Relation to Main R
-2 = REFUSED
-1 = DON'T KNOW
0 = CANCEL PROXY; RESPONDENT IS NOT DECEASED
1 = SPOUSE/PARTNER
2 = SON/STEPSON
3 = SON-IN-LAW
4 = DAUGHTER/STEPDAUGHTER
5 = DAUGHTER-IN-LAW
6 = BROTHER
7 = BROTHER-IN-LAW
8 = SISTER
9 = SISTER-IN-LAW
10 = OTHER RELATIVE
11 = NEIGHBOR
12 = FRIEND
13 = ADMINISTRATOR OF ESTATE
14 = HOME HEALTH AID
15 = NURSING HOME/HOSPITAL STAFF
97 = SOME OTHER PERSON (specify)
98 = CALLBACK
99 = REFUSED to be interviewed

reason for proxy
1 = R IS DECEASED
2 = R TOO ILL TO BE INTERVIEWED

month of death
-2 = REFUSED
-1 = DON'T KNOW

main cause of death
-2 = REFUSED
-1 = DON'T KNOW
1 = HEART DISEASE, HEART ATTACK
2 = CANCER (MALIGNANCY, LEUKEMIA)
3 = STROKE
4 = ACCIDENT
6 = PNEUMONIA/INFLUENZA
7 = HOMICIDE/MURDER
8 = SUICIDE
9 = DIABETES
10 = CIRRHOSIS OF LIVER
11 = EMPHYSEMA, CHRONIC BRONCHITIS, OR ASTHMA
12 = SOME OTHER CAUSE (ENTER RESPONSE FOLLOWED BY //)

ZY8 CAUSE OF DEATH CODED
1 = HEART DISEASE, HEART ATTACK
2 = CANCER (MALIGNANCY, LEUKEMIA)
3 = STROKE
4 = ACCIDENT
5 = PNEUMONIA/INFLUENZA
6 = HOMICIDE/MURDER
7 = SUICIDE
8 = DIABETES
9 = CIRRHOSIS OF LIVER
10 = EMPHYSEMA, CHRONIC BRONCHITIS, OR ASTHMA
12 = SOME OTHER CAUSE (ENTER RESPONSE FOLLOWED BY //)
13 = HEPATITIS
14 = PERFORATED ESOPHAGUS
15 = MULTIPLE SCLEROSIS
16 = ALZHEIMER'S
17 = INFECTIONS
18 = LIVER FAILURE
19 = KIDNEY FAILURE
20 = FOOD POISONING
21 = BLOOD CLOT
22 = ANEURYSM
23 = MULTI-SYSTEM FAILURE
24 = AIDS
25 = LIVER DISEASE
26 = OLD AGE
27 = APLASTIC ANEMIA
28 = PERITONITIA
29 = PARKINSON'S DISEASE
30 = CEREBRAL HEMORRHAGE
31 = NATURAL CAUSES
32 = STOMACH PROBLEMS, INTESTINAL BLOCKAGE
33 = BREATHING PROBLEMS
34 = BLOOD POISONING, BLEEDING DISORDER, BLOOD DISORDER
35 = BRAIN DAMAGE
36 = MUSCULAR DYSTROPHY
37 = SUDDEN DEATH SYNDROME
38 = DEHYDRATION, MALNUTRITION
77 = SOME OTHER CAUSE (SPECIFY)
99 = NO ANSWER

how long ill
-2 = REFUSED
-1 = DON'T KNOW
0 = NEVER ILL, DIED SUDDENLY

units of how long ill
1 = DAYS
2 = WEEKS
3 = MONTHS
4 = YEARS

any other illness at time of death
-2 = REFUSED
-1 = DON'T KNOW
1 = YES
2 = NO

weeks hosp 12 mo prior to death
-4 = WAS NOT HOSPITALIZED
-2 = REFUSED
-1 = DON'T KNOW
0 = LESS THAN ONE WEEK

weeks nursing home 12 mo prior to death
-4 = WAS NOT IN NURSING HOME, CONVALESCENT CENTER, ETC.
-2 = REFUSED
-1 = DON'T KNOW
0 = LESS THAN ONE WEEK

add weeks required care 12 mo prior to death
-4 = DID NOT REQUIRE DAILY PHYSICAL CARE
-2 = REFUSED
-1 = DON'T KNOW
0 = LESS THAN ONE WEEK
96 = R WAS IN A NURSING HOME THE LAST 12 MONTHS

who provided most care
-6 = SOME OTHER PERSON (ENTER RESPONSE FOLLOWED BY //)
-2 = REFUSED
-1 = DON'T KNOW
1 = SPOUSE/PARTNER
2 = SON/STEPSON
3 = SON-IN-LAW
4 = DAUGHTER/STEPDAUGHTER
5 = DAUGHTER-IN-LAW
6 = BROTHER
7 = BROTHER-IN-LAW
8 = SISTER
9 = SISTER-IN-LAW
10 = OTHER FEMALE RELATIVE (ENTER RESPONSE FOLLOWED BY //)
11 = OTHER MALE RELATIVE (ENTER RESPONSE FOLLOWED BY //)
12 = FEMALE FRIEND
13 = PAID HELP
14 = MALE FRIEND
15 = NEIGHBOR

where living just before death
-2 = REFUSED
-1 = DON'T KNOW
1 = IN (HIS/HER) OWN HOUSE OR APARTMENT
2 = IN THE HOME OF A SON OR DAUGHTER
3 = IN A NURSING HOME
4 = SOMEWHERE ELSE (ENTER RESPONSE FOLLOWED BY //)

lived with whom
-6 = OTHER (ENTER RESPONSE FOLLWED BY //)
-2 = REFUSED
-1 = DON'T KNOW
1 = SPOUSE/PARTNER
2 = SON/STEPSON
3 = SON-IN-LAW
4 = DAUGHTER/STEPDAUGHTER
5 = DAUGHTER-IN-LAW
6 = BROTHER
7 = BROTHER-IN-LAW
8 = SISTER
9 = SISTER-IN-LAW
10 = OTHER FEMALE RELATIVE (ENTER RESPONSE FOLLOWED BY //)
11 = OTHER MALE RELATIVE (ENTER RESPONSE FOLLOWED BY //)

how long at son/daugher/relative
-9 = R'S ENTIRE LIFE
-2 = REFUSED
-1 = DON'T KNOW
0 = NEVER

units at son/daughter/relative
-2 = REFUSED
-1 = DON'T KNOW
0 = NEVER
1 = DAYS
2 = WEEKS
3 = MONTHS
4 = YEARS

hours per week last year working
-2 = REFUSED
-1 = DON'T KNOW
94 = 94 HOURS OR MORE PER WEEK

where R currently lives
-6 = OTHER (ENTER RESPONSE FOLLOWED BY //)
-2 = REFUSED
-1 = DON'T KNOW
1 = IN (HIS/HER) OWN HOUSE OR APARTMENT
2 = IN THE HOME OF A SON OR DAUGHTER
3 = IN THE HOME OF A GRANDCHILD
4 = IN THE HOME OF A SISTER OR BROTHER
5 = IN (HIS/HER) PARENT'S HOUSE
6 = WITH AN OTHER RELATIVE
7 = IN A ROOMING HOUSE
8 = IN THE HOME OF A FRIEND
9 = IN A NURSING HOME
10 = IN THE HOSPITAL
11 = IN A DRUG/ALCOHOL TREATMENT CENTER
12 = IN A HOSPICE CENTER
13 = IN A RETIREMENT HOME

how many people live there
-2 = REFUSED
-1 = DON'T KNOW
0 = NONE
8 = EIGHT OR MORE

how are they related - 1
-6 = OTHER (ENTER RESPONSE FOLLOWED //)
-2 = REFUSED
-1 = DON'T KNOW
1 = SPOUSE/PARTNER
2 = SON/STEPSON
3 = DAUGHTER/STEPDAUGHTER
4 = SON-IN-LAW
5 = DAUGHTER-IN-LAW
6 = FATHER
7 = MOTHER
8 = FATHER-IN-LAW
9 = MOTHER-IN-LAW
10 = BROTHER
11 = SISTER
12 = BROTHER-IN-LAW
13 = SISTER-IN-LAW
14 = GRANDSON
15 = GRANDDAUGHTER
16 = MALE FRIEND
17 = FEMALE FRIEND
18 = GRANDCHILD/REN
19 = GREAT GRANDCHILD/REN
20 = OTHER FEMALE RELATIVE
21 = OTHER MALE RELATIVE

CHRONIC HEALTH CONDITION 1 (ZY32T01)
108 = COMMON CHILDREN'S INFECTIOUS DISEASE (MILD)
109 = COMMON CHILDREN'S INFECTIOUS DISEASE (SERIOUS)
118 = ACUTE CHOLECYSTITIS OR GALL BLADDER PROBLEMS
124 = ACUTE SKIN CONDITIONS (NOT ALLERGIC OR INFECTIOUS)
127 = ACUTE VERTEBRAL OR LUMBAR DISORDER (MILD)
135 = MEDICAL, DRUG, OR POISONING COMPLICATIONS
227 = OTHER METABOLIC OR ENDOCRINOLOGIC DISEASES
234 = CHRONIC URINARY OR MALE GENITAL DISEASES
241 = CONGENITAL MALFORMATIONS AND OTHER IMPAIRMENTS
406 = DILATION AND CURETTAGE OTHER THAN PREGNANCY
442 = MUSCLE, TENDON, LIGAMENT OR NERVE OPERATION

how long needed assistance
-2 = REFUSED
-1 = DON'T KNOW
0 = NEVER NEEDS ASSISTANCE

unit of time needed assist
-2 = REFUSED
-1 = DON'T KNOW
1 = DAYS
2 = WEEKS
3 = MONTHS
4 = YEARS

receive help past 12 mo from not living with
-2 = REFUSED
-1 = DON'T KNOW
1 = YES
2 = NO
3 = R IN NURSING HOME OR OTHER FACILITY FOR 12 MONTHS OR MORE

who provided most help
-6 = SOME OTHER PERSON (ENTER RESPONSE FOLLOWED BY //)
-2 = REFUSED
-1 = DON'T KNOW
1 = SPOUSE/PARTNER
2 = SON/STEPSON
3 = SON-IN-LAW
4 = DAUGHTER/STEPDAUGHTER
5 = DAUGHTER-IN-LAW
6 = BROTHER
7 = BROTHER-IN-LAW
8 = SISTER
9 = SISTER-IN-LAW
10 = OTHER FEMALE RELATIVE
11 = OTHER MALE RELATIVE
12 = FEMALE FRIEND
13 = PAID HELP
14 = MALE FRIEND
15 = NEIGHBOR

male or female
-2 = REFUSED
-1 = DON'T KNOW
1 = MALE
2 = FEMALE

weeks help last 12 mo from this person
-2 = REFUSED
-1 = DON'T KNOW
0 = LESS THAN ONE WEEK

average hours helped per week
-2 = REFUSED
-1 = DON'T KNOW
0 = LESS THAN ONE HOUR PER WEEK
75 = 75 OR MORE HOURS PER WEEK

lived with whom
-6 = OTHER (ENTER RESPONSE FOLLWED BY //)
-2 = REFUSED
-1 = DON'T KNOW
1 = SPOUSE/PARTNER
2 = SON/STEPSON
3 = DAUGHTER/STEPDAUGHTER
4 = SON-IN-LAW
5 = DAUGHTER-IN-LAW
6 = FATHER
7 = MOTHER
8 = FATHER-IN-LAW
9 = MOTHER-IN-LAW
10 = BROTHER
11 = SISTER
12 = BROTHER-IN-LAW
13 = SISTER-IN-LAW
14 = GRANDSON
15 = GRANDDAUGHTER
16 = GREAT GRANDCHILD/REN
17 = OTHER FEMALE RELATIVE
18 = OTHER MALE RELATIVE

how long at son/daugher/relative
-2 = REFUSED
-1 = DON'T KNOW
0 = NEVER