Health Status (HE) SectionBOX_00
CONTEXT HEADER DISPLAY INSTRUCTIONS: DISPLAY {HOME.RUBEGMM, HOME.RUBEGDD, HOME.RUBEGYY, HOME.RUENDMM, HOME.RUENDDD, HOME.RUENDYY/PERS.FULLNAME, PRND.BEGREFMM, PRND.BEGREFDD, PRND.BEGREFYY, PRND.ENDREFMM, PRND.ENDREFDD, PRND.ENDREFYY} BOX_01
NOTE: THIS SECTION IS ASKED FOR ALL CURRENT RU MEMBERS AND INSTITUTIONALIZED PERSONS. DO NOT ASK THIS SECTION FOR DECEASED PERSONS.
NOTE: QUESTIONS HE01 THROUGH HE25 ARE ASKED IN ROUNDS 1, 3, AND 5. QUESTIONS HE26 THROUGH HE43 ARE ASKED IN ROUNDS 2 AND 4.
NOTE: THROUGHOUT THE HEALTH STATUS (HE) SECTION, AGE CATEGORIES ARE REFERENCED WHEN A TRUE AGE WAS NOT OBTAINED. THE AGES FOR THESE AGE CATEGORIES ARE AS FOLLOWS: 1 = LESS THAN 1 YEAR OLD 2 = 1-4 3 = 5-15 4 = 16-23 5 = 24-34 6 = 35-44 7 = 45-54 8 = 55-64 9 = 65 YEARS OLD OR OLDER
IF ROUND 1 OR ROUND 3 OR ROUND 5, CONTINUE WITH HE01
IF ROUND 2 OR ROUND 4, GO TO HE26
HE01 {STR-DT}
DISPLAY ‘Between {START DATE} and {END DATE}, did’ IF ROUND 5. OTHERWISE, DISPLAY ‘Does’.
IF CODED ‘1’ (YES) AND A SINGLE PERSON RU, AUTOMATICALLY CODE PERSON AS ‘RECEIVES HELP’ AT HE02 BY CAPI AND GO TO LOOP_01
IF CODED ‘1’ (YES) AND A MULTI-PERSON RU, CONTINUE WITH HE02 HE02 {STR-DT}
FLAG ALL SELECTED PERSONS WHO ARE = OR > 13 YEARS OLD OR IN AGE CATEGORIES 4-9 FOR THE LTC SUPPLEMENT: IADL SECTION.
CONTINUE WITH LOOP_01
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS EXCLUDING DECEASED RU MEMBERS. LOOP_01
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK NAV_HE01 - END_LP01
LOOP DEFINITION: LOOP_01 DETERMINES IF PERSONS RECEIVE HELP OR SUPERVISION WITH INSTRUMENTAL ACTIVITIES OF DAILY LIVING BECAUSE OF AN IMPAIRMENT OR PHYSICAL OR MENTAL HEALTH PROBLEM. THIS LOOP CYCLES ON RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON RECEIVES HELP WITH INSTRUMENTAL ACTIVITIES OF DAILY LIVING (I.E., PERSON SELECTED AT HE02) - PERSON IS <13 YEARS OF AGE OR IN AGE CATEGORIES 1-3
NAVIGATOR DETAILS: LOOP_01 USES NAV_HE01 TO CONTROL THE FLOW OF THE LOOP. NAV_HE01 SERIES: Help with Daily Activities (e.g., using phone,
paying bills,
ROSTER DETAILS: COL # 1 HEADER: RU MEMBER INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME) COL # 2 HEADER: EMPTY INSTRUCTIONS: DISPLAY THE MOST CURRENT NAVIGATOR STATUS FOR EACH RU MEMBER EACH TIME THE NAVIGATOR IS PRESENTED
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. SELECT ALLOWED. 2. MULTIPLE SELECT, ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON RECEIVES HELP WITH INSTRUMENTAL ACTIVITIES OF DAILY LIVING (I.E., PERSON SELECTED AT HE02) - PERSON IS <13 YEARS OF AGE OR IN AGE CATEGORIES 1-3
CONTINUE WITH HE03 FOR SELECTED RU MEMBER. HE03 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
IF CODED ‘1’ (YES), FLAG PERSON FOR THE LTC SUPPLEMENT: IADL SECTION. END_LP01
CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER WHO MEETS THE CONDITIONS STATED IN THE LOOP DEFINITION
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_01 AND CONTINUE WITH HE04 HE04 {STR-DT}
DISPLAY ‘between {START DATE} and {END DATE}, did’ IF ROUND 5. OTHERWISE, DISPLAY ‘Does’.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS ‘RECEIVES HELP’ AT HE05 BY CAPI.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, GO TO LOOP_02
IF CODED ‘1’ (YES) AND MULTI-PERSON RU, CONTINUE WITH HE05 HE05 {STR-DT}
FLAG ALL SELECTED PERSONS WHO ARE = OR > 13 YEARS OLD OR IN AGE CATEGORIES 4-9 FOR THE LTC SUPPLEMENT: ADL SECTION.
CONTINUE WITH LOOP_02
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS EXCLUDING DECEASED RU MEMBERS. LOOP_02
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK NAV_HE02 - END_LP02
LOOP DEFINITION: LOOP_02 DETERMINES IF PERSONS RECEIVE HELP OR SUPERVISION WITH PERSONAL CARE (I.E., ACTIVITIES OF DAILY LIVING) BECAUSE OF AN IMPAIRMENT OR PHYSICAL OR MENTAL HEALTH PROBLEM. THIS LOOP CYCLES ON RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON RECEIVES HELP OR SUPERVISION WITH PERSONAL CARE (I.E., ACTIVITIES OF DAILY LIVING, THAT IS, THE PERSON IS SELECTED AT HE05) - PERSON IS <13 YEARS OF AGE OR IN AGE CATEGORIES 1-3
NAVIGATOR DETAILS: LOOP_02 USES NAV_HE02 TO CONTROL THE FLOW OF THE LOOP. NAV_HE02 SERIES: Help with Personal Care (e.g., bathing,
dressing, getting
ROSTER DETAILS: COL # 1 HEADER: RU MEMBER INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME) COL # 2 HEADER: EMPTY INSTRUCTIONS: DISPLAY THE MOST CURRENT NAVIGATOR STATUS FOR EACH RU MEMBER EACH TIME THE NAVIGATOR IS PRESENTED
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. SELECT ALLOWED. 2. MULTIPLE SELECT, ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON RECEIVES HELP OR SUPERVISION WITH PERSONAL CARE (I.E., ACTIVITIES OF DAILY LIVING, THAT IS, THE PERSON IS SELECTED AT HE05) - PERSON IS <13 YEARS OF AGE OR IN AGE CATEGORIES 1-3
CONTINUE WITH HE06 FOR SELECTED RU MEMBER. HE06 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
IF CODED ‘1’ (YES), FLAG PERSON FOR THE LTC SUPPLEMENT: ADL SECTION. END_LP02
CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER WHO MEETS THE CONDITIONS STATED IN THE LOOP DEFINITION
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_02 AND CONTINUE WITH HE07 HE07 {STR-DT}
DISPLAY ‘Between {START DATE} and {END DATE}, did’ IF ROUND 5. OTHERWISE, DISPLAY ‘Does’.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS ‘USES AIDS’ AT HE08 BY CAPI.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, GO TO HE09
IF CODED ‘1’ (YES) AND A MULTI-PERSON RU, CONTINUE WITH HE08 HE08 {STR-DT}
FLAG ALL SELECTED PERSONS FOR THE LTC SUPPLEMENT: AIDS/SPECIAL EQUIPMENT SECTION.
CONTINUE WITH HE09
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS EXCLUDING DECEASED RU MEMBERS. HE09 {STR-DT}
DISPLAY ‘Between {START DATE} and {END DATE}, did’ IF ROUND 5. OTHERWISE, DISPLAY ‘Does’.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS ‘HAVING DIFFICULTY’ AT HE10 BY CAPI.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, GO TO LOOP_03
IF CODED ‘1’ (YES) AND A MULTI-PERSON RU, CONTINUE WITH HE10 HE10 {STR-DT}
FLAG ALL SELECTED PERSONS WHO ARE = OR > 13 YEARS OLD OR IN AGE CATEGORIES 4-9 FOR THE LTC SUPPLEMENT: FUNCTIONAL LIMITATIONS SECTION.
CONTINUE WITH LOOP_03
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS EXCLUDING DECEASED RU MEMBERS. LOOP_03
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK NAV_HE03 - END_LP03
LOOP DEFINITION: LOOP_03 COLLECTS INFORMATION ON THE LEVEL OF FUNCTIONAL LIMITATION WITH VARIOUS PHYSICAL ACTIVITIES FOR PERSONS = OR > 13 YEARS OF AGE. THIS LOOP CYCLES ON RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON HAS FUNCTIONAL LIMITATIONS (I.E., PERSON SELECTED AT HE10) - PERSON = OR > 13 YEARS OF AGE OR IN AGE CATEGORIES 4-9
NAVIGATOR DETAILS: LOOP_03 USES NAV_HE03 TO CONTROL THE FLOW OF THE LOOP. NAV_HE03 SERIES: Difficulty Moving (e.g., walking, climbing
stairs,
ROSTER DETAILS: COL # 1 HEADER: RU MEMBER INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME) COL # 2 HEADER: EMPTY INSTRUCTIONS: DISPLAY THE MOST CURRENT NAVIGATOR STATUS FOR EACH RU MEMBER EACH TIME THE NAVIGATOR IS PRESENTED
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. SELECT ALLOWED. 2. MULTIPLE SELECT, ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON HAS FUNCTIONAL LIMITATIONS (I.E., PERSON SELECTED AT HE10) - PERSON = OR > 13 YEARS OF AGE OR IN AGE CATEGORIES 4-9
CONTINUE WITH HE11 FOR SELECTED RU MEMBER. HE11
{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
DISPLAY ‘For these next questions, I would like you to think about the time when {you/{PERSON}} entered the institution and what {you/he/she} was able to do at that time.}’ IF PERSON BEING ASKED ABOUT CODED AS BEING INSTITUTIONALIZED AT END DATE. IF PERSON BEING ASKED ABOUT IS A CURRENT RU MEMBER LIVING IN THE RU, USE A NULL DISPLAY. HE12 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
IF CODED ‘5’ (COMPLETELY UNABLE TO WALK), AUTOMATICALLY CODE HE13, HE14, HE15, AND HE16 AS 4 (COMPLETELY UNABLE TO DO IT) BY CAPI. HE13 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
IF CODED ‘4’ (COMPLETELY UNABLE TO DO IT), AUTOMATICALLY CODE HE14 AS ‘4’ (COMPLETELY UNABLE TO DO IT) BY CAPI. HE14 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} HE15 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} HE16 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} HE17 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} HE18 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} END_LP03
CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER WHO MEETS THE CONDITIONS STATED IN THE LOOP DEFINITION
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_03 AND CONTINUE WITH HE19 HE19 {STR-DT}
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS ‘LIMITED ABILITY’ AT HE20 BY CAPI.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, GO TO LOOP_04
IF CODED ‘1’ (YES) AND A MULTI-PERSON RU, CONTINUE WITH HE20 HE20 {STR-DT}
FLAG ALL SELECTED PERSONS WHO ARE = OR > 5 YEARS OLD OR IN AGE CATEGORIES 3-9 FOR THE LTC SUPPLEMENT: WORK-HOUSEWORK-SCHOOL LIMITATIONS SECTION.
CONTINUE WITH LOOP_04
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS EXCLUDING DECEASED RU MEMBERS. LOOP_04
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK NAV_HE04 - END_LP04
LOOP DEFINITION: LOOP_04 COLLECTS INFORMATION ON WORK/HOUSEWORK/SCHOOL LIMITATIONS BECAUSE OF AN IMPAIRMENT OR PHYSICAL OR MENTAL HEALTH PROBLEM FOR PERSONS = OR > 5 YEARS OF AGE. THIS LOOP CYCLES ON RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON IS LIMITED IN ABILITY TO WORK AT A JOB, DO HOUSEWORK, OR GO TO SCHOOL (I.E., PERSON SELECTED AT HE20) - PERSON = OR > 5 YEARS OF AGE OR IN AGE CATEGORIES 3-9
NAVIGATOR DETAILS: LOOP_04 USES NAV_HE04 TO CONTROL THE FLOW OF THE LOOP. NAV_HE04 SERIES: Limited Ability in Working, Doing Housework,
Going to
ROSTER DETAILS: COL # 1 HEADER: RU MEMBER INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME) COL # 2 HEADER: EMPTY INSTRUCTIONS: DISPLAY THE MOST CURRENT NAVIGATOR STATUS FOR EACH RU MEMBER EACH TIME THE NAVIGATOR IS PRESENTED
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. SELECT ALLOWED. 2. MULTIPLE SELECT, ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON IS LIMITED IN ABILITY TO WORK AT A JOB, DO HOUSEWORK, OR GO TO SCHOOL (I.E., PERSON SELECTED AT HE20) - PERSON = OR > 5 YEARS OF AGE OR IN AGE CATEGORIES 3-9
CONTINUE WITH HE20A FOR SELECTED RU MEMBER.
HE20A {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} HE21 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
DISPLAY ‘At the time {you/{PERSON}} entered the institution, was’. IF PERSON BEING ASKED ABOUT CODED AS BEING INSTITUTIONALIZED AT END DATE. DISPLAY ‘{Are/Is}’ IF PERSON BEING ASKED ABOUT IS A CURRENT RU MEMBER LIVING IN THE RU. DISPLAY ‘work at a job’ IF HE20A IS CODED ‘1’ (WORKING AT A JOB), EITHER ALONE OR IN COMBINATION WITH OTHER CODES OR IF HE20A IS CODED ‘-7’ (REFUSED) OR ‘-8’ (DON’T KNOW). IF HE20A IS NOT CODED ‘1’, ‘-7’, OR ‘-8’, USE A NULL DISPLAY. DISPLAY ‘,’ IF HE20A IS CODED ‘1’, ‘2’, AND ‘3’ OR IF HE20A IS CODED EITHER ‘-7’ OR ‘-8’. DISPLAY ‘ and’ IF HE20A IS CODED ‘1’ AND EITHER 2 OR 3. OTHERWISE, USE A NULL DISPLAY. DISPLAY ‘ do housework’ IF HE20A IS CODED ‘2’ (DOING HOUSEWORK), EITHER ALONE OR IN COMBINATION WITH OTHER CODES OR IF HE20A IS CODED ‘-7’ (REFUSED) OR ‘-8’ (DON’T KNOW). IF HE20A IS NOT CODED ‘2’, ‘-7’, OR ‘-8’, USE A NULL DISPLAY. DISPLAY ‘ and’ IF ONLY CODES ‘2’ AND ‘3’ ARE SELECTED AT HE20A OR IF CODES ‘1’, ‘2’, AND ‘3’ ARE ALL SELECTED AT HE20A OR IF CODED EITHER ‘-7’ OR ‘-8’ AT HE20A. OTHERWISE, USE A NULL DISPLAY. DISPLAY ‘ go to school’ IF HE20A IS CODED ‘3’ (GOING TO SCHOOL), EITHER ALONE OR IN COMBINATION WITH OTHER CODES OR IF HE20A IS CODED ‘-7’ (REFUSED) OR ‘-8’ (DON’T KNOW). IF HE20A IS NOT CODED ‘3’, ‘-7’, OR ‘-8’, USE A NULL DISPLAY. END_LP04
CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER WHO MEETS THE CONDITIONS STATED IN THE LOOP DEFINITION
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_04 AND CONTINUE WITH HE22 HE22 {STR-DT}
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AS ‘LIMITED IN PARTICIPATION’ AT HE23 BY CAPI.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, GO TO HE24
IF CODED ‘1’ (YES) AND A MULTI-PERSON RU, CONTINUE WITH HE23 HE23 {STR-DT}
FLAG ALL SELECTED PERSONS WHO ARE = OR > 5 YEARS OLD OR IN AGE CATEGORIES 3-9 FOR THE LTC SUPPLEMENT: SOCIAL LIMITATIONS SECTION.
CONTINUE WITH HE24
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS EXCLUDING DECEASED RU MEMBERS. HE24 {STR-DT} HE24_01 Experience confusion
REFUSED (-7) AND DON’T KNOW (-8) ALLOWED.
HE24_02
Have problems making
REFUSED (-7) AND DON’T KNOW (-8) ALLOWED.
HE24_03
Require supervision
REFUSED (-7) AND DON’T KNOW (-8) ALLOWED.
IF HE24_01, HE24_02, OR HE24_03 IS CODED ‘1’ (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE AS ‘EXPERIENCES CONFUSION’ AT HE25 BY CAPI.
IF HE24_01, HE24_02, OR HE24_03 IS CODED ‘1’ (YES) AND A SINGLE-PERSON RU, GO TO BOX_10
IF HE24_01, HE24_02, AND HE24_03 ARE ALL CODED 2 (NO), -7 (REFUSED), OR -8 (DONT KNOW), GO TO BOX_10
OTHERWISE, CONTINUE WITH HE25
HE25 {STR-DT}
DISPLAY ‘experience confusion or memory loss such that it interferes with daily activities’ IF HE24_01 CODED ‘1’ (YES). DISPLAY ‘{or }have problems making decisions to the point that it interferes with daily activities’ IF HE24_02 CODED ‘1’ (YES). DISPLAY THE ‘or ’ ONLY IF HE24_01 IS ALSO CODED ‘1’ (YES). DISPLAY ‘{or }require supervision for their own safety’ IF HE24_03 IS CODED ‘1’ (YES). DISPLAY or ONLY IF HE24_01 AND/OR HE24_02 ARE ALSO CODED ‘1’ (YES).
FLAG ALL SELECTED PERSONS WHO ARE = OR > 18 YEARS OLD OR IN AGE CATEGORIES 4-9 FOR THE LTC SUPPLEMENT: COGNITIVE LIMITATIONS SECTION.
GO TO BOX_10
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS EXCLUDING DECEASED RU MEMBERS. HE26
With this next set of questions we want to learn about
people who
DISPLAY THE SENTENCE ‘Please answer ... age 1 or older.’ IF ANY RU MEMBERS ARE < 1 YEAR OF AGE OR IN AGE CATEGORY 1. OTHERWISE, USE A NULL DISPLAY.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AT HE27 BY CAPI.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, GO TO LOOP_05
IF CODED ‘1’ (YES) AND A MULTI-PERSON RU, CONTINUE WITH HE27 HE27
Who is that?
CONTINUE WITH LOOP_05
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ONLY RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON IS > OR = 1 YEAR OF AGE OR IN AGE CATEGORIES 2-9 LOOP_05
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK NAV_HE05 - END_LP05
LOOP DEFINITION: LOOP_05 COLLECTS HEARING IMPAIRMENT DETAILS FOR PERSONS HAVING DIFFICULTY HEARING. THIS LOOP CYCLES ON RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON HAS DIFFICULTY HEARING (I.E., PERSON SELECTED AT HE27)
NAVIGATOR DETAILS: LOOP_05 USES NAV_HE05 TO CONTROL THE FLOW OF THE LOOP. NAV_HE05
SERIES: Hearing Impairment Details (e.g., deaf?)
ROSTER DETAILS: COL # 1 HEADER: RU MEMBER INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME) COL # 2 HEADER: EMPTY INSTRUCTIONS: DISPLAY THE MOST CURRENT NAVIGATOR STATUS FOR EACH RU MEMBER EACH TIME THE NAVIGATOR IS PRESENTED
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. SELECT ALLOWED. 2. MULTIPLE SELECT, ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON HAS DIFFICULTY HEARING (I.E., PERSON SELECTED AT HE27)
CONTINUE WITH HE28 FOR SELECTED RU MEMBER
HE28
Can {you/{PERSON}} not hear any speech at all, that
is, {are/is} END_LP05
CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER WHO MEETS THE CONDITIONS STATED IN THE LOOP DEFINITION
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_05 AND CONTINUE WITH HE29 HE29 Is anyone in the family blind or does anyone have
serious difficulty
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AT HE30 BY CAPI.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, GO TO LOOP_06
IF CODED ‘1’ (YES) AND A MULTI-PERSON RU, CONTINUE WITH HE30 HE30 Who is that?
CONTINUE WITH LOOP_06
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ONLY RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON IS > OR = 1 YEAR OF AGE OR IN AGE CATEGORIES 2-9 LOOP_06
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK NAV_HE06 - END_LP06
LOOP DEFINITION: LOOP_06 COLLECTS VISION IMPAIRMENT DETAILS FOR PERSONS HAVING DIFFICULTY SEEING. THIS LOOP CYCLES ON RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON HAS DIFFICULTY SEEING (I.E., PERSON SELECTED AT HE30)
NAVIGATOR DETAILS: LOOP_06 USES NAV_HE06 TO CONTROL THE FLOW OF THE LOOP. NAV_HE06 SERIES: Vision Impairment Details (e.g., blind?)
ROSTER DETAILS: COL # 1 HEADER: RU MEMBER INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME) COL # 2 HEADER: EMPTY INSTRUCTIONS: DISPLAY THE MOST CURRENT NAVIGATOR STATUS FOR EACH RU MEMBER EACH TIME THE NAVIGATOR IS PRESENTED
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. SELECT ALLOWED. 2. MULTIPLE SELECT, ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON HAS DIFFICULTY SEEING (I.E., PERSON SELECTED AT HE30)
CONTINUE WITH HE31 FOR SELECTED RU MEMBER
HE31 Can {you/{PERSON}} not see anything at all, that is,
{are/is} END_LP06
CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER WHO MEETS THE CONDITIONS STATED IN THE LOOP DEFINITION
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_06 AND CONTINUE WITH HE32 HE32
{Please answer the next few questions for family
members age 5 or
DISPLAY THE SENTENCE ‘Please answer ... age 5 or older.’ IF ANY RU MEMBERS ARE < 5 YEARS OF AGE OR IN AGE CATEGORIES 1 OR 2. OTHERWISE, USE A NULL DISPLAY.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AT HE33 BY CAPI.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, GO TO HE34
IF CODED ‘1’ (YES) AND A MULTI-PERSON RU, CONTINUE WITH HE33 HE33 Who is that?
CONTINUE WITH HE34
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ONLY RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON IS > OR = 5 YEARS OF AGE OR IN AGE CATEGORIES 3-9 HE34 Does anyone in the family have serious difficulty
walking or climbing
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AT HE35 BY CAPI.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, GO TO HE36
IF CODED ‘1’ (YES) AND A MULTI-PERSON RU, CONTINUE WITH HE35 HE35 Who is that?
CONTINUE WITH HE36
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ONLY RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON IS > OR = 5 YEARS OF AGE OR IN AGE CATEGORIES 3-9 HE36 Does anyone in the family have difficulty dressing or
bathing?
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AT HE37 BY CAPI.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, GO TO HE38
IF CODED ‘1’ (YES) AND A MULTI-PERSON RU, CONTINUE WITH HE37 HE37 Who is that?
CONTINUE WITH HE38
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ONLY RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON IS > OR = 5 YEARS OF AGE OR IN AGE CATEGORIES 3-9 HE38 {Please answer the next few questions for family
members age 15 or
DISPLAY THE SENTENCE ‘Please answer ... age 15 or older.’ IF ANY RU MEMBERS ARE < 15 YEARS OF AGE OR IN AGE CATEGORIES 1 - 3. OTHERWISE, USE A NULL DISPLAY.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AT HE39 BY CAPI.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, GO TO HE40
IF CODED ‘1’ (YES) AND A MULTI-PERSON RU, CONTINUE WITH HE39 HE39 Who is that?
CONTINUE WITH HE40
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ONLY RU MEMBERS WHO MEET THE FOLLOWING CONDITIONS: - PERSON IS NOT DECEASED - PERSON IS > OR = 15 YEARS OF AGE OR IN AGE CATEGORIES 4-9 HE40 {Please answer the next few questions for family
members of all ages.}
DISPLAY THE SENTENCE ‘Please answer ... of all ages.’ IF ANY RU MEMBERS ARE <15 YEARS OF AGE OR IN AGE CATEGORIES 1-3. OTHERWISE, USE A NULL DISPLAY.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AT HE41 BY CAPI.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, GO TO HE42
IF CODED ‘1’ (YES) AND A MULTI-PERSON RU, CONTINUE WITH HE41 HE41 Who is that?
CONTINUE WITH HE42
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS EXCLUDING DECEASED RU MEMBERS. HE42 Does anyone in the family wear eyeglasses or contact
lenses?
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, AUTOMATICALLY CODE PERSON AT HE43 BY CAPI.
IF CODED ‘1’ (YES) AND A SINGLE-PERSON RU, GO TO BOX_10
IF CODED ‘1’ (YES) AND A MULTI-PERSON RU, CONTINUE WITH HE43 HE43 Who is that?
CONTINUE WITH BOX_10
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBER’S FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: DISPLAY ALL RU MEMBERS EXCLUDING DECEASED RU MEMBERS. BOX_10
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