BLAISE NAME: ResnHosp
Context Header:

(PERSON?S FIRST MIDDLE AND LAST NAME) (NAME OF MEDICAL CARE PROVIDER......) (ADM-DT)
(DIS-DT)

HS-1
Please look at card HS-1 and tell me which category best describes the reason (you/(PERSON)) entered (PROVIDER) on (ADMIT DATE).
IF NECESSARY, PROBE: What was the main reason (you/he/she) entered (PROVIDER)?
HELP: F1

OPERATION OR SURGICAL PROCEDURE 1 HS80 (HS1035)
TREATMENT OR THERAPY, NOT INCLUDING SURGERY 2 HS70 (HS1030)
DIAGNOSTIC TESTS ONLY 3 HS70 (HS1030)
(GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER)) 4
(TO BE BORN (BABY)) 5 HS70 (HS1030)
(PREGNANCY-RELATED COMPLICATIONS) 6 HS70 (HS1030)
OTHER 91 HS70 (HS1030)
REFUSED RF HS70 (HS1030)
DON?T KNOW DK HS70 (HS1030)

If HS50 is coded ?1? (OPERATION OR SURGICAL PROCEDURE), auto code HS70 as ?1? (YES) by CAPI.
NOTE: CAPI will present a follow-up question to determine whether a hospital stay event for the baby/mother is present whenever HS50 is coded ?4? (GIVE BIRTH TO A BABY) or ?5? (TO BE BORN).

Display response option ?4? (GIVE BIRTH TO A BABY) and response option ?6? (PREGNANCY-RELATED COMPLICATIONS) only if person is female and age 15 to 55 inclusive (or age categories 3 to 8). Otherwise, use a null display.
Display response option ?5? (TO BE BORN) only if person is less than or equal to 1 year old (or age category 1).
Otherwise, use a null display.

[PERSON?S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason [you/[PERSON]] entered [PROVIDER] on [ADMIT DATE].
IF NECESSARY, PROBE: What was the main reason [you/he/she] entered [PROVIDER]?

OPERATION OR SURGICAL PROCEDURE ........ 1 [HS06AA]
TREATMENT OR THERAPY, NOT INCLUDING
SURGERY .............................. 2 [HS06]
DIAGNOSTIC TESTS ONLY .................. 3 [HS06]
GIVE BIRTH TO A BABY - NORMAL OR
CAESAREAN SECTION (MOTHER) ........... 4 [HS06]
TO BE BORN (BABY) ...................... 5 [HS06]
PREGNANCY-RELATED COMPLICATIONS ........ 6 [HS06]
OTHER ................................. 91 [HS06]
REF ................................... -7 [HS06]
DK .................................... -8 [HS06]
[Code One]
HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE ?4? (GIVE BIRTH TO A BABY) AND CODE ?6? (PREGNANCY-RELATED COMPLICATIONS) ONLY IF PERSON IS FEMALE. ALLOW CODE ?5? (TO BE BORN) ONLY IF PERSON IS LESS THAN OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF CODED ?4? (GIVE BIRTH TO A BABY), DISPLAY THE FOLLOWING MESSAGE IN RED: ?PLEASE BE SURE YOU HAVE ALSO ENTERED A HOSPITAL STAY EVENT FOR THE BABY.? IF CODED ?5? (TO BE BORN), DISPLAY THE FOLLOWING MESSAGE IN RED: ?PLEASE BE SURE YOU HAVE ALSO ENTERED A HOSPITAL STAY EVENT FOR THE MOTHER.?
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED ?1? (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS ?1? (YES) BY CAPI
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......] [ADM-DT] [DIS-DT]
SHOW CARD HS-1.
Please look at this card and tell me which category best describes the reason (PERSON) entered (PROVIDER) on (ADMIT DATE)?
IF NECESSARY, PROBE: What was the main reason (PERSON) entered (PROVIDER)?

OPERATION OR SURGICAL PROCEDURE ........ 1
TREATMENT OR THERAPY, NOT INCLUDING SURGERY .............................. 2
DIAGNOSTIC TESTS ONLY .................. 3
GIVE BIRTH TO A BABY - NORMAL OR CAESAREAN SECTION (MOTHER) ........... 4
TO BE BORN (BABY) ...................... 5
OTHER ................................. 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
ALLOW CODE '4' (GIVE BIRTH TO A BABY) ONLY IF PERSON IS FEMALE. ALLOW CODE '5' (TO BE BORN) ONLY IF PERSON IS ( OR = 1 YEAR OLD (OR AGE CATEGORY 1).
----------------------------------------------------
----------------------------------------------------
IF HS05 IS CODED '1' (OPERATION OR SURGICAL PROCEDURE), AUTOMATICALLY CODE HS06 AS '1' (YES) BY CAPI AND GO TO HS07
----------------------------------------------------
----------------------------------------------------
OTHERWISE, CONTINUE WITH HS06
----------------------------------------------------