Fall 2023
BOX_00 (PP1000)
Route Details: 01 Box = BOX_00, BOX_05, BOX_10, BOX_20, BOX_30, BOX_40, BOX_50, BOX_60, BOX_63, BOX_65, BOX_70, BOX_80, BOX_90, BOX_110, BOX_130, BOX_140, BOX_150, BOX_160, BOX_170, BOX_180, BOX_190, BOX_370
05 Single Select with Display Roster = PP10, PP20, PP30, PP40, PP50, PP53, PP55, PP60, PP70, PP80, PP100, PP120, PP130, PP140, PP150, PP160_01
Grid 1 = PP10, PP20, PP30, PP40, PP50, PP53, PP55, PP60, PP70, PP80, PP100, PP120, PP130, PP140, PP150, PP160_01
BOX_05 (PP1001)
Route Details: For the members of the household, loop on all persons and check to see if there are any RU members with different reference periods. If there are different person level reference periods within the household, use the earliest person-level start date of any of the RU members in the household to populate the START DATE. Use the latest person-level end date to populate the END DATE throughout the PP section.
BOX_10 (PP1005)
Route Details: NOTE: BEGINNING IN THE SPRING 2023 DATA COLLECTION CYCLE (P28R1, P27R3, P26R5, P24R9), the family and non-family subunit will continue to be identified, but the non-family subunit will not go through a separate set of probes. All RU members will be combined into the family set of provider probes and are considered the “family subunit” for the purposes of the specifications.
The following definitions of family and non-family subunit are specified and created in RE930.
The family subunit consists only of respondent, respondent’s spouse/partner(RE900= ‘7’ HUSBAND/WIFE/SPOUSE or ‘8’ UNMARRIED PARTNER) , respondent’s dependent children under age 21 (RE900 = 5 DAUGHTER/ADOPTED DAUGHTER, ‘6’ SON/ADOPTED SON, ’17’ STEPDAUGHTER, or ‘18’ STEPSON), children of partner under age 21 (RE900 = '30' DAUGHTER OF {PERSON LOOPING ON}'s PARTNER, '31' SON OF {PERSON LOOPING ON}'s PARTNER), and children under age 18 in a legal guardian relationship with the respondent (Respondent was selected as the legal guardian for child at RE920). If respondent is a proxy, Family Subunit is the reference person and the reference person’s spouse/partner (RE900= ‘7’ HUSBAND/WIFE/SPOUSE or ‘8’ UNMARRIED PARTNER), reference person’s dependent children under age 21 (RE900 = 5 DAUGHTER/ADOPTED DAUGHTER, ‘6’ SON/ADOPTED SON, ’17’ STEPDAUGHTER, or ‘18’ STEPSON), reference person’s partners children under age 21 (RE900 = '30' DAUGHTER OF {PERSON LOOPING ON}'s PARTNER, '31' SON OF {PERSON LOOPING ON}'s PARTNER), and children under age 18 in a legal guardian relationship with the reference person (Reference person was selected as the legal guardian for child at RE920) .
For all other situations that are not inclusive of the above definition for family subunit, they would be considered a non-Family Subunit- all other household members, not part of Family Subunit
For the Family Subunit ask PP10-PP165, which is to be administered with a forced choice format for each person on the household roster who is part of the Family Subunit. There will always be at least one person in the family subunit- the respondent at the very least.
PP10 (PP1010)
BLAISE NAME: ProbeHosp
Question Text:
& PP-1
The next set of questions {help make sure we haven’t missed any additional health care for {any of the people living here/you}/{ask about health care received by {the people living here}/{you}. {Earlier you mentioned that {DISPLAY NAME 1} {DISPLAY NAME 2} {DISPLAY NAME 3} {and DISPLAY NAME N} had some health care visits that we haven’t yet talked about. I can collect that information during these next series of questions}
As I ask the questions, please look at the corresponding show cards and think about {any additional} health care {you/each person living here} received in person or in real-time telehealth interactions by phone or video. {I’ll ask you to provide a ‘yes’ or ‘no’ response for each person.}
Let’s start with hospitals. Looking at card PP-1, {since {START DATE}/between {START DATE} and {END DATE}}, {were you/was {REFERENCE PERSON}} admitted to the hospital for any period of time{, other than what we already talked about}?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_20.
Otherwise, go to PP20.
Display Instructions: Roster type 1- Report Roster definition:
Display the RU-Members-Roster in the form pane.
Col #1- RU Members Display RU members’ First, Middle, Last Names Roster Filter: Display all RU members’ part of the family subunit as defined in BOX_10.
Display ‘, other than what we already talked about’ if a HS event is on the event array for at least one person in the family subunit. Otherwise, use a null display.
Display “since {START DATE}” if current round is not the final round of the panel (RndType<>Final), otherwise display “between {START DATE} and {END DATE}”.
Display ‘was’ if the respondent is a proxy and there is only 1 RU member in the family subunit, otherwise, display ‘were’.
Display “’help make sure we haven’t missed any additional health care...” if at least one event record has already been created for any RU member. (e.g., EV20 in (1-7))
Display ‘for you’ if a single person RU and the respondent is RU member. Otherwise, display ‘for any of the people living here’.
Display “ask about health care received by...” if no event records exist for any RU member (e.g., EV20 not set)
Display ‘you’ if a single person RU and the respondent is RU member. Otherwise, display ‘the people living here’.
Display “any additional” if there are events enumerated on the roster for anyone. Display ‘you’ if a single person RU and the respondent is RU member. Otherwise, display ‘each person living here’.
Display “I’ll ask you to provide a ‘yes’ or ‘no’ response for each person.” If more than 1 RU member in the family subunit. Otherwise, use a null display.
Display “were you” if the respondent is RU member. Otherwise, display “was {REFERENCE PERSON}” substituting the reference person’s name.
Display “Earlier you mentioned…” if EV15 has a value set for it for any person in the family subunit.
For DISPLAY NAMES within that sentence, display only the first, middle, and last names of the persons within the FAMILY SUBUNIT for which EV15 value is set.
For the fill ‘VARIABLE QUESTION TEXT’ Display the following:
For PERSON 1, always use a null display.
Display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? [Since {START DATE}/between [{START DATE} and {END DATE}] has {he/she} been admitted to the hospital for any period of time?’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above. Display first names only in the variable question text display.
Display the first three paragraphs in brackets and grayed out text after displaying the question for PERSON 1.
BOX_20 (PP1015)
Route Details: Ask the EE section.
At the completion of the EE section, continue with PP20.
PP20 (PP1020)
BLAISE NAME: ProbeER
Question Text:
&PP-2
Now think about hospital emergency rooms. Looking at card PP-2, [{since {START DATE}/between {START DATE} and {END DATE}}], {have you/has {REFERENCE PERSON}} received any type of care in a hospital emergency room{, other than what we already talked about}?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_30.
Otherwise, go to PP30.
Display Instructions: Roster type 1- Report Roster definition:
Display the RU-Members-Roster in the form pane. Col #1- RU Members
Display RU members’ First, Middle, Last Names
Roster Filter:
Display all RU members’ part of the family subunit as defined in BOX_10.
Display ‘, other than what we already talked about’ if an ER event is on the event array for at least one person in the family subunit. Otherwise, use a null display.
Display “since {START DATE}” if current round is not the final round of the panel (RndType<>Final), otherwise display “between {START DATE} and {END DATE}”.
Display “have you” if the respondent is RU member. Otherwise, display “has {REFERENCE PERSON}” substituting the reference person’s name.
For the fill ‘VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always use a null display.
Display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? [Since {START DATE}/between {START DATE} and {END DATE}] has {he/she} received any type of care in a hospital emergency room? ’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above. Display first names only in the variable question text display.
Display the first paragraph in brackets and grayed out text after displaying the question for PERSON 1.
BOX_30 (PP1025)
Route Details: Ask the EE section.
At the completion of the EE section, continue with PP30.
PP30 (PP1030)
BLAISE NAME: ProbeOP
Question Text:
& PP-3
Looking at card PP-3, [{since {START DATE}/between {START DATE} and {END DATE}}], {have you/has {REFERENCE PERSON}} received any type of care in person or by telehealth from a hospital outpatient department{, other than what we already talked about}?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_40.
Otherwise, go to PP40.
Display Instructions: Roster type 1- Report Roster definition:
Display the RU-Members-Roster in the form pane. Col #1- RU Members
Display RU members’ First, Middle, Last Names
Roster Filter:
Display all RU members’ part of the family subunit as defined in BOX_10.
Display “since {START DATE}” if current round is not the final round of the panel (RndType<>Final), otherwise display “between {START DATE} and {END DATE}”.
Display “have you” if the respondent is RU member. Otherwise, display “has {REFERENCE PERSON}” substituting the reference person’s name.
Display ‘, other than what we already talked about’ if an OP or TH event is on the event array for at least one person in the family subunit. Otherwise, use null display.
For the fill ’VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always use a null display.
Display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? [Since {START DATE}/between {START DATE} and {END DATE}] has {he/she} received any type of care in person or by telehealth from a hospital outpatient department?’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above. Display first names only in the variable question text display.
Display the first paragraph in brackets and grayed out text after displaying the question for PERSON 1.
BOX_40 (PP1035)
Route Details: Ask the EE section.
At the completion of the EE section, continue with PP40.
PP40 (PP1040)
BLAISE NAME: ProbeGP
Question Text:
&PP-4
Now I’d like you to think about different kinds of medical doctors and health care professionals who provided care to {you/you and your household}/{REFERENCE PERSON}/{REFERENCE PERSON}’s household}}, including any care received in person, by phone, or by video.
Looking at card PP-4, [{since {START DATE}/between {START DATE} and {END DATE}}], {have you/has {REFERENCE PERSON}} received care from a primary care doctor such as a general practitioner, internist, pediatrician, or family medicine provider{, other than what we already talked about}?
{VARIABLE QUESTION TEXT}
HELP: F1
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_50.
Otherwise, go to PP50.
Display Instructions: Roster type 1- Report Roster Definition:
Display the RU-Members-Roster in the form pane. Col #1- RU Members Display RU members’ First, Middle, Last Names
Roster Filter:
Display all RU members’ part of the family subunit as defined in BOX_10.
Display “Since {START DATE}” if current round is not the final round of the panel (RndType<>Final), otherwise display “between {START DATE} and {END DATE}”.
Display “have you” if the respondent is RU member. Otherwise, display “has {REFERENCE PERSON}” substituting the reference person’s name.
Display “you/you and your household” if an RU member is the respondent. Otherwise, display “{REFERENCE PERSON}/{REFERENCE PERSON}’s household”.
Display "you” if respondent is the only RU member. Otherwise, display “you and your household”.
Display “{REFERENCE PERSON}” if the reference person is the only RU member. Otherwise, display “{REFERENCE PERSON}’s household.
Display ‘, other than what we already talked about’ if a MV, OP, TH event is on the event array for at least one person in the family subunit. Otherwise, use null display.
For the fill ‘VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always use a null display.
Display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? [Since {START DATE}/between {START DATE} and {END DATE}] has {he/she} received care from a primary care doctor?’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above. Display first names only in the variable question text display.
Display the first two paragraphs in brackets and grayed out text after displaying the question for PERSON 1.
BOX_50 (PP1045)
Route Details: Ask the EE section.
At the completion of the EE section, continue with PP50.
PP50 (PP1050)
BLAISE NAME: ProbeSpeclt
Question Text:
& PP-5
Looking at card PP-5, [{since {START DATE}/between {START DATE} and {END DATE}}], {have you/has {REFERENCE PERSON}} received care from any type of specialist such as an orthopedist, cardiologist, dermatologist, oncologist, neurologist, gynecologist, allergist or any other type of specialist{, other than what we already talked about}?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_60.
Otherwise, go to PP53.
Display Instructions: Roster type 1- Report Roster definition:
Display the RU-Members-Roster in the form pane. Col #1- RU Members
Display RU members’ First, Middle, Last Names
Roster Filter:
Display all RU members’ part of the family subunit as defined in BOX_10.
Display “since {START DATE}” if current round is not the final round of the panel (RndType<>Final), otherwise display “between {START DATE} and {END DATE}”.
Display “have you” if the respondent is RU member. Otherwise, display “has {REFERENCE PERSON}” substituting the reference person’s name.
Display ‘, other than what we already talked about’ if a MV, OP, TH, HS, or ER event is on the event array for at least one person in the family subunit. Otherwise, use null display.
For the fill ‘VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always use a null display.
Display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? [Since {START DATE}/between {START DATE} and {END DATE}] has {he/she} received care from any type of specialist?’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above. Display first names only in the variable question text display.
Display the first paragraph in brackets and grayed out text after displaying the question for PERSON 1.
BOX_60 (PP1055)
Route Details: Ask the EE section.
At the completion of the EE section, continue with PP53.
PP53 (PP1056)
BLAISE NAME: ProbeDN
Question Text:
& PP-6
Looking at card PP-6, [{since {START DATE}/between {START DATE} and {END DATE}}], {have you/has {REFERENCE PERSON}} received care from any type of dental care provider such as dentists, oral surgeons, orthodontists, or dental assistants{, other than what we already talked about}?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_63. Otherwise, go to PP55.
Display Instructions: Roster type 1- Report Roster definition:
Display the RU-Members-Roster in the form pane. Col #1- RU Members
Display RU members’ First, Middle, Last Names
Roster Filter:
Display all RU members’ part of the family subunit as defined in BOX_10.
Display “since {START DATE}” if current round is not the final round of the panel (RndType<>Final), otherwise display “between {START DATE} and {END DATE}”.
Display “have you” if the respondent is RU member. Otherwise, display “has {REFERENCE PERSON}” substituting the reference person’s name.
Display ‘, other than what we already talked about’ if a DN event is on the event array for at least one person in the family subunit. Otherwise, use null display.
For the fill ‘VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always use a null display.
Display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? [Since {START DATE}/between {START DATE} and {END DATE}] has {he/she} received care from any type of dental care provider?’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above. Display first names only in the variable question text display.
Display the first paragraph in brackets and grayed out text after displaying the question for PERSON 1.
BOX_63 (PP1057)
Route Details: Ask the EE section.
At the completion of the EE section, continue with PP55.
PP55 (PP1058)
BLAISE NAME: ProbeMentalHlth
Question Text:
& PP-7
Looking at card PP-7, [{since {START DATE}/between {START DATE} and {END DATE}}], {have you/has {REFERENCE PERSON}} received care in person, by phone, or by video from any type of mental health professional such as a psychiatrist, psychologist, a licensed clinical social worker or any other type of mental health therapist or counselor{, other than what we already talked about}?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_65.
Otherwise, go to PP60.
Display Instructions: Roster type 1- Report Roster definition:
Display the RU-Members-Roster in the form pane. Col #1- RU Members
Display RU members’ First, Middle, Last Names
Roster Filter:
Display all RU members’ part of the family subunit as defined in BOX_10.
Display “since {START DATE}” if current round is not the final round of the panel (RndType<>Final), otherwise display “between {START DATE} and {END DATE}”.
Display “have you” if the respondent is RU member. Otherwise, display “has {REFERENCE PERSON}” substituting the reference person’s name.
Display ‘, other than what we already talked about’ if a MV, OP, or TH event is on the event array for at least one person in the family subunit. Otherwise, use null display.
For the fill ‘VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always use a null display.
Display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? [Since {START DATE}/between {START DATE} and {END DATE}] has {he/she} received care in person, by phone, or by video from any type of mental health professional?’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above.
Display first names only in the variable question text display.
Display the first paragraph in brackets and grayed out text after displaying the question for PERSON 1.
BOX_65 (PP1059)
Route Details: Ask the EE section.
At the completion of the EE section, continue with PP60.
PP60 (PP1060)
BLAISE NAME: ProbeNurse
Question Text:
& PP-8
Looking at card PP-8, [{since {START DATE}/between {START DATE} and {END DATE}}], {have you/has {REFERENCE PERSON}} received care from any other type of medical professional such as a nurse, nurse practitioner or nurse’s aide, a physician’s assistant or a midwife{, other than what we already talked about}?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_70.
Otherwise, go to PP70.
Display Instructions: Roster type 1- Report Roster definition:
Display the RU-Members-Roster in the form pane. Col #1- RU Members
Display RU members’ First, Middle, Last Names
Roster Filter:
Display all RU members’ part of the family subunit as defined in BOX_10.
Display “since {START DATE}” if current round is not the final round of the panel (RndType<>Final), otherwise display “between {START DATE} and {END DATE}”.
Display “have you” if the respondent is RU member. Otherwise, display “has {REFERENCE PERSON}” substituting the reference person’s name.
Display ‘, other than what we already talked about’ if a MV, OP, or TH event is on the event array for at least one person in the family subunit. Otherwise, use null display.
For the fill ‘VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always use a null display.
Display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? [Since {START DATE}/between {START DATE} and {END DATE}] has {he/she} received care from any other type of medical professional?’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above. Display first names only in the variable question text display.
Display the first paragraph in brackets and grayed out text after displaying the question for PERSON 1.
BOX_70 (PP1065)
Route Details: Ask the EE section.
At the completion of the EE section, continue with PP70.
PP70 (PP1070)
BLAISE NAME: ProbeClinic
Question Text:
& PP-9
Looking at card PP-9, [{since {START DATE}/between {START DATE} and {END DATE}}], {have you/has {REFERENCE PERSON}} received care from any type of health clinic, such as a walk-in urgent care, a retail clinic at a pharmacy or grocery store, a family planning center or a clinic at a college or university{, other than what we already talked about}?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_80.
Otherwise, go to PP80.
Display Instructions: Roster type 1- Report Roster definition:
Display the RU-Members-Roster in the form pane. Col #1- RU Members
Display RU members’ First, Middle, Last Names
Roster Filter:
Display all RU members’ part of the family subunit as defined in BOX_10.
Display “since {START DATE}” if current round is not the final round of the panel (RndType<>Final), otherwise display “between {START DATE} and {END DATE}”.
Display “have you” if the respondent is RU member. Otherwise, display “has {REFERENCE PERSON}” substituting the reference person’s name.
Display ‘, other than what we already talked about’ if a MV or OP event is on the event array for at least one person in the family subunit. Otherwise, use null display.
For the fill ‘VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always display null.
Display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? [Since {START DATE}/between {START DATE} and {END DATE}] has {he/she} received care at any type of health clinic?’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above. Display first names only in the variable question text display.
Display the first paragraph in brackets and grayed out text after displaying the question for PERSON 1.
BOX_80 (PP1075)
Route Details: Ask the EE section.
At the completion of the EE section, continue with PP80.
PP80 (PP1080)
BLAISE NAME: ProbeLab
Question Text:
& PP-10
Looking at card PP-10, [{since {START DATE}/between {START DATE} and {END DATE}}], {have you/has {REFERENCE PERSON}} been to any medical lab or testing facility for bloodwork, x-rays or other tests{, other than what we already talked about}?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_90.
Otherwise, go to PP100.
Display Instructions: Roster type 1- Report Roster definition:
Display the RU-Members-Roster in the form pane. Col #1- RU Members
Display RU members’ First, Middle, Last Names
Roster Filter:
Display all RU members’ part of the family subunit as defined in BOX_10.
Display “since {START DATE}” if current round is not the final round of the panel (RndType<>Final), otherwise display “between {START DATE} and {END DATE}”.
Display “have you” if the respondent is RU member. Otherwise, display “has {REFERENCE PERSON}” substituting the reference person’s name.
Display ‘, other than what we already talked about’ if a MV or OP event is on the event array for at least one person in the family subunit. Otherwise, use null display.
For the fill ‘VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always use a null display.
Display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? [Since {START DATE}/between {START DATE} and {END DATE}] has {he/she} been to any medical lab or testing facility?’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above. Display first names only in the variable question text display.
Display the first paragraph in brackets and grayed out text after displaying the question for PERSON 1.
BOX_90 (PP1085)
Route Details: Ask the EE section.
At the completion of the EE section, continue with PP100.
PP100 (PP1100)
BLAISE NAME: ProbeTherap
Question Text:
& PP-11
Looking at card PP-11, [{since {START DATE}/between {START DATE} and {END DATE}}], {have you/has {REFERENCE PERSON}} had any in-person or telehealth visits by phone or video with any other type of therapist such as a physical therapist, occupational therapist, speech therapist or chiropractor{, other than what we already talked about}?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_110.
Otherwise, go to PP120.
Display Instructions: Roster type 1- Report Roster definition:
Display the RU-Members-Roster in the form pane. Col #1- RU Members Display RU members’ First, Middle, Last Names
Roster Filter:
Display all RU members’ part of the family subunit as defined in BOX_10.
Display “since {START DATE}” if current round is not the final round of the panel (RndType<> Final), otherwise display “between {START DATE} and {END DATE}”.
Display “have you” if the respondent is RU member. Otherwise, display “has {REFERENCE PERSON}” substituting the reference person’s name.
Display ‘, other than what we already talked about’ if a MV, OP, or TH event is on the event array for at least one person in the family subunit. Otherwise, use null display.
For the fill ‘VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always use a null display.
Replace the fill for PERSON 1 and display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? Since [{START DATE}/between {START DATE} and {END DATE}] has {he/she} had any visits to any other type of therapist?’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above. Display first names only in the variable question text display.
Display the first paragraph in brackets and grayed out text after displaying the question for PERSON 1.
BOX_110 (PP1105)
Route Details: Ask the EE section.
At the completion of the EE section, continue with PP120.
PP120 (PP1120)
BLAISE NAME: ProbeVision
Question Text:
&PP-12
Looking at card PP-12, [{since {START DATE}/between {START DATE} and {END DATE}}], {have you/has {REFERENCE PERSON}} received care from any type of vision or eye care provider such as an optometrist, ophthalmologist or vision technician{, other than what we already talked about}?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_130.
Otherwise, go to PP130.
Display Instructions: Roster type 1- Report Roster definition:
Display the RU-Members-Roster in the form pane. Col #1- RU Members
Display RU members’ First, Middle, Last Names
Roster Filter:
Display all RU members’ part of the family subunit as defined in BOX_10.
Display “Since {START DATE}” if current round is not the final round of the panel (RndType<>Final), otherwise display “Between {START DATE} and {END DATE}”.
Display “have you” if the respondent is RU member. Otherwise, display “has {REFERENCE PERSON}” substituting the reference person’s name.
Display ‘, other than what we already talked about’ if a MV or OP event is on the event array for at least one person in the family subunit. Otherwise, use null display.
For the fill ‘VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always use a null display.
Display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? [Since {START DATE}/between {START DATE} and {END DATE}] has {he/she} received care from any type of vision or eye care provider?’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above. Display first names only in the variable question text display.
Display the first paragraph in brackets and grayed out text after displaying the question for PERSON 1.
BOX_130 (PP1125)
Route Details: Ask the EE section.
At the completion of the EE section, continue with PP130.
PP130 (PP1130)
BLAISE NAME: ProbeAltCare
Question Text:
&PP-13
Looking at card PP-13, [{since {START DATE}/between {START DATE} and {END DATE}}], {have you/has {REFERENCE PERSON}} received any care from someone who practices alternative care such as acupuncture, homeopathic care, massage therapy, hypnosis, or other treatments{, other than what we already talked about}?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_140.
Otherwise, go to PP140.
Display Instructions: Roster type 1- Report Roster definition:
Display the RU-Members-Roster in the form pane. Col #1- RU Members
Display RU members’ First, Middle, Last Names
Roster Filter:
Display all RU members’ part of the family subunit as defined in BOX_10.
Display “Since {START DATE}” if current round is not the final round of the panel (RndType<>Final), otherwise display “between {START DATE} and {END DATE}”.
Display “have you” if the respondent is RU member. Otherwise, display “has {REFERENCE PERSON}” substituting the reference person’s name.
Display ‘, other than what we already talked about’ if a MV event is on the event array for at least one person in the family subunit. Otherwise, use null display.
For the fill ‘VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always use a null display.
Display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? [Since {START DATE}/between {START DATE} and {END DATE}] has {he/she} had any visits to someone who practices alternative care?’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above. Display first names only in the variable question text display.
Display the first paragraph in brackets and grayed out text after displaying the question for PERSON 1.
BOX_140 (PP1135)
Route Details: Ask the EE section.
At the completion of the EE section, continue with PP140.
PP140 (PP1140)
BLAISE NAME: ProbeHH
Question Text:
&PP-14
Now I would like you to think about care {you/you and your household}/{REFERENCE PERSON}/{REFERENCE PERSON}’s household}} may have received at home. Please look at card PP-14. {Other than what we already talked about, because/Because} of a health problem, [{since {START DATE}/between{START DATE} and {END DATE}}], {have you/has {REFERENCE PERSON}} received any type of care from someone who visited your home, such as
… care from a home care nurse or any type of therapist or social worker?
… care from someone who helps with bathing, dressing, or taking medication?
… help with cooking or cleaning ?
… or companionship services?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_150.
Otherwise, go to PP150.
Display Instructions: Roster type 1- Report Roster definition:
Display the RU-Members-Roster in the form pane. Col #1- RU Members
Display RU members’ First, Middle, Last Names
Roster Filter:
Display all RU members’ part of the family subunit as defined in BOX_10.
Display “you/you and your household” if an RU member is the respondent. Otherwise, display “{REFERENCE PERSON}/{REFERENCE PERSON}’s household”.
Display ‘you” if respondent is the only RU member. Otherwise, display “you and your household”.
Display “{REFERENCE PERSON}” if the reference person is the only RU member. Otherwise, display “{REFERENCE PERSON}’s household”.
Display ‘Other than what we already talked about because,’ if a HH event is on the event array for at least one person in the family subunit. Otherwise, display ‘Because’.
Display “Since {START DATE}” if current round is not the final round of the panel (RndType<>Final), otherwise display “Between {START DATE} and {END DATE}”.
Display “have you” if the respondent is RU member. Otherwise, display “has {REFERENCE PERSON}” substituting the reference person’s name.
For the fill ‘VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always use a null display.
Display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? [Since {START DATE}/between {START DATE} and {END DATE}] has {he/she} received any type of care at home?’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above. Display first names only in the variable question text display.
Display the first paragraph in brackets and grayed out text after displaying the question for PERSON 1.
BOX_150 (PP1145)
Route Details: Ask the EE section.
At the completion of the EE section, continue with PP150.
PP150 (PP1150)
BLAISE NAME: ProbeIC
Question Text:
&PP-15
Now let’s talk about health care provided in a residential setting. {Earlier we discussed that {DISPLAY NAMES FROM RE350 WITH VISIT OF LESS THAN 100 DAYS}{was/were} institutionalized in a facility for less than 100 days. If {he/she/they} received care in a residential health care facility, I can record that care now.}
Looking at card PP-15, [{since {START DATE}/between {START DATE} and {END DATE}}], {have you/has {REFERENCE PERSON}}
received any type of care in a residential rehabilitation or treatment facility, such as for rehab after surgery, hospice or respite care, mental health treatment, or treatment for drug, alcohol or other addiction{, other than what we already talked about}?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded Grid Type 1: Forced navigation
If at least one person in the grid coded ‘1’ (YES), continue with BOX_160.
Otherwise, go to BOX_170.
Display Instructions: Roster 1- Report Roster Definition:
Display the RU-Members-Roster in the form pane. Col #1- RU Members Display RU members’ First, Middle, Last Names
Roster Filter:
Display all RU members’ part of the family subunit as defined in BOX_10.
Display “Since {START DATE}” if current round is not the final round of the panel (RndType<>Final), otherwise display “between {START DATE} and {END DATE}”.
Display “have you” if the respondent is RU member. Otherwise, display “has {REFERENCE PERSON}” substituting the reference person’s name.
Display “Earlier we discussed that {DISPLAY NAMES FROM RE350 WITH VISIT OF LESS THAN 100 DAYS} {was/were} institutionalized in a facility for less than 100 days. If {he/she/they} received care in a residential health care facility, I can record that care now.” if RE350 was coded ‘1’ (100 DAYS OR LESS) for at least one RU member in this family subunit in the current round, otherwise use null display.
For {DISPLAY NAMES FROM RE350 WITH VISIT OF LESS THAN 100 DAYS} display the first and last names of all RU members, separated by a comma, in this subfamily where the person that was coded ‘1’ (100 DAYS OR LESS) at RE350 in the current round. Before the last person’s name, if displaying more than one person, use the word ‘and.’
Display ‘was’ if only one name is displayed in the fill for ‘DISPLAY NAMES FROM RE350…”, otherwise, display ‘were’.
Display ‘, other than what we already talked about’ if an IC event is on the event array for at least one person in the family subunit. Otherwise, use null display.
For the fill ‘VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always use a null display.
Display ‘What about {PERSON 2}?’ in brackets when the cursor is on the second person in the grid.
Replace the fill for PERSON 2 and display ‘What about {PERSON 3}?’ in brackets when the cursor is on the third person in the grid.
Replace the fill for PERSON 3 and display ‘What about {PERSON 4}? [Since {START DATE}/between {START DATE} and {END DATE}] has {he/she} received any type of care in a residential rehabilitation or treatment facility?’ when the cursor is on the fourth person in the grid.
Replace the fill for PERSON 4 and display ‘What about {PERSON N}?’ in brackets when the cursor is on the Nth person in the grid.
Repeat the variable text display for persons beyond that in the order specified above. Display first names only in the variable question text display.
Display the first two paragraphs in brackets and grayed out text after displaying the question for PERSON 1.
BOX_160 (PP1155)
Route Details: Ask the EE section.
At the completion of the EE section, continue with BOX_170.
BOX_170 (PP1160)
Route Details: Check to see if any RU members reported no events during this round. If one or more RU members reported 0 events continue to PP160_01.
Otherwise, go to BOX_190.
PP160_01 (PP1165)
BLAISE NAME: AnyCare1
Question Text:
& PP-16
I see that we don’t have any health care recorded for {DISPLAY NAMES OF FAMILY SUBUNIT MEMBERS WITH NO HEALTH CARE 1-N}. Please take a look at card PP-16 and make sure that I didn’t miss anything.
Did {you/{DISPLAY NAME 1}} receive any care like that listed on the card, or any other kind of care?
{VARIABLE QUESTION TEXT}
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Preloaded grid type 1: forced navigation including PP160_01, PP165_01, PP160_02, PP165_02, PP160_03, PP165_03, PP160_ 04, PP165_04,…,PP160_N, PP165_N on the same form pane..
If PP160 is coded ‘2’ (NO), ‘RF’ (REFUSED), or ‘DK’ (DON’T KNOW) and RU member is not the respondent, go to PP165 for that person. Otherwise, go to PP160 for next person in the grid. At the completion of the grid, if at least 1 person coded ‘1’ (YES) at PP160 go to BOX_180. Otherwise (if no one coded ‘1’ (YES) at PP160) go to BOX_190.
Display Instructions: Roster Definition:
Display names of RU members within the family subunit that have not reported any heath care events during the current round.
Display the following columns formatted in the response pane:
Col #1 Header: RU Member
Display First, Middle, and Last name of RU members. Col #2 Header: Any Care?
Instructions: Item PP160_01 – PP160_N. Col #3 Header: Lets You Know?
Instructions: Item PP165_01 – PP165_N. Display as an active cell if PP160 for the RU member is coded ‘2’ (NO), ‘RF’ (REFUSED), or ‘DK’ (DON’T KNOW) and RU member is not the respondent.
For the fill ‘VARIABLE QUESTION TEXT’ display the following:
For PERSON 1, always use a null display.
For PP160_02, display ‘How about {DISPLAY NAME 2}?’ in brackets when the cursor is on the second person in the grid.
For PP160_03, replace the fill for DISPLAY NAME 2 and display ‘How about {DISPLAY NAME 3}?’ in brackets when the cursor is on the third person in the grid.
For PP160_04, replace the fill for DISPLAY NAME 3 and display ‘How about {DISPLAY NAME 4}?
Did {you/he/she} receive any health care like those listed on the card, or any other kind of care?’ when the cursor is on the fourth person in the grid.
For PP160_N, replace the fill for DISPLAY NAME 4 and display ‘How about {DISPLAY NAME N}?’ in brackets when the cursor is on the N person in the grid.
Repeat the variable text display for persons beyond that in the order specified above, starting with PP160_02. Display first names only in the variable question text display.
For {DISPLAY NAMES OF FAMILY SUBUNIT MEMBERS WITH NO HEALTHCARE 1-N}, display all RU members in the family subunit that have not reported any healthcare during this interview.
Display the first two paragraphs in brackets and grayed out text when displaying the variable text PP160_02-PP160N.
PP165_01 (PP1167)
BLAISE NAME: RespKnowsCare1
Question Text:
In general, would you say that {you know when {DISPLAY NAME}/{DISPLAY NAME} lets you know when {he/she}} visits any kind of health care provider?
Responses: YES 1
NO 2
REFUSED RF
DON'T KNOW DK
Programmer Instructions: Display PP165 as an active cell when PP160_01-PP160_N is ‘2’ (NO), ‘RF’ (REFUSED), or ‘DK’ (DON’T KNOW) and RU member is not the respondent.
Go to PP160 for next person in the grid. At the completion of the grid, if at least 1 person coded ‘1’ (YES) at PP160 go to BOX_180. Otherwise (if no one coded ‘1’ (YES) at PP160) go to BOX_190.
Display Instructions:
BOX_180 (PP1170)
Route Details: Ask the EE section.
At the completion of the EE section, continue with BOX_190.
BOX_190 (PP1175)
Route Details: Go to BOX_370.
BOX_370 (PP1345)
Route Details: End of section. Go to the next section of the questionnaire.