF200_04 (OF1150)

BLAISE NAME: BefFamCity

Question Text:

What is the city?

Responses: 1 OF200_05 (OF1155)

REFUSED RF OF200_05 (OF1155)

DON'T KNOW DK OF200_05 (OF1155)

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

Display 'living at the time of the National Health Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW}' if Round 1. Use NHISDt

Otherwise, display 'January 1, {YEAR}' with 'YEAR' as the first calendar year of the panel.

Display OF200_01, OF200_02, OF200_03, OF200_04, OF200_05, and OF200_06 on the same form pane.

OF200_05 (OF1155)

BLAISE NAME: BefFamSt

Question Text:

What is the state?

TYPE THE FIRST LETTER OF THE STATE, THEN USE ARROW KEYS IF NEEDED TO LOCATE STATE, AND PRESS ENTER TO SELECT.

Responses: 1 OF200_06 (OF1160)

REFUSED RF OF200_06 (OF1160)

DON'T KNOW DK OF200_06 (OF1160)

Programmer Instructions: Use state lookup file.

Note: The entry Foreign country (FC) is allowed.

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

Display 'living at the time of the National Health Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW}' if Round 1. Use NHISDt

Otherwise, display 'January 1, {YEAR}' with 'YEAR' as the first calendar year of the panel.

Display OF200_01, OF200_02, OF200_03, OF200_04, OF200_05, and OF200_06 on the same form pane.

Display question text "Please give me the name and address of the nursing home or long term care facility where {PERSON} was} {on January 1, {YEAR}/ living at the time of the National Health Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW}}?" in brackets and lighter "grayed out" text.

OF200_06 (OF1160)

BLAISE NAME: BefFamZip

Question Text:

What is the zip code?

Responses: 1 OF240 (OF1180)

REFUSED RF OF240 (OF1180)

DON'T KNOW DK OF240 (OF1180)

Programmer Instructions: Hard check: Exactly 5 digit numeric entry required. If less than 5 numeric digits entered or any characters entered that are not numeric, display the following message: "ZIP CODE ENTRY REQUIRES EXACTLY 5 NUMBERS. PROBE AND RE-ENTER OR ENTER

F5 (DON'T KNOW) IF FULL ZIP CODE IS NOT KNOWN."

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

Display 'living at the time of the National Health Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW}' if Round 1. Use NHISDt

Otherwise, display 'January 1, {YEAR}' with 'YEAR' as the first calendar year of the panel.

Display OF200_01, OF200_02, OF200_03, OF200_04, OF200_05, and OF200_06 on the same form pane.

OF210 (OF1165)

BLAISE NAME: Age23orYounger

Question Text:

At that time, was {PERSON} 23 or younger?

Responses: YES 1 OF220 (OF1170)

NO 2

REFUSED RF OF220 (OF1170)

DON'T KNOW DK OF220 (OF1170)

Programmer Instructions: Control Variables Impacted during MHOP: CtrlPersKey, CtrlSampNHIS

HARD CHECK: If coded '2' (NO), display the following message: "For the purposes of this survey, students older than 23 are considered living in a private household.

INTERVIEWER: PLEASE BACK-UP TO OF180 (WherePersJan1) AND USE CODE 4 (IN A PRIVATE RESIDENCE/HOUSEHOLD)." Code '2' (NO) is disallowed as a final response option.

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

OF220 (OF1170)

BLAISE NAME: SchlTpB

Question Text:

What grade or level of school was {PERSON} attending on {{MONTH, DAY, YEAR OF NHIS INTERVIEW}/January 1, {YEAR}}?

HELP: F1

Responses: 1st - 12th GRADE 1 OF240 (OF1180)

VOCATIONAL, COLLEGE, GRADUATE, PROFESSIONAL 2 OF230 (OF1175)

REFUSED RF OF230 (OF1175)

DON'T KNOW DK OF230 (OF1175)

Programmer Instructions: Control Variables Impacted during MHOP: CtrlPersKey, CtrlSampNHIS

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

Display 'MONTH, DAY, YEAR OF NHIS INTERVIEW' if Round 1. Use NHISDt.

Otherwise, display 'January 1, {YEAR}' with 'YEAR' as the first calendar year of the panel.

OF230 (OF1175)

BLAISE NAME: Jan1ParentHh

Question Text:

{At the time of the National Health Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW} / On January 1, {YEAR}}, were either of {PERSON}'s parents living {at {NHIS ADDRESS}/in this household}?

Responses: YES 1 OF240 (OF1180)

NO 2 OF240 (OF1180)

REFUSED RF OF240 (OF1180)

DON'T KNOW DK OF240 (OF1180)

Programmer Instructions: Control Variables Impacted during MHOP: CtrlPersKey, CtrlSampNHIS

Display Instructions: Display 'On January 1, {YEAR}' and 'in this household', if Rounds 2-5. Display the first calendar year of panel for 'YEAR'.

Display 'At the time of the National Health Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW}' and 'at {NHIS ADDRESS}' if Round 1. Use NHISDt for 'MONTH, DAY, YEAR OF NHIS INTERVIEW'.

For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03.

For 'NHIS ADDRESS' display the NHIS full address, including city and state but not zip code. Use Preload.CurrStrt1, Preload.CurrStrt2, Preload.CurrCity, Preload.CurrState. Separate address components with a comma, for example: "123 Main Street, Apt. 101, Rockville, MD".

OF240 (OF1180)

BLAISE NAME: AddPersConf

Question Text:

{PERSON} ADDED. HOWEVER, NO DATA WILL BE COLLECTED ABOUT {HIM/HER} DURING THE CURRENT INTERVIEW. WE WILL FOLLOW-UP ON {HIM/HER} NEXT TIME.

PRESS 1 AND ENTER TO RETURN TO MAIN INTERVIEW.

Responses: CONTINUE 1 BOX_40 (OF1205)

Programmer Instructions: During MHOP review/processing, set PersAddedBetweenRnds=YES for eligible persons added.

Display Instructions: For '{PERSON}' display the first, middle, and last name entered at OF80_01-OF80_03 if '0' (ADD A PERSON) selected at OF70. Otherwise, display the name of the person selected at OF70.

Display 'HIM' if OF90 is coded '1' (MALE). Otherwise, display 'HER'.

OF250 (OF1185)

BLAISE NAME: AddEvntCont

Question Text:

Thank you. This information is very helpful. I'm going to pause the questions I was asking and make sure I have all the needed information about this health care visit.

PRESS 1 AND ENTER TO CONTINUE.

Responses: CONTINUE 1 BOX_20 (OF1190)

Display Instructions:

BOX_20 (OF1190)

Route Details: Ask the Event Roster (EV) section.

At completion of EV section, continue with BOX_30.

Programmer Instructions: The EV section, as well as all sections called within EV should present the traditional Blaise items with a green context header "OFF-PATH" located to the far left of the screen before any other information is presented. Any Manipula or other special items within these sections can remain the original color scheme.

For each event created in the EV section via OF30 and BOX_20, set the CreateQ for that event as OF30.

BOX_30 (OF1195)

Route Details: Ask the Event Driver (ED) section for added events.

At completion of ED section, continue with OF260.

Programmer Instructions: The ED section, as well as all sections called within ED should present the traditional Blaise items with a green context header "OFF-PATH" located to the far left of the screen before any other information is presented. Any Manipula or other special items within these sections can remain the original color scheme.

OF260 (OF1200)

BLAISE NAME: AddEvntConf

Question Text:

EVENT INFORMATION SUCCESSFULLY ADDED.

PRESS 1 AND ENTER TO RETURN TO MAIN INTERVIEW.

Responses: CONTINUE 1 BOX_40 (OF1205)

Display Instructions:

BOX_40 (OF1205)

Route Details: Return to the main interview item where the F2 was pressed (OF Section was launched).

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