public use data tape documentation (1973)
TRANSCRIPT
,.,,, . ..,. ,. . ., ,,,’ .,-., ,,.., .”’,,-. .. .
,. ... .:-...>
~ . ..— . ,- .—. —.. . .- . -
.— —-. -—
.
-.
-.
---. .c=
I-EM-LTE IN’ERW3’J SLJI’Z+Y
“w
,.
.
......
Errata:
.-.
----- .-- .,- ,_,
l?ages 39, 40, 73, 118First colmn heading “~ye ~ocat~on” . ,,should read “Previous B~na~ Tape Locat~on.
.
., . .
.,.
..-—.. ,.,:.’
L., .
., “.”. .~~
;..., ---,+ ,. :, .6
. . ..-
‘%* ,&-. —
.“ . ... . .+,-. .. . . . . .. . . .—
,. .$.
..—.
.
2.
fi
3c+..--
I!!i!...
3,-,y
.,.
‘/ .,‘
..,-.~
-.
*
a
.
e
—
—
-.
—
—
.-
—
.
—
—
—
—
—
.
The baste ~ tape fSLes are ceded and rnai.ntti by Pmcessimg Quarter
by Record Type. The contents of these tape files are peseated by Record
Tyy in the attached 0ut33zLM!of Items snd Codes. The outhes are .ELZZby location of it- +a the tape reco~. ~~e t~t ~~e~old it= ~ tamlocations 1-49 are the s- for aU records associated with a household;
Person itm in tape locatims ~fl are
with a person.
Users of the tape files shouM! ‘%ke note
1. of Records (rope Lx&ion 14)
the saae for all records usociated
of the fdkwing tape c&rctez5&.ics:
ConditionsIbapital EpiscdesDC&or visits
2. File Sequeace
the fo~ idediffying items for each!lhefil etiinseq.zenceon
Processing C@arter ~ RecoA ~ as identified h locations 19 md
14 respectively:
●
TapIteL3s Lncations
wc)cc%~-y &ww7EP —>..J /’+
‘“ - ‘?$?%%+.e%%w -3-5
weds - censuscode 6-7
segment w
EfouseholdNumber u-u..
Person Number X2-+3
Recomi Serial Number 15-16
—
3
—
,-
/“.~-
2. File Sequence--Contd,~
>
.—. . . ... .—.- . -
~eyQp*$k_ik_yJ&M?J—~Q
ent x HouseholdIfumberideatifies a Household.
Terson Rmher identifl.esa yerson within a Im3sehold.
Record Serial limber identifies multiple records within 8 Record
‘&pe for a yerson; Yor example, condition records for a person are
identified with a unique nuiber beginning tith 01 for each c~n~tion
associated with the person.
3* Other ‘@e Chamwtefi.sties
.1
.2
.3
.k
.5
.6
Headers
Density
and trailers s
=mobpi
standard
Record length = Ftid Ie@h of
36Q labels
464 bytes
310ck size = l~ko (I43recom3s per black)
Tape fomat = .AL!J.Fiekis az”ein C+z-.cter--
Note: Stand~d Metropolitan Statistical areas are those de:i~.~dfor the 19 jO DecezuiialCensus.
+-
,.,,
..
c
. .
.
-.
.
. ...
Ea
‘=!-b●
Et!!
5
4–+IHIs-cALENDEil YEm1973-FmALm
. . . .. .. .. . . .
. .. . —________
T8peLocations
1
.
2
3-5
6-7
89
1O-U
E-13
-
Item m.
HH-3
HH-5
HH+i
●
HEI-5
HE-5
Outline of Items and Codes
..-
RmoRDs
Household Record (Record !&e 1~ “.... . ..-—. . . . . .. ... .
-——.- ___ . . . ..... . .. ---- ----N~’oer of Records - h? .Tq5.—. - . .
k-
Items and codes
SAMPLE - KECODE OF CIWSUSCODE
1 . . . @arter 1, 19732 ... Quarter 2, 19733 . . . ~er 3, ~91’34 ..* mer 4, 1973
YEW OF COLLZCTIOHOF MM
3 ● ● ● 1973
Pm - oRIGmAL CODE (.RandomRecode)
WE2X - CZ9SW CODE (Humberedwtthi+ SeapleRecede)
01,02,03,04,05,06,07,09,09,10,11,12,13,
21, 41, 61, 81 ... 0122, 42, 62, 82 ... 0223, 43, 63, 83 ... 0324, 44, (X, 64,(exccpt CJuaEter2)25, 45, 65, 85 ... 0526, 46, 66, 86 ... 0$27, 47;-67, 87 ... 0728, 48, 69, 88 ... Og29, 49, 69, Z9 ... 0930, 50, 70, 90 .*. 1031, 51, 71, 91 ... 1132, 52, 72, 92 . . . 1233, 53, 73, 93 ● ** 13
9** 04
sKwRiTNcmER
Week plus SegmentNumber identifiesthe segm3nt
HOUSEHOLD FW8ER
Mmbemd withinFSJ-Week-Se_t
RLAHK - Person Number in other recordtypes
. . .,.
6
Hf-fa-=-~m1973 -FniALT.APERm’m=
14 -
15-16 :
17-18 Recode”
.
.
19
al
.,23-22
Recede
Recde
.
Recode
.
Items and codes
KECORD TYPE (1)
EIAias - Record SerialEmber in other recofit~es
CEHSJSWEHC RECODE (Numberedwithin Ekm@e Recode)
01 . . . 01,02 *.. 02,03 . . . 03,04 . ..04.05 .** 05,06 . . . 06,07 ● *. OTY08 . . . 08,
10 ,... M,Il. IL,*.*J2 22;9..
13 . . . 13,
a,22,23,24,25,26”,2-J,
29:x,3,32,33,
41, 61, 81 “42, 62, 8243; 63; 83W+, 64, WI&, E&, (3J
4T; 67; 8748, 68, 8849, a,- @5Q, ‘m, w51, 73., 9152; 7% 953, 73> 93
PRocEsslm ‘wAR13R cm1 -.. Qusrterl, 1~2 ● ** Quarter2, 1~3 . . . Qu=wker3, 19734 ● .* ~er 4, 1973
PROcESSIm yxAR-
3 ● .* 1~
Qtrs.1,3,4
0102030405060708~c)l)33.
-E13
● 9*
..0
***
.**
..*
● **
● **
● .*
● ,*
● 9*
. . .
● *-
..*
Qtr.2
010304
05060708w10Uu?13
Cen.fmsW&K
01,02,03,04,05,06,07,08,w>10,U*i2,13,
21,22,23,24,25,s,~,28,Fj,3,31,32,33,
52, 72,53, 731
8182
.
-
.;
—
—:
.-.
—.
.... ,
—
- ..
—}
—1
.-
------. .
1...”
-.
.=+:. “. .
. .
.—. .
-—
.-
.-
—
\
\
7
.
;/.,
!hq-x?I.acatiorm
23-27.-
.
.
.
.
-.. .,—-- . . ...
2il
=9
4+4f3=S”cAxmnARYEAR 1973 “mv4LTAI%R=m=
:tcm h.
C Recol
●
c Reccx
Ikms and COJC6
31m%
.
. ..-. .
_-_. __—= -.———--------- .“ =.-— .-.
TYPE cmE3’u
o .9* T& 31 Large E%l&reyeseating f2iSA’s1 ...
-- %If-representing
.** SMS.A- mlsdf-rqmxenti.ng; ..*son-EMSA “ S2E-representing6 .**ml- - Zlonsdf%presenting
*
REGION
1 ..*2 ● ..
3 -..k .**
NortheastHmth Cezrtral “ -
-h ..-.West -
.’
: HH-4
YzAR 1973
.,
—
iREc-cm3EIs - -FmALTAP3 .- ..
4
TqeIACat ICEIS -- ,
tcn Ho.
: R&cord TAmIATIOl!iAREA
Iaeven ms sections
.—
Blank . . . Non-SeL+-representi~~sectionsand self-representingSMS4.tsother than 3k-64.
--.’
<.
,
,.-J-.
.:-’
.-:-. ,;:. ........t
L-L’
—
L.:....
.,”
-.. .. —-—— . .. . . .._ ---1
Recode
3~3536373839.k)41
RecedesisA - WsA
515253545556
EuustonhuasWashington, msef3t-tle-Im!-rett “San Diegohaheim-S9ntz Ana-
G- GroveMiamilknverSan Bsmariwm-Riverside-Ont@-o
MiaDalJoMsSan JoseNew Orkuls “Tampa-St.PetersbmgPotiMad, Ore.
-,:.. :
!:_
BostonRev Yorld+IMlade@iaPittsburghEetzmitChicsgo+=CincinnatiLos Amgeles-Lcq Esach
San Fr33ciGco-Oaksed
RLltillloreAtbdmEuffxLoClevebmiMimeepolis-St. Pau3.
MilwaukeeKansas CztySt. Ik)-ais
---
“)--
.
.,--
-,.
—4344454647
a61626364
...
—-
.
—
-.
.> . .
TqeLoCat kls
--
1.
32
33
34-35
36
37
m-j ““ ““ ““””: ““’’”’’’:”:
m-mzlirmRnARlg-n -Fmu’rAm RxoR.m.
Itex!llb ●
..
Rc Record
Recode
.
mi-8
Blank
Geographic Identification
1 ● .* In standsrd metropolitan arsas; incentral city of WA
2 ..* In standard metrqo~tan area; not incentral city of SMA
3 ... Not in standard metropolitan a-ea
Blank
SMSA - NON-SJMA RESIDENCE
1 . . .2 ● *.3 ..*
SMSAlTon-SMSA.Non-SMSA
-.
nonfarmfarm
TYPE OF LIWE!TGQUARTERS
-i-.. . Housi~zqUnit2 ... Other
la
Tape
LoCaticna
38-39
40-41
42
44
45
%2Im3- CALZmAR Ym.R lyn - Fn&L 3X!?E Iux!-ciua
mm a.
E3”17
mi”lg
HE-16
alIPIZRWHWER NUXBEFF (not edited)
NWEIER OF CALM (not edited)
o . . . Not RTJOI+A1-8 . ..llumberof calls
9 . ..g+ calls ““
TELEHIom
1 .**2 ...
3 *..
9 .**m . . .
(not edited)
Yes - phoneHo or nonePhone,but no numberlistedor miiberrefusedDK if phone c= refusedNot rqxted
omwm mmRVIEW (not edited)
1 .**2 .*.3 ● **4 *9*
2:::
MondayTuesdayWednesdayThursdayFkidaySELturdayoaaldayUnkKml
—.. .
.... .
-.
. .[
-1
-.
---
1;
.. .
---,
,...
. . . .!
1
i. ./
,, ...,
,.
-1....----1
.
12.
M-(ffH7
[email protected] REcoms
Ite=.s and codes~sre
Im&icm Iitem No.
46-45I
EE-lg. .
I I W1+9$? . . . Minutesbl ● ** I!Tot reported.
TIMEOFDAYOFIHTEWIW (~4 EEi”lg
● 1 ● . .23:::k, ● **
bl .:.
6:01 aa. - 12:Cila.m.M:c)lp=. - 6:00 p.m.6:01 Z.EL. - U2:ocl yore.=:OL a.m. - 6:cw) aa.Wt reported
(noon)
(midnight
.
50 EE-lg CCMPI.EEEDItmEmIw
1 ● *. Completedfxtemiew2 ● ● ● hlixrterdew
51 m-la ~JEE&Oli-TYP’EA
1.*** RemSal “.2 ... No cmeat hcme
3 ● ** TemponxrilydkZttk G.. O%&
M . . . Not remrted or Z@ an73Mcable
EE4C52-53 m“tFiL 2X(ACS
- See Ertepd.ewerrs Mm@., A~ A(P@- A) for cedeoutline. ~
1“ Blank54-55
I NURER OF UNRXIATEDmIYDUA$SS-57 Generate
58-59 GeneRTLted ~ OF PIXSONS’33 TEEHOUSEEOLD
Generated RUdEEROF CONDITZOHSIX ~ EOUSZEOIJ3
Generated NU4BEROFHOSPI!ML~~I
Generated1
HU4EEROFDXTORV13HS
1
60-61
64-65
X2
.. .
EIEi-. .
RECORDS..
.EH-8
YEW .s73 - FINAL TAPEcAHmAR----
ItemXo . Item and Codes
Gen&ated‘1 SIZE OF FAMILY - PRI&.M FA.MIU
TapeLocations
—,
.. .
6647... ...
IGenerated “ SIZE OF FAMIU - SECONDARYFAMILYNO* 168-69
70-71 - SECONIMY FAMILY”ma .2.-,
“.{..---,.
Gene~2ed
I
. .
- sEccmARY W@I+Y Ho. 372-73
Generated - sEcmDARY Iwziir Ho. 474-75...”
,.-
- SECONDARYFAMIIXNOe ~76-77
+-
G_eneratd<,. II,..->,.-
- SECGNI!ARYF&iILY, HO. 678-79 IGenerl?.ted
“7‘.3
- sEcmM.RY ?iqaLY No● 7
J-,.’,. ..,.’- SECONIiA.RYFAMXI.ZHO- 8 -
- sEcorm.RY m.Mnz No. 9
EE%DHmsExr-
1 . . . Yes2““***Eo.
Pm4A.m IvoiIIz. —....!
.:J- .:
l’” -?i
Jbe‘W’ - nerated EEAD MEmNT - SIKX)NDAKYFMUX 1-...-,
/I
.: : ---sEcomhR2rFAMIM2 .
.. ,- sECCMIYiR2FAMILY3 i
- SECQA.RY FA.i& ‘~ .--. ,
--
- SZCCEIDARYFA.k@Z 5
- SECONDARYF.&.Z 6
--.-
TapeLaCat ions
93.
94
95
96-97
-98-99
1.cO-179.
---- ... .. .. - ——.-
. . . .-
----.7 .
Em -cAImrARYMRl~ -FmaL!I!APER=oRm
‘.”-
:tem m ●
enerat*
en$rated
enemt ed
Im-lg
--
—.. . ...
3E-13
. .
●
-
I-tassadLccd8s -
IiTml HmsmL’ - SEX)- FAMILY 7..-.
:- SECmmARYF& 8
- SkCONDARYFAMIIX9
I?ATE OF COMPLETIONOF INTERVIEW (Hot edited)
= 01 ● *.02 .*.
.**12 ..*
R1.ank..*
01-31 ● . .
JanuaqfFelm.xuy
EecemberI& reported
-y of MonthEd reported
BLANK
.- ----- .. --— ._
TmALRccMs”” .
1 ● . . 3. Rooul2 ... 2Rocms3 . ... 3 Roans4 ● .* 4 Rocms5 .-.. 5 Rooms6 ..* 6 Roam7 . ..7 Rxln%8 .** 8 Ross9 . . . 9+ Ikxxls
. . . DXor not rqxmted131ank... Not a housingunit “
-------- ------ -.. .-—...--. —---= ..-=-. -.--—-- . .
EH-lo
a
TapeLocations
181
.
182+87
188-193
. 19k-2oo
46z-464 “
HIs -cuExIMYmRlg73-Fm uTKFEREzoKIH
:tcl Ho.
IEI”L4.,
.
rhlsn aca Cd8s
TOYAL IWMEEROF BEDRCGM
O . . . Hone1 .*. ll?edrm?n2 ... 2 BedmGaS
3 3~. . .4 4wdrtXms● **5 ● *. 5 Bedrocms6 ● . . 6 ~aroans7 . ...&=8 ● **9 ●.*9+ Eedrccms
... I!Korn&rqortedEIxds ... Not ahoua~ unit ~
EASICwiiacm (6Q38.9784*Adjusted byFactors]
(XGccc.x)
E3
‘zmos
B1-adi
* &sic weight for Quarter2 is 65k2.2%6 adjusted bySamplingFactors. -
r-~T-{
m-cmmnA.RYMR 1973-FXMLTA2E
Outlineof Items and Codes
P-on Record (Record ‘&y 2)-——-.———---——-—.. ..- ....- .----
...-.:’
RE?xms
--
‘——–---–- “-——=~~j~qyIRuiberof Records-.-—.._-
Tapbcations Item m. It= and Codes
HH-31 SAMPLE “ REccmE OF CEmm Com
1 ● ● ● mer 1, 19732 .● . Quarter2, 19733 . . . Qudxr 3, 1973k ● ** -a k, 1973
2 “
3 ● *. 1973 “
3-5 HEj FSU * ORIEINAL CODE (Random Records)
6-7 wEEs-cEssm cmIE(miberedti’t s=d.eRecde)HE-5 . --- ,.. . . .. .. . . .. . . . -
61, 81 ... 0162, 82 ,.. 0263, 83 ... 0364, M,{czcept65, 85 ... 0.566, 86 ... 0667, 37 ... 0763, 88 ... w69, 89 .,. 0970, 90 ● *, 1071, 91 ● .* 1172, 92 ... 1273, 93 ,*. 13
01, 21, 41,02, 22, 42;03, 23, 43,04, 24, 44; Quarter 2}
.
04● ☛☛
05, 25, 45,06, 26, [>6,07, 27, 47,08, 2G,-48,
.
09, 29, 49,10, 30, 50,11, 31, 51,12, 32, 52,13, 33, 53,
.
SEQ4K3TM?MEEREE-5
Weekplus Segii9nt Rmber id.entiSiesthe se-t
lo-u HH-5 HDmzEioLD m4EER
l’iimberedwithin PSU+ieek-Semt
M-13 P3RsmNumER
RECORD TYPE (2)
P-2
YMR 1973 -KmAL!mPE
.,’ .,, ...‘-
- ..
.;REmiusEIs -
.->I
‘@e@at ions
.,
—,I
. ..->
\I
i
-
..-,
, --~,
.1-. J
—-. .
. . ...- .1--J
ylJ
“1. ... .-
-J
~I
—1
..-
L
----,i
J
...
-1--7
f
--.!
--/
.1
-.,
._. .
. .
.-..
.
bWca Ho. It’a!lsdcdk!s
BIA.2iK - Reccrd Said ?biber in other .recofi types1~-16.-
k’cede17-18 CEliWS WEEK RXO~ ([email protected] Sm@e Recde)
61, 8Z62, 8263, 8364, 8465, 8566, 8667, 8768, 88*, @
0102030405060708w10u.12u
● ✎ ✎ m,● ** 02,. . . 03,● .* 04,
Zi,22,23,24,25 j26,~,
23;3,31,32,33,
(exceptQuarter2).** 05;● . . 06,. . . 07,● *. 08,● ** g>● *.● . . n:
70, 9
● ☛✘ 12,9*O 13, 73; 93
Recode HicczsSm QuA.FaER mm1 . . . Quarter 1, 19732 ... eer 2, 19733 . . .. Quarter3, 19?34 ● -. Q=+=” 4, 1973
F&a”20 PRcczssrm YEAR
3 ● ** 1973-
21-22 Recede
W=.1,3,4 ] Cttr.2I
Ce?asusweek ‘
4.J ;5, g,
43: 63: 83v!, 64, 8445, 65, 85u, 66, %47, 67, @’48, 6a, 88~, @, @50, 70, 9051, 71, 9152, 72, 9253, 73, 93
01 . . .02 . . .03 ● .*04 ● . .05 .**06 .*O07 .*.08 . . .
010304
01, 21,02, 22,03; 2$04, 24,05, 25,06, 26,
05060708093..0lJ-L213
07; q,08, 28,w, a,10, 30,
w ***If) ● *.
.
XL ● *.12 ..*2..3 . . ..
.. .-- 18
‘E3peLcc’atiorls
23-27’
,.. .
——---- . -. .
28
=9
‘.-.
33
HE —CME?EARYEAR 1973 -FRiAL’IwER=oRm
Item Ho ●
.
.
-
c RE@ora
.-
●
c Record
EX9a8 ad Co&s
.
Blank
—.-— —.. .. .. . . . .,—
TXPEOFE33
0 ... The 33.LargeSd.f-repn2aen*ingSEAzs .1 ● .*S4sA- Self-reprefidmlg3 ● .● EMsA- Wlsd.f-represmung... mLA?isA “ Seu?-represe?l.t*
; ... K2msKiA - Rxzsel.f-repre9entiug
REGION
1 . . . ?501-thfMLs-t . .. .. .—— .-. ..—-..-——,------ -..—. . . . .2 ..*190r?dlCaxtzal --— .—.----—..-----. ------- -
3 . . . South”●
4.-.—----—,----.-—.,.—-....—.-—- —— - - -
... West ,.—..—— ——- ..—-— ..—-,.
.
TapeLocations
3“3..-
IUS—CALZHMR
F-%
Y=R 1~ -FMALT!APE
.—
.. .
:tem Ho ●
C Recor4
●
—-,
.. _!
Eleven NILS Sections... .
--- .. . .. .=
~~ .*O Non-SeU-represe3ii~~~sections I.-.’
and self-repres=nii~~SIE&fs
.-. . . ..__ .—— ,_________ _. ..- ...- . . .-
Recode
3435363738394041
4344454647
48
E?49A “
Ekmbl “IRY4 YorePhiladeQhi&Pitt SburghD&it
chicago+-Cindnnatibs Angeles-
Long BeachSan R’ancisco-OaklaIla
m+A3nOreAtlantaBuffaloClevelandMixmeqxLLs-St. Paul
Milnaukee
Recde
(3)6162
~ 6364
---- . .
Kansas citySt ● LoussEoustca
Wadngton, lxSea+M-e-E7e.r2t*San [email protected] Aria-
&rdea Gro-ve -
DenverS2zl EerML22”[email protected]
Eldia?qousSen JoseXew Orleem‘I!aaperSt.Pete.rsbuzrgPmtland, Ore.
2?or&eastern I& Jersey ConsolidatedAreaNortdmestezn Indiana Cozy301idatedArea
‘g
—.. .:. ....1
“1:~’
.-?
-., .
.._
-...
-.—
.-
--
--
. ..
-,-
20
TapeLccatlons
.- 32
33
3&35
37
ta 30.
..
C Recor
Recode
..,,.,.,
33xEM81@ccdss
1-*. .
2 . . .
3 . . .
Et standard metropoEta areas; incentral city of S14.kIn standardmetropolitanarea; not incentralcity of WA3To’cin standard metrcpol.itanarea
BLANK
SsA -NCHI-SM5A RESIDE3CX
1 ● . . SfsA2 .** HorL-sMsA-Iionfaml3 ● ** mn-s4sA-FRrm
mo~smmqxmrms1 . . . E-3ngUhit2 ... Other
—-
. .
----
!@eLccations
:tcn Ro.
31JJK38-39.“
.. -.-— ..-
40-41 HE-17
42 HE--19
43 (no~ edited)IIH-15
1 S.*
2 ● **3 *.-
Yes - @oneHo or nmePhone, hut no number listed or nmberrefusedK if phone or refused~Ot rqxt-ed
—44 HH-ti
.
OESZRYED I??TEYKE’# (no-b efld3.ted)
1 -** Yes --2 ● *. no
M. ● .* l?ot reporkfl.- .-
.-..
-
..—
.-
45 12AYOFRecode ‘WEEK Ii9mm’m d Cmmzz!m
1234
Mondqf!DE3dayWednesdayThursday~-tiyE&urdaySundayUilknmii
5678
..—
.22
,.. .-..
4
=-cJumMRnAR 1973 -FXNALTKE%RXORM.
ten Ho.Tape
xtess&xY?lc!dasLccat lam
464%. .
IJ?7NGTEOF INTERVIEW (not edited)HH-lg
..
.
Ool+?gg . . . Minutesbl ... Not reported
J@ NE-19 TZ4E OF MY OF m!rmmw (Eegimling time) (not e-fited)
1 ● ** 6:01 aJn. - L2:O0 a.m. (noon)2 ... 12:01~JIL- 6:UI P.M.3 ..* 6:01 ~.rm. - ?2:00 p.m. (WZ@rt)4 . . . U:OI a.zii. - 6:~ a.m. -bl ... Hotreprted
Q1 RAcx (mAIL)
“ 1 . ..mlite2 . . . Negro3 . . . Other
51 Recede RAcx ImmDE
7. ● .* white
2 ... Otherzzmes
52 w!.
1 . . . Male2 ....kmale
AH
01-$99
53-54 “Q3
● ☛☛
● ☛☛
● ☛☛
Single years99+ Ye-
Acz mcom #l55”56 Recede
01 .** CXM34years02 ● ● ● 05-1403 . . . 15-2404 .** 25-3405 ● ** 35-4406 k5-5407 ::: 55-6408 ● . . 65-74w . . . 75+
.23
. ————
57-58. .
59
&
P-tIms-cAImrDARyzARm -Fm4LlY3Ema Ius “
lecode
.. .
Recode -
Q41
I
&k●
AGE RECODE#2
0102030405f%070809
● ☛☛ Under 6 years9** 6-16● ** 17-24● ** 25-34● ** :;-:● ** -● ** 55WL● ** 65-74● *S 75 +
AGE RECODE #3
-1 . . . Under 15 yeers2 ● ** 15-443 ● ** 4544k ● ** 65+
ZURITAL STATUS●
O ... Under 17 years1 . . . Married - s.pOuaepresent2 ● ● . Widawed3 . . . ?levermamzled4 . . . Divorced~ ::: xyd
- Spause absent
E3XXL4TIONOF
01 ...02 ● *.03 ● . .04 . . .
‘o~. .*.c)6 . . .07 .**08 . . .
“w ● **lo .**n ● **E ● **13 ● ,*
uf&I= 17 years of weNone1-4 years ccnxpkted5-? ye- canple?ed8 years ccz@eted9-U years cOmpletedM! years cczpleted(M@ school~.)13-14 yeas ccrapleted15 ye- cqleted16 years ccapleted (mUege @uste)27+ years ccqletad (graduate schml)L?nklaunNot reported
. ..$
..-
—
. .-.’
.. -.!
--..J
.-....:-- ~“-- .-
.._
“i-...
-. J’
. .,
.—
.- ..
.—
----
.—24
..
-.
. .
—— .—
T2?CLcce.tic?ls
63
6445
66
...; . .
:tezl NO*
@aRecode
.,
@a
C@?3.Recode
Itemssad codeS
EDUCATICN03’ ~~UAL REZOIE
1 ● . . Uder-2 . . . l’bne
3 ● *O014384 . . . 09-U.5 ● -O6 . . . 5;157 ● **
17 years of age
(elementxcry~uate)
[
high school)~e::~l 8=@=te)
miUege _te +]8 .** Unkncwn
EDtxATIoH OFDE2/q
01020304050607080910laX213
FAMIIXEEAIIOR UREZMED 12mmw -
Under 17 years of ageMxle1-4 years ccmpleted5-7 ye== ccqleted8 years cunpbtd9-U. yesrs CaupletedX2 years caupleted(highschoolgrad.)13-14 years Ccarpleted15 years ccz@eted36 years completed(ccdlege@uate ~17+ yeus completed(gm3&z&e school{WkIlounNot Reported
EDucxf!IoNOF IiEm - Rm3m
1 . . . Under 17 yeas of age2 ... None3 ● O. 01-08 (eknentazz graduzite)4 ● ** 9-U (M@ schml)5 ● ** U (M@ schoolgraduate)6 ● ** 13-15 (coUege)7 ● ** MA (collegegraduatei-)8 ● ** unknown
“MORE”
.25
... :. ... :
*
TapeIclcations
67.
. .
68-69
RIs - cALzmARYMi%q.i!’nu T@ RicoHi)s
Item Ho ●
Q35
..
W@.
Q38Recode
●
Itt?lm and codes
o ● 00
1 .**2 9**3 ● **4 ● 005 ● **6 ● 9*7“ ● **8 **O
Female or under17 years of ageNcnxvetemPeacetime onlyworldwar xWorldW= IIKoneanwasViet Nan veteranDK if seinedin Amed Forces
F_ 3XCOHEOR INCOMBOF UWEUZED nrDIvIDuAL
01 ● *.02 ● . .
.03 ● **04 ● **OS ● . .06o~ :::
“ 08 . . .09 ● **20 ● 00u ● O*32 ● **
lhder $l,CX)O .$l,wx)-1,~ .2,m3-2,9gg3, CCG3,9994,0cQ-4,~5,ccQ-5,ggg6,0c0&,sg97, CCC)9,999
lo,cxlo-14,gg915,cm-24,W25,CCQ i=Ukrmwn
13 ● ** Not Reported
FAXKEi INCCME RB20DE ‘
1 ● ** Under $3,00Q2 ● ** $3,cm-4,9g93 ● ** 5,00@6,~4 ● ** 7,0CQ+,9995 ● O* 1O,OOO-14,9996 ● .* 15,CC0 +7 ..* Uiiklcrdn
“MORE”
.. .. ..
—
. .
.—
..-.
—
:___
—..!
.— :
—........,---,:...{:.-,.,.—
?-: ,:---.. ::.!..”
-
n“--... ..
“2
,7--
I.:,
-—
-.
.-
. ..
:.—
-.
.. ..
26-—
.’.~..
TL-72.
/
73
m-cMENDARYEARl$3~ -FIHAL!IIAEE~OXDS
Q2
.,
Q2Rieccde
Item and &iies
FA?411XRIISA!IIOHSHD
Type of Emily
& ● *C IMmzuy individual● ** secondary individual●**~f-
1: ● .. Secm3&wy fsmilies
Reiationshin
&● **
o ● **
1 ● **
2 ● O*
34:::
. ~“.....*
Unrelatedindividti livingalone: :Eead of fmSly or unrelatedindiv+dudnot U- alone - -’Wife (husbsndU- at hcme and notin M Forces)Wife (htmknd living. at hme and isin Armed Forces)CMU of head & spweGrandchildof hed or symseParent of head or spouseOther relative
FAMIIX REIATIC)NSKZPKEXXIDE.
“1 .*. Livinga3JJrLe2 ... Liviagwith nonrehkives3 ... I&ringtith relatives- tied4 ... ILL* vith relatives- other
USUAL ACKNITY “
o ● **1 ● .*23 :::4 ● **5 ● **6 ...
~
hder 6 years ~WUELILyworking~ing house (feuale]Retired- Health (45+yem)Going to Schcd&nething elseUnkmwn -
Other {45+ v+2krs)
“MORE”
27
-?-/?- .
TapeIacations
....Itemsand bites
75.-- .
CUR&T ACTIVITYDlJRlN3Z’.LST2 HZEKSQ%Under 17 yearsWorkedtipast 2 weeks
o ● **
rCE 2 ‘::..
Did notand notDid notDid notDid not
Did not
Did not
work, has job,not on layofflooking for vorkuork,has job, locking for work
work, has job, on layoffuork, has job, on Jsyoff andfor uorlc
work, has Job, unknown ifor on layoffwork, no job, l.ookbg for work
or on laydfWt in labor force (17+)
CUSS OF WORKER76
1 . . .2 ● **
.:..:::
Private paidFederalGavemuentCNhergmernmentw-3npbyedMxlpayOther (new worker)Mmuun or not reportedNot in IaborFome
56 :::7 ● 8*8 ● **
..—,
‘.—
.7.!
Imu9rKY DE2Am Com77-79 Q37a,la
.017.+99... Cedenumber3Lank ... Hot smplicable
&P81 Recode - ..
. .—.SeeAttadxuent-..
Recode INUHfXY RECODENO. 2
See Attachment..-
.. .
—-
..
—
OCCUPA.KIOI’I DEMIL CODE “844!6
.
Q37C,
001+95 ... CodenumberBlank ... Not qplkable
28 “
... .., .r-u ,-.....
p. /3
Ins- cAImm.Rx3ilRl~ -FlmLzw2RxoRm.
,~Tape
Lccatima
.-87&
92-$)3
.
94
95%
tem R).
Recode
..
Recode
(Q&)
.
R
Lenenate
~~&’J&g ‘ *; ;:..
WXJ’PATIOH RECODE HO. 1
‘SeeAttadment
CCCuPA!lmMFmxmE Ho● 2
See Attachment
1 ● . .2 ● **3k :::5 ● **6 ● . .7 ● **8 ● **9 S.*
Se3f entire~self partlySpouseMotherFatherOther femalefamily~Othertie familyIne&erOtherHot rqorte%i
-— . .. . ---- .-.\ . ..
BIANK .
.-
AGE OF RESFQNDEN’3!
1 ..4 Under 2D years2 ● -* 2)-54 years3 5544 years
-4::: 65-74 years5 ● ** 75i= years6 . . . Udmoun and Not reported
A- FAMILY SIZE
00 . . . ymhted iwtia-01+... Family size
29
,“. ...:
Ess-cAIzzwEFY3aRl~ -m&mm3coREsp-lp . .
.—
rtalmalx!lcd--..
Sm OF E4MILY RmxJE —
o ● ** mrelatea Inditidud.s ;1 . . . One member2 ... 2mmlbers —.
3 *.* 3 Inmbersk .** 4 members .....
5 . . . 5me!nbers6 . . . 6niembers
—)I‘7 .*. 7member8 —-~8 ..* 8+ mfabers .— ___
‘Ikqebeat ions [ten Ho ●
Recde97
-.
..
.
.,.
..-. ——.-,____. .
-— ----
—. .--—
.- NOTE:
... ... -—— .— ..-—- -
,.t.. . .
J.7
. .
..;
“,.-. .1.._
.>,
... .....Q
—,.:
.,-,
.—
.
.. ,----- ----- .
m43!rAmoN
1 ● **2 9.*
3 ● .*
4 ..*
OF +~ (=== wrEIl+cEmKicccmmTIms)-
98 @I-26a
CaIKmt perfom usual. Activity
Canpem?om UAbut MuMdi.n~ andkkdCan perfom m but UElit-eain outsideactivitiesEd 12xlited(m2l- ~) -..____ _ .—--.--——.—.. ____________
.
224Q99
%3’
.
DURATION OF LJMZMTION OF AC’ITZD5
UEit=l ● **Mfmkhs—2 ● *+Years
}ifl-3chr. k “
3 ● ** Unk?lam2)1 . . . Hot a~licab& (no .CCvith Uaitatiom or
acuke conditims) -—
.loo-ml maker of units =
& ● ** Less than lrlzcatll
01+8 . . . R2mber of mcdw or ms .99 ● .* mkmwzl
blbl ... EA-.
M2-105---
----
106-U)7 RESI!FUC3!EDACTIVITYI?A22m PAsT2wEEK8
a) .**mne01-14 ... Eunberof (kyS
IQ8-m9 Qk,b mDDISABn3m MYSn IPAsT2u EExS
00 ● .* None01-lk ...l?miberof *0
30
., .-....-,
HIs-cAEi*ma YxIMRlg/’3-FRwL 3wEREccms
1
●
Ta~eIccations
ten No. Itemsand Cades
lJoRK/smQL-Ims IMY mEm?nxER
~ . . . kder6 yesrs of~e2 .*● SChml-bas -S3 . . . Work-lossdays
Q5,6
.,
.-
Q5,6;3U-U2 WORK OR SC3C0L-U)SSDAYSINPAST2 WE2KS
00 ... Fkme orunder$01-14 ...-Number02 days
RWBEROFI!AYSSXEOSPI!EUIH2 ASI 2WE2XS(excl.~S~ hcaesandhamitds not in hdex,se~ce cades93, 94, 95) -
. . . Bane01-?4 . . . Numberof dafi
.
SL3-U4 9?3Rs3%3’d
lSm3!ALmm IN2 mm3
00 ... Rae -ol-g~ . ● * NiIEiberof -?5Sits
CWa
. .
TJmTA.Lvz.3m INu2ziomm ●
Im%m/mJrnomCede
1 ● ● ● mnber of visits2 ... Runberof visits
Numberof Visits
kumnl
u8-u9
. . . None or unlmawnnumber01% . . . Number,of visits
120-123 Q17a
z . . . Number of visitsknown2 ... Hud3erof visitsunbown
?xuuzberof visits
● **mne Orunbxnool*8 ● ● ● Numbez?of Yisits
121-123.
-.
YzAR Iti:..”:-
HIs —cA3zmMR -“inuu TAFEk3mFax,-=
TapeItftun and CO&M
.—
II&catias.1
HcmEs OF Saom!-s’w? 110.E3?HALIMxsm MST 32 MoN?# —X24-M.-
UIlp-utez”enerded
. . . Hone i
OU1-365 ... Number of days.,i
—
RKiTRVAL SIXQ3 IMT ECCTOR VISIT .1=7o ● *.1 ● **
HevewVisit in past 2 weeks
7
z weeks to less thsa 6 mmtb6 mtihs. to k3S than 12 &hs
--
1 yar
2-4 years5+ yallxs
1
131.kIlown -
3 ● **4 ● .*!5 ● **6 ● **7 .*.9 ● .*
.-J
..:..~..;.I?iTERvml KmcEIAsTDE xI!ALvIsIT128
0 ● **1 ● **2 ***
lwrer “7..
visits ti 2 weeks -2 weeks to hSS thsa 6 ?acdhs6 montti to k3S tbn Z mmULS
.-.“1...
1- =}
2-4 yefu’s5+ yearn q.,
.
s ● **6 ● .*8 ● ** ,;—.
... -,m.MEER OF smRI!-smY EOSP12AL Emo*
131-132 mzu cammws . ...
..4133-234 TomL CmmIc Colimim’sknerate{
135-136 knera%e —.
137-138.-.,
.-13g Q@ EU43EROF TIM?SMAFRD2
o ... Never mmkd or under 17 years of sge1-7 ... Ember of tinesmmried8 ● ** &tiRes IaaITi&9 -**IhlJnlcwn
.—
--
—.
Y =Ork-stay hospitals. All hosoitalservicetypes exceptaextal.(code“02)!lhdiertiosis(code03), mhop~dic (cc& 08), bn~ious lkbe- (c* qj,ChZOniC Disease (c- 10) w ~~er (c* u), Xursm Hcme (C&S 94 d95), =d m ia index (cC&e93). 32
A-AI
P-17HIs-cAnilMR YBRl.g73-FmALTAFE RxoRm
,.’. :
TapeLucations
U’O.-
141-142 “
143”144
145
146-148
:tem Ho.
enerate
..
2
Q32
EOSP13!AL WNERSHD FOR SS E=SCm=
o . . . Ho episodes1 ... Au in federalhospi’d2 ● .* All in nonfederalhospitab3 ● **Eothf+deml and nonfederalhospitals
I’m
010203ok05
0607080910
STmmJRX
..*
● ✎ ✎
✎ ✎ ✎
☛✎☛
✎✎☛
✎☛☛
✎☛✎
✎✎☛
✎ ✎ ✎
● ✎☛
MA parents, no other adultsMother onlyFather onlyE&h parentsand atheradult relativeMother and otheradult relativeFathersnd otheradult relativeNo parent,but one adultIAativeHo parent, but two qr mor tit relativesOtherNot apyli-le, 25+ ye- =d/or ever ~~
IizAmK STA’I’US
1 . . ● ECcd.lent2 ... Gocd3 .*. Fair4 . . . Pmr .5 .*. unhOKIl
.-. .
I
UA.NK
\ 33
.,. ./. ..,” ,..,. ...’.”...’. . .. . . . . ..
—.- _ ---- . . _____ ____
P-1a ,. #
.!
~
Tape
- “K.aatlona.— - -— —_-—------------ .
..
150
,.
151
Ef3s-cAxzmAR YEAR1973-m21AL TAm R2xxxmI
I
tui I%.
..- .-- ....-.
R-i”Recode
PC-2Reed.e
.
PC!-3Reco&
7
I-t49Mecoda9,
----. --- _-. ..- ....—— --- -------- .. ... ... . . ,..-,.-.... .. . .,---- ,- —.
TME S3iTCXEKG
012
i?56789
. . . Never J
. ..l?derl year
. . . lyear -1
. . . 2 yesrs i
... 3 years● .* 4 years ..-
..* 5 years ]9** 6-9 Y15ZS... 10+ years ---..* unknown
Uhder”k years of age- 1● **
.
TIME S- IAST GIA1.EOMATI?ST .10 . . .. Never1 ...lhder 1 year .
2 .*. lyear J3 ● .* 2 yeez”s4 ... 3 yetxrs5 4 yeEKK! 1.6 ::: 5 years .j
‘i’.*. 6-9 years8 ... 10+ ye-us9 ..* Uilknolin .1
.** Ihier k) yeers of age -
T?XZ SEiCE CEE3’I!X-RAY . .-.1
0123456;
9
.*,● *O
9**
.0.
.*.
.**
.*.
. . .
..*
. . .
.0.
NeverUnder 1 yeer i
;1 year
.. J
2 yearn3 years ~
4 yearsI
5 years6-9 yearsIO+ yearsunknownUnder 17 ye=s of ~e .
j+ ,
..
.
152.-
153
154
f’-/y=J—cAEmaR r’2aR19’724 -Fm?ALm?ERYxErs
tea 30.
Pc-4aPC-7a
PC-43PC-pRecode
PC-5Recode
.
X-6Recode
r.?afad Cc&M
EXE31ASSZS OR CC)NTACT T-3XSZS
t)... Under 3 years of age1 ... Yes2 ●*..EO3 ● *. Wikmwn
TIME S- LAST EXiI EGG!
o.1234!56789
***● ✎☛
● ☛☛
● ☛☛
● ☛☛
● ☛☛
● ✘☛
● ☛☛
● ☛☛
✎☛✎
● ☛☛
Ileverunder 11 year2 yeazzs3 yeaz”s4 yeas5 yearn
o ... Never1 ... Cm&r 1 year2 ... 1 yeazz
2 YeeLrs; ::: 3 years5 ● .* 4 yeqfs6 ● . . 5 ‘yeaZ-s7 ● ** 6-9 yem8 . . . D+ years9 . ● ● IMk21min
● ** i?ea,ale under 17 or inab
Tm SDK!Z MST 3iGlASl EXA’H
o123456789
. . . ITemr
... Under 1 yea-● *. lyeEu... 2 years..* 3 yeaz”s... 4 yezrs... 5 years● . . 6=9 years. . . IO+ yeas. . . Udcamrl. . . Female underl~ ormle
.
35
TapeLocations
156-.
157
158-159
3-60
161
tent &.
PC*
ti+bRecode
PC9
Q-33a
.
G-33b
rtuaa d Ckdas
F+omru PEmIcAL DIJRE3 PAST 12 Mm3S
o ... 17+ years of age1 ● .* Yes2 ● .* 303 ... unknown
T13433SZsm
o12
3456789
● ✎ ✎
✎✛✎
✎☛☛
● ☛✎
● ☛☛
● ☛☛
● O*
.*,
● **
● **
● .*
IieverEnaex” 11 yeeir2 years3 years4 years5 years
year
69 yezuw10+ yearsUnknan17+ y’eaz”sof age
d . .
—.
AGE AT FIRST DE3TAL VISIT .- ,..-.
02-16 . ● ● 2-I.6 years -.
98 ... Hever99 ... Unhmin .
-- ... 17+ years of age
GIVZH OR SOD iIiND
o . . . UMer 17 yearn of ~e1 .... Yes --2 ..* 30
3 ● *O Unkao%i
-..
W2W2ER W TIMES GIVES OR SOL3 31CQD
o1-7 :::8 ● *.~ ***
?iLaak● .*
Ceder 17 yesm of -eXumber of t~h.es& tilzes
i%t rqx)rtedi
36
.
a
Tape
Locat tom
162. .
.. 163
164
165
3%
167
168-179
-~r~)EIS-CALZ?WYZM.R1973-1’ IHAL !iwBR.ImFcS
“<. .. .. .
:tezlHo ●
Q-33c
..
Q-33c
l=33c
P-33C
l?-33c●
P-33C,
Itea8-C!odaa
MID BUJOD
1-7 . ● ● 1-7 times8 .** & times
BkIlk ... Iictreportedor under 17 years of age
~T~c~ B~QD
1-7’.** 1-7 times8 & times● **
ICiSnJk... Rot reportedor under 17 yexm of age
BLccfDlwix
1-7 ● .* 1-7 times8 ● ** b t&nes.
... Rot rqmrted or mder 17 years of ~e
OTEER UHPi%m ml) mM,z!IoH
I.-7● *+ 1-7 times8 ● *6 & t~~
B&ink ... Not reputiedor under 17 years of age r
C’I!2ER MN GAVE BLCOD
1-7 .*. 1-7 tbes8 ● ** 8+ tines
... Not reporkidor mder 17 yea-s of age
UNKF.iUWHIWLSUH FCIR GIVIBG EZCOD
1-7 ● .● 1-7 tines0 ● .* &t~~
BIArlk ..* Hot reportedor under 17 years of age
ELAN-K
37 ““:
>. .. . . . . . ..’. , .. .. . ..- .
-Z-A i....
EfIS-CUZXEiZiY3X 31~--ZAl3 LTXE9. .
TapeLx)catians
Item 30●
Irs ad m32s “
—._.....f
la EE”13
181
182-187
188-192
193-198
*
mi-14
“-
..-
‘13T.u SHXJS
s2
56799
KL.Emik
. ..lmcn2rc’crls
..● **● .. ;;=● **● ** 5 roam —-● ** 6 rocms. . . ~ rccms● ** 8rocms● .* g+rocius
- -.
● ** X or not rfs~wr~ed 1● ** Hot a housing tit
—........... ...“
..______----- .-._ ________ _____ -..-.. _
TCYI!ALMMEEROFEEIIRCWS
o ... None
11 ..0
2 ● .* 233 . . .k4 ● .*55 ● -966 . . .77 ● **88 ● . .
bedroanbdroumbedr~bedrocmbedrocmbedrccmsbedroczusbedrocms
9 . . . 9+ bedrocmsX or not reported
Bbds ::: Hot -a housingunit
BA91cwE3GEr KF3mEAscAMusmEr 1. (mxx.x)
F13KL BASIC WEIGHT (xXXXX*)
“MORE”
38
TapeLocations
. .
201”’204
205-208
2cg-’a.2
213”216
ZL7-2.2Q
222.-224
225-228
229-232
233-2$
237-2kJ
249-252
253-256
257-263
261-254
m - CAEINMR F13coms
255-263
26L272
273-281
282-293
309-317
318-326
327-335
336-344
,. ‘... ,“. - .
EA.Em Wm3?r
Quarter
Sedslnual (U+42)
Amlud (ti/4)
Bianzuzl (T+8)....
6.5 mzcmm
Qmrter ad S65niama, .bua - .
Biannual (6 .S wt/2)
..-.
Bianzm&L
39
m - cALmDAR YEAR1973 - FW TAII P3CORIS.. .. .
—-
Tape- LJ3cstions
265-268..269-272”
273-276
277-2eil
.
281-2%
285-2$S
2e9-E92
233-’296
=97-W301-304
joj-~8
309-3L2
313-316
3+5-353
35&~62
363-371
372-380
38L-389
390-398
359-407
bo8-M.6
p- zP-
(based on a 12 raonthsrecall pesiai) .. .Quarter
Sedannqd
Annu=l
Biaam.al
Quarter
semiam?3Jal
Annual -
Bisnnual.
SemismualMm12iL
Biannual
mAii
,, .. . ‘, ’..
Recodes )j~t~i,lcod’s
h-s . . 77-79)m . 2
(chrs.&2+3)Ho ● 1
oi-lis.eG81)SICccd@-
01,07.,ex 0713
01. 01 017-019
02 027-028-. ..
.10 047-049 .
057 10 -1.!
067-069077
..20 04 15-17
—.
..-30
268-298
22 -307-318
319,327
-.
.--,
.. -
.-
—
32 23
I 107-10933 24 ‘
118
338,339
25
27
36
37
347”369
119-138
’28
32
..
..
38
39
1.39-M9
157-169
33
34
177-198
199-209
35
36
.
\
-2-
.- .. .. . ...- .— —-
Reccdes Detail
Cede1?0● 1
au-s . 83-81)Ho. 2
chs.82-tJ3)
o~
c)~ .
+2
. .
43
219-238 37
239-259299,328-337373-398
AX!. other anti uaspcif ied
(50-5?.)
-y)”
. (06)
06
06
407
408-429 41,4244-&7 -
cfxJKmIcAmoY “06 48447-449
467-4790553 49
65 50C7 WEouxf%m T!3AlE507-588
(07)
07
07
669
607-668677-69a
60-57
-3-
Re(
(Cis%n)ma
‘- &)
% “87
91
92
93’
94
55
k
No. 2{cb .8243)
(09)
09..
09
G9
09
%’
09
09
(10)
1.0
xl
10
1.1
Detailcode
779-798
727-748
749-759
807-809
828-848
857-869
769
777,778,849,877-89.7
907,917
927
937
997,999and allothercodes
996
NotApplicable
IN2USYKY TITLE
Smwrcss:
Medical and other healtlnEcrvices
Educational services
IGOVERI’MMT
Federalgovamwnt,iD.t~lT@CiGili!
a,=t‘~t~te ~o~-~m.-n
Lw9J government
m-mom rmwnr’1:
72.—..
’73 .
75,76
R’, 79.-.,
. . .
82384 .-
C* -
..-.
91,9$
.-
92
.-
Cede
01
02
03
04
05
06
07
08
0$)
la
u
12
Ins - 1973 ccMPurzR mxEss12?G
IdusGm Ek?co& Eo. 2 - Ti%ks
TITIE3
Agriculture
~Or’eSt~ and
Ccnstzmtiion
Fisheries
Hza@wtu-hg
Transportation and Public UbUties
Wholesaleand Retail M
Finance,‘x-urance,-md Real Estate
%ti.czs and Miscelhueous
PublicKministration
Unkm’vn
Hot “inTLaborForce -
RecodeHo. 1hclusicns
01
02
10
al
3-43
50-53
60-62
w
&l-87 ~
9+2
93,94
95
—.
!
—.
Occupation Recode Outline
DetailCode
(Chrs. 84-86)
-.Recodes
.- No. 1(Chrs. 87-88>
(01-06)
OCCUPATION TITLENo. 2
[Chrs. 89-90)
PROPESSIONti, TECHNICAL, ANDKINDRED WORKERS
. ,-”
0101 002,006-023
034-054,091-096
061-085
102-145
150-162
All othercodeso--,1--
Engineers and architects ---
02
’03
04
05
06
01 ,.Scientists
-. ;
Health workers—j
.:.-,J
Teachers, including college
Engineering and science technicians
AU other professional, technical,&d kindred workers
. .
—
—
07 02 201-245 Managers and administrators, —-except farm
-
260-285 Sales workers —’03
CLERICAL AND IZNDRED WOIUC?RS.-l
(11-15)
305 --— .“
04., -
04
04
11 “ Bookkeepers
Office machine operators.—.
-.
-- .
-—
..-
.-.
341-355
331,332,361,383
364-372376,391
Mail handlers, postal clerks,and telegraph messengers
Secretaries, stenographers,typists, and receptionists
04
15 04 All other clerical workersAll othercodes 3--
,-—.
—
---
-..
45
-2-
RecNo. 1
(Chrs. 87-88)
(20-24)
20
22
23
24
30
31
40
.50
51
(60-63)
60
61
62
63
64
70
No. 2
(Chrs.89-90
05
05
05
05
05
06
07
Oii
09
10
12
DetailCode
(Chrs.84-86)
415,416
410-412,42430,431,43440,510-51520-523,534,550,560
470-495
403,404,442,446,454,461,
462,502-50~514,533,535-540,561,562
All ochercodes 4--:5--
601-696
701-7M
740-785
801,802
821-824
901-903
910-916
921-954.
960-965
980-984
995
OCCUPATION TITLE
..
CRAFTSMEN AND KINDRED WORKERS.
Carpenters
Other construction crafcsmen
Mech&ics and repaimen
Metal craftsmen, except mechanics
All other craftsmen
Operatives, except transport
Transport equipment operatives
Laborers, except farm
Farmers and farm managers
Farm laborers and farm furemen
SERVICE WORKERS, EXCEPT PRIVATEHOUSEHOLD
Cleaning service
Food service
Health and personal service
Protective service
Private household workers
Occupation not reported, orunknown
46
.,
..
,.. . . ........ .. ....—
-3-
(Chrs.87-88] {Chrs.89-90)!(chrs.84-86jl .-.
80 13 990 New WOrkf2rS
1
.
90 14 Hot Codes O and 8 in currentactivityapplicable recode (Lot 161)
. .
.
..
—..
----
—-.,
--.,
,-.
.—
.- .’
—.
-
[. ..—.
—.
~,., —.
—.
-:
—.
..-.
.
---
.-
“47—
..
-.
Code
01
02
03
04
05
06
07
08
“m
10 -
11 “
12
13
14
HIs - 1~ COMWTER WCE&NG
Cccup~tion Recode No. Z - Titles
TITLES
Professional, technical, and kindred worlcers
Managers and administrators, except farm
Sales workers
Clerical and kindred workers
Craftsmen and kindred workers
Operatives, except transport
Transport equipment operatives
Laborers, except fam
Farmqrs and farm &anagers
Farm laborers and farm foremen
Service workers, except private household
Private household workers
UTlknown
Not in labor force
. ......
,,ecodeNo. 1’
,nclusions
01-06
07
10
11-15
20-24
30
312
40-
50
51
60-63
64
70,80
90
-—.-
. .
,
.-
49
aIEs.2
I!l..
IiE—cAImIMR YnR l;73~- FINAL mPE
outline of Rem and codes
moms
Condition Record (Recofi Type 3)-..... .......--, --------- ------- ..__.-,...~_.-. _
——_____ —.—--. ITunber;=R;c~rds = 51.~l-
.-.—-—___. .
TqeIncations
1
2
3-5
6-7
8+
m-u.
“12-13
BE-3
RE-s
HE-5
HK+
Item and C&es
SAMPLE - FmoDE OF Cmsus CODE1 ... Quzher 1, 19732 . . . @irter 2, 19733 ... Quarter3, S734 ● .* -er 4, 1973
YEAR OF COIU?3TIOliOF W
3 ● .* 1973 “7 -J... . -
I’S7J - ORIGIHAL CODE (Random Recode)
lmx-
01,02,03,04,05,06,07;0s,09,10,11,12,13,
C14?SUSCODE (Earfbersdwithia Saar@e Reccdc)
21, 4i, 6;1,81 ... 0122, 42, 62, 82 ... 0223, 43, 63, 83 ... 0324, [~, 64, ab,{except
25, 45, :65,35 ● *. 05;25, 46, 66, 86 ... 0627, 47,-”67,87 ... 0723, 48, 68, 89 ... 0829, 49, 69, 89 ... 0930, 5G, 70, 90 .** 1031, 51, 71, 91 ● ** 1132, 52, 72, 92 ... 1233, 53, 73, 93 ● .* 13
-------- .
Quarter 2} ● *9 04
“..”....,
sx24?m!mmER
Week plus Segaext Humber ikxbifies the Segmea+b
HowimioLDNUMBER
Rumbered within WI,.T-Week=Segm3nt
EERsxi mMEmR
56
...”.. .’.. ,...,-
\i
. ....
H19-cAmimRYzARlm -miAL!l!Am RRxxm
TapeIac.atians
ten lib. 3kutKklccda8
14-.
. 15-16
mum !rrIw (3)
REcoRDEmIALlmEER - ..-ii
Cmsm UxEK mram
01 .** 01, 21,02 ● ** 02, 22,03 . . . 03, 23,ok . . . 04, 24,
(Emibered YLth.ia EaqQe Recede)17-18 Recode
41,k?,43,44,45,46,I&,
49;5Q,
61,62,63,64,65,66,67,68,69,m,
8182838485t%
i.- ...
,- ?
OS ● .* 05, 25,06 . ..06. 26,q .** 07, q,08 ● .* 08, 20,
51Y ‘p.,52, ?%53, 739
Recode PRCCESSIN3 QUAKPER CO=
1 . . . eer 1, 19732 ... Quarter2, 1973
● . ● Quuter 3, 1973? ..e.@cter 4, 1973 .
—
. t“— -
---
.PRoczs31m rti3 ● .* 1973
PRCCESS~WEZK CORE (NumberedwitMn Prccess* Quarter)
KJ Rec&e
,,.-----
.-l23--22 Recede
censusIk4kQtr8.1,3,4
OX ● .*02 ..*03 ● *.04 ● . .05 ● *.06 ● **07 ● *.08 . . .09 ● *.10 **.
z :::13 .s.
Qtr.2
010304
.
01, 21, 41, 61, 8102, 22, 42, 62* 8203, 23, 43, 63, 8304, 24, 44, 64, 84
05, 25, 45, 65, 8506, 26, 46, 66, c%07, q, 47, 67, 8708, 28, 48, 68, 88W* =9? 49, e,. @10, w, %9 P9 w
-.
---
-.,
-—
05c%0708w10xi.3213
--
u; 31; 51;n; 91z, .32,52, 72, 9213; 33? 53; 73; 93
—
.,
,,Ers -
TapeI&cationB IItem Ho.
I
23-2’7
...
28
.
FICRecsu
RC Reca
c -3
-1973 -FnaLm2E
,.. .,-...........
,,...”, ,. ,”.... .. .
Rlmm
ltuMtuldcod4M
IBI!AJK
\
-.
. .
!l’Y2X OF Z’SU
O . . . The--31 Urge Self-rep=sentingS4SAts1 ... SmE - Self-representing
... SMSA - Honself-rqresenti.ng2 ● ● . zTon-S4SA- Self-represent@6 . . . Xon-SISA - ?Ionself-representing
?mIm
● ☛✎
✎ ✎ ✎
● ✎ ✎
● ✎☛
HotiheaatZIotihCentral
south -- . ..West
52
‘—
TapeL4xations
30-31...
C-4
tel?lHo. rt4M8aridcode8
TABllIATIOliARXA
Eleven HEE3‘Sections-
IiLank . . . Non-SeIf-2-ep r=sm~iwand self-representingother than 3k-6&
. --: “.-
.. --”
. . ... .. . . .$ ---- . . . . . . . . ..
--- -..
section~~Ats .
-1 —-. ——. - -. -_ -. .._ .,. J.. .,. ,.
-= --—. .-
Reccae Recode—.. —.
34
37383940
42
4344454647
48 “
Eo3-bn %Xew YorW PPhiladelphia 51Fittslmrgh 52I&troit 53chic3ge 54Cincinnati 55IasAngeles- %
Long BeachSax Rancisco- 57OaA.Md 58
Ealtimcme 59AtlantaEalffal.o aCleveland 61Mimeapolis- 62E%*pad. 63
Miwaukee 64
SHsA
.
KEulszm citySt.UxLisHouStoxzIkua. s.%aMngb3, mSeattle-Eve.*.* DiegoAm3heim+anta ha-GardenGrove
I’w4rliDe3merSan Ee.r?2zmmlo-
..,.-—
I.
.
—.. ._.,
—:I
RiYersiae-’cfLtazz2l
Imua2u3pQ3LsSaa Joserkw @leans_-St . PetersbvaPcmtlmd, ore.
~:..?.‘L
.-
...;--
.—.......—
—. . . .
......—
,-
....-
-.
—
.. ..53
-
,.
> —.- Tapebcations
32
33
34-35
- .-
36
. . . ... ............. .
km Hoe
Reccrd
Recode
Iteu9axm co&M
.
BLANK
GECGRUHIC IDZNTWICATIQN
1 . . .
2 **.
3 . . .
RLANK
,.-
as3A - EON-SEA mlmEacE
1 ● .* E3fsA2 . ● ● lion-94iA - XonfEam3 . . . Xon-S4SA - F=zrL
5&,
-.
YapeMat ions
37:
38-39
40-41 -
42
43
44
45.
‘G GHIs-cuzmA.RYMR1973- mHAL’laPE micmx
mm HO*
mI-8
HE-19
HH-15
HH-ti
Recode.
rtzcwwdc!odio
TWX OF LTUNG QUAKERS
1 ● .* HousingUnit2 ... Other
BLANK
.----- . .
mIZRVmER NWBER. (not e~~ed.)
NLM3ER 0? CA.TXS (not edited)
1-8 ● *. Number of CdJS9 ● ** 9+ callso ● .* Hot reperked “
TELEPHOHE (not edited)
.**
.**..0
● **
*.*
Yes - @loneHo or nonePhom, but no mmbe= lishedor numberrefusedIK if phone or refusedw-t reported
OBSERVED33TERWIXW (not edited)
1 . . . Yes2 ... Ho
bl ... lb-treported
1A% OF WEEK nimKYim ctxPIxmD1 ● **2 ● .*3 . . .k .*O5
6 :::7 ● 0*
8 .**
MondayTuesdayWednesday!rhUri3dayE%iaaySaturdaySundayunknown
..,-—.
. .
----
—.
- !’
—.
-[
. .
-,
-.”
—.
\
J’
-t(
-4’
—,I
.— -s
.,.. ..
—I
“d’
---
—.
.. -
._ .
-. .
-—
,.-.
-. .
.,. -
+7
49
-50 “
-
52
53-54
55-56
CAIZNMR
.. .,.. . . . .. .. . . . . . . .....
RECURX6 .
mm m.
EE-19. .
Q-
R2ccde
a.
Q3
Recode
IEGTli 0?’ 33TERYEW (not edited)
OQ1-~~ . . . Mnutesbl ... Not reported
I
TIME OF DAY OF INIU?RVIEJ (Beghdng ttie) (not eadited) “● ✎☛
● ☛☛
● ☛☛
9**
● **
6:01 a.m. - M:OC)12:oI_ ~.m. -6:006:01 p.m. -32:0012:01 a.m. - 6:COHot reptied
a.m. (nooEjP*M*y.n. (midnight)a.m.
RAcx (mm)
RACZ RZCC)DE .
1 ...White.-2 . . . OWer races
.1 ..* @.m2 . . . Rmde
CO . . . Ikder 1 ye~”0198 . . . s~le years
99 . . . *years
AGE.RECODE$1
01 ..* CQ-0402 .** 05-1403 .** 15-2404 .*. 25-3405 . . . 35-44CG● *. 45-5407 *.* 55-6408 ● . . 65-74w ● . . 75+
yearn
56
C4 “Yzm 1973 - FZMU WE
‘. ..’.: ;,,
Rxmm)s
.-
.“
i{-.HIs - c.uzmlR
J- .- -qLO— 1.”.
AGE FWcom ;;2
01 ... Ihder 6 years02 ..* 6-1603 ... 1?-2404 .0. 2~-sk05 ● .* 35-4406 . . . 45-5407 ● .* yj-6408 . . . 65-7409 ● ., 75, + .
57-N Recode
.
“AGE RECODE +3
“1 . . . “ilkkr“- 2 ... 15-44
3 . . . .454kk . . . 65+
59 ~eccde
gi”yezs
64) Q41 MARITAL STATUSUnder 17 yearsMarrted - SpousepresentwM!WedNever marriedDivorcedSepsmted~.f~ted- Snouseabsent
o ● **1 ● **23-:::
—-
.-.
-.
—.
---
EDUCMION OF61-62 @a INDIVDUAL-COAVLEIZEDX2ARS
lhder 17 years of agemm!l-4ye”=s ccmpleted5-? ye=s completed8 yens completed9-U years completed12years ccmpleted(high schcd grad.)lz-14ye=s ccnqleted15 years ccmpleted16 years ccmpleted(colJ.ege~.d-te)17+ years cmpleted (graduateschool)Unkno%nl .Not reported
.
01 .**’02 ● **.03 ● *.04 .*.
“05. ● **06 . . .
“07 .**08 . . .
“-09 ● **10 ● **
“U ● **12 ● **
..-.
. ...
.,
.
13 ● .*
. 57
,-
63.-
6445
66
‘~”-?EIS - CALENDAR YEE4i7. 1973 - FINALTAPERECORDS
C@aFiecciie
‘@i%
Q34a ~Recede
. .
-.
It- ad Cdcs
EDUCA’TIONOF ~JDIV33XIAL RECODE .
i ... Under.2 ... None
3 01-084::: (29-U5=● **6 i.. 13-157 S** 16+
17 years of age
(ihemry grduat e)(highSChCX31)
(high schoolgraduaie){coXLege)(collegegraduate+)
8 ● ●., Unknwn
EDWJATIOITOFDELu.L
..
02020304o~0607080910uu?13
● ✎☛
● ☛☛
● ☛☛
● ☛✎
● ☛☛
● ☛☛
● ☛☛
● ☛☛
● 9’*
● . .
● **
***
● **
FAMiLY HZAI) OR UNMZMED Dimrvmxu -
Uuder 17 years of ageNone1-4 years ccmpleted5-7 yefws coxpleie~8 years ccmpleted9-U years conpletedM? ye=s ccmpleted(high SCIIC02.grad.)13-lk yeems completed15 years comgleted16 yea-s ccmpleted(ccdJ.egegre.duete)1’7+years completed(graduateschool)u-rib-mmNot Reported .
DUCM”ION 07?-“EMD- RECODE
1 . . . Under l.~yeersof ege “..-2 . . . None3 ● ** 01+8 (ekuent~ graduate)4 .***09RIL (highschool) ~
““5-** X2 (highschoolgraduate)“ 6 ● . . 13-15 (college )
7 1.61+(college graduate+), 8 ::: ~mm” “.
“MORE’*-.
‘., .,-:
.
...
,.
E-fo. .
Tape!. Locations
Ituls and Ccd.es .-.
q’
o .**3. ● **2 ● **3 ● .*4 i..
Female or -ander 1’7 yeas of ageNonvet e ranPeac&i3ne onlyWorld Wer SWorld War 11
.’
Korean”War “Viet Nxn veteranTX if seinedin Axmd ForcesVA b“ war veteran
5 ● **6 ● **
. .
68-69 Q38
L.der $I,OCQ$l,COO-1,999
2,0ao”2, 9993,~-3,%942C00-4,999
01” . . .02 ● *.03 .**04 ● .*05 ● .*06 ● **07 .*.
.08 . . .09 ,**10 ● *.xi .ee
2.2 .**
.
n--J
5,@o-5,9996,000-6,5997@cQ+,999
1O,CUO-14,99915,0co-2k,999 \25,000 yUrlkaown
13 ....-7,
70 Q38Recode
[,--,.
Waler$3,000~$3,000-%939
5,0004,9997,000:9,999
10,000-14,99915,000. -f-unklown
“1 .*.-2 ● **3 ● **4 ● **
5 ● **6 9*.7 ● **
—..
-Y
i
-.4
. . ..
----
.
59.
-...
71-72
73
74
....”.... .
“?_/--/,E&- CALENiMRYEA 1973 - iUNAL !LVE R3CORDS . .
-
‘w FAMILY REIATIOHSHD
l’yne of R3.niI.y
& . . . Pr~muy individwl● **“Scccmdaxlyindividual
Primazz fail-y1; ::: Secondaryfmilies
Rektions’aiu-.
&
o
,- 1
. .2
34
56
● ☛☛
● ☛☛
98*
bO*
● *=
● .*
● **
● O*
Unrelated.LqdividuallivingHead of family or unrelatednot liviw alone -Wife (hus~md livingat be-ein Armed Forces)Wife (huslxmdJiving.et hau”in Armed Forces)Child of head or qmseGrandchildof head or spouseParent or head or spuseOther relative ..
F= KEWZOH~
. 1 ● *. Living2 ● ● . Living3 ● ** L$ving4 ●..- Living
done
individual
ead not
and iS
RECODE
donewith nonrel.ativeswith relatives- marrieiiwith rektives - other
USUAL Acmmrlf - “
5‘$
8*=
● ☛☛
● ☛☛
● ☛☛
● ☛✎
● ☛✍
● ☛✎
❞
Under 6 yezrsUsuaUy wmlsingKeepinghouse (feuile)Retired - Health (4S+ years)Going to schoolSomethingelXeUzlk310wnetj red, Other {45+vears)
tl~()~~l? -
60
. ‘.. . . . . .
L./z‘.. —
.- - - CALzNmfmYEAR 1973 - FINALTAPEtico%cs
75 CURRZNT! ACTIVITYDURIKGPAST 2 -S. .. .
0 ● ** Under 17 yeersVorked fi pa.+ 2 wee$sDid not work, has job, not on layoff=nd E&U lookingfor workDid not work, has.job, look~~ for workDid not T?Ork, haS job, On kyOff
Did not work, has job, on Layoff azdlooking-forworkDid not work, has job, uIIIlo*iniflookingOr oa layoffDid not work, no job, loakhg for workor on layoffNot in labor force (17+)
- -.. ..
L ● .*
2 ● **
+...● **
C13--
5 8*4 .....
m’ ‘/o ● .*
1 ● **
8 ● .*
--- .,
/-’
---
‘(->’
CIASS OF WORKSR ‘-[76
Privatepaia.J
Fedeml.Government .-...@her goverccent \Self-employed 1.-
Nongay .. ..Other (new worker)
--,/
Thknown or not reported i-...Not in Labor Force
INDUSTKiDW~UL CODE77-79 Q37zt,l)
017599 ... Code mmberBlank ... Not Empficable “
.- ,
.-d:
INDUSTRYRECODE No. 1-..
‘if!
&83. Recode--’
See Attachment
[ImmmY RHx3m No. 2 -/-82-83 Recode
See Attachment
..._84-86
,.Q37C OCCUPATIONDETAILCODE .
ool+g~ ● ** Code numberBLzmk ... Not applicable .
_,.
.,
,-
87-Es-.
91
9293
94
95-96
.. . . . ,..,.,:.,..... .. . .. ,
kcode I OCCWA’?IW RECOIH M). 2
R
(Q4-32)
R
RES?C2ENT
1 .**2 ● **3 ● **4 ..*5 .*.6&
● **9 ● **
Self eatirelySdt yartlySpotl.seMotherFatherOthe= fxle familymemberOther WM fmily r,enberOther -Hot regoz-ted
-. .
BIANK
.. ..
.. .
AGE OF RESFWtENT
1 . . . Umie2 23 years2 ● .* =-54 yea-s3 ,Oe 55-64 yeas ,4 ..* 65-74 YWS
5 ... 75+ years6 ... Uhhoun and Not repo&.ed
ACTUAL I’NKCLYSIZE .-”
00 .*. Wreiated tiditi-dmls .01-!-... F.an3.lysiEe
62
—
. .
,—‘Rqle
LGc13tlam
97--
98-I.00
lol-lJ32
103
104
1.05-N8
..““L”-i”+ .,
EE— C/waEARyg?bR 1973 -FINAL TKPEKEZOSM
tecl m.
Recode
c
enemte
C-3
c-g
C-3
-.A.
SIZE Oli’ FAMILYRX?X)DE
o .*. ihr-e Lated indi’mlduals1 .*. (he member
... 2 Eembers.: ... 3 members4 ... 4 members
Nom:-- Persbqs in the
. . . 5 members2 .** 6 members7 . . . 7 members8 . . . 8+members
krme~rces who are Iiv%.g .eluded in family size.
.<.. .
..
Q=3TIoR mMBER--II!HXS commmH
o ● ** G9” @1 ● ** Qlo2 *-* QM %?3 ● ** Q27 w’4
● ** w. “w.7 ● ** Dr. visit Dr. visit -8 ● ** GOxwtion -C!ozlaition.9 ● ● ● EoEQits3. IICxqitalx . . . Other Otherbl ... Hot reportedEat reported
Q9wGW7w-Dr. visitconditionEoEqitalotherk-t repat’ed
TOTAL CCMD~IONi FUR 5 P12?SXi
CERomymm CODE1 ● O* C!hronic2 ... Acute
Olism1 . . . mvedc2 ... Week before3 . ..2 WEASStQ3ECXSthS
‘4 . . . 3-12 months5 ● .O 12+mfxrths
.,-”,.. :;.-.:’.
----
i;
....
.—
-.. ,.
3
-.
-.
. .
-7.
“.-J
--l-.’
-..I
.. . ..
‘?.—
.. .
--, ”
-.. ..1
I
—.
-,
----
.. .
...-,
CONDITIOH- DIAGNOSTIC!CODE
ICM ~tiC
..
.
63
.. . .
. ..-.
C-15... ..,:
. .
~!I?qe
Iocaticms
log-m.-
U.2-U.5
u6-u.7
u8-u.9
3232-EL
123”124
X5
tellHo.
Recode
Recde
Recede
C-4,5
c-6
c-7,8
Person
DIMTOSIS KEWD13 M). 1
See Idstingsdated January lx. . .
DIAGNOSISRIXODE HO. 2
&e listings dated Jamary 19%. “
DL4GNOSISRECODENO. 3
See listingsdated January1969.
KBSTRKTEDACZYVXTYIMX3IX PAST2 IiEEU
0) . . . None01-14 ● . ● Nmiher of days
EEDIWSRTPAST2WIZKS
W . . . lf@e01-14 . . . Humber of dap
WORK OR SCZKX3LIM9 MYS 33E5TIF13R
1 .** &d.er 62 ● ** 6-M - schml3 ..* 17+ york
WORKOR S3KiULUSS DAYS33 PAST2 WEES
00 . . . Hone01-14-. ● ● Number of days
L13m!ATIoH
1 ..*2 ...
3 ● .O
4 *..
OF ACTIVITY(HEWS WTTK1+ CHRIMICCmmmms)
Canot ~.rfOm Umd. ActivityC-an~erfoxm 724but United in am.mtand kindCan perfom UA but Umited in outsideact ivit iesNot limited(in+x2bg unlmxn)
... . - .
64
,,.E.(L
m- cA.n’mRY2ARw?’3 -miALTAPERm2Em
-. .
Tapehat ions tell lb.
E&la
M5.’
DURATIONOF UKC3!ATIUHOF~=Person
Person =1 ● *O Months )2 ● ** Ye=s ) ifl-s chr.
unit
3 ● ** msm7n)bl ... Hot a-cable
Rlxmberof tits =
Oi)● *m Iesa than lmonth
227-K8 ‘ersoq
01+3 ● ** Numberof months or yema99 ..* Unk3wn
blbl ... “HA
CAUSE OF LM!3M!XOH OX’ACTIVZTX(CENX?ICcmDmoH)
3. . . . Main me2 ● .* Secondarycanse3 ● .* Not cause of limitationk -9* Hot limited5 ● -* Not [email protected] (acute condition)
130-134
“-135 C-2. D2CTOR SEEi
COZUKTIONS-PAST AARecode
1 . . . ?m2’torseee2 ... Mctor Hot Seen4 . . . Acute CWditions Not M AA
-.
“MORE”
.,
6S
.
—
. .
l!qeLocations
.“
137-138
139-141
142-143
144
:tea No ●
u.
12
13
148
Ita8zbzacdes
CON?XTIONSFRCM PROEEQl<
Treatment for ConditionDuringTast 12 Months
(EactorNot Seen)
01020304OS060708w10u.
● ✎☛
● ☛☛
● ☛✎
● ☛☛
● ✎☛
● ☛☛
9.9
● .*
9*.
● *.
● .-
h-es nothi3gMedicineTreSblent
RestmintMedicineand treatmentMedicineand restraintTreatmentand restraintMedicine,trefdment and restraint
Other~ and Not ~Orted
Not applicable- Dotior Seen
Jhterrd. BeforeSeeingDoctor (EOctor”Se&)
Uhit
12345678
● ☛☛
● ✎☛
● ☛☛
✎ ✎ ✎
● -9
● *8
● *O
● **
Number of Units
DiscmeredbyDxtor ........... #SSme day ..*e*****a*.*****e...**E3yE .........**........*.....”..01+m8Wedm ● ****. ***e* ***********mom* 01+8Months ......................... 01+8 ~Years . . . . . . . . . . . . . . . . . . . . . . . . . . 01-98Eor IIot~tied ............. WHot applicable(~ctorkt Seen) 00
..
hedmemt Prior to See@ Doctor (DoctorSeen - NotDiscoveredby Doctor
01 ... Yes-02 ● .* Ho
03 . . . IK or Hot reputed04 ● ** Hot apyldcable (EoctorNot Seen,
Discoveredhy Doctor)
Takes Medicineor TreatmentNow (~ctor Seen)
1234
. . . Yes● ** Xo..** X or Hot reported● .9 Hot agplicabie
~ Au loations from 137-148,.isnot@(4in~. 136).
152, 156-159
(Ecctor190t Se”al)
are MEds if sourceof condition
66
,.
TapeLocations
.- 145 ,.
,. 146
147
148
,..
x’scd%
- CA12NDARY’l%R 1973- FINAL WS RECORDS
ten No.
lkb
C-15
C-ii
C-17
C-17
,., . ,___
Items and codes---
J1
CONDITIONSFRQ4 PROHE ~-+~td —!
Medicine or ‘keatmeti Recczznecded by Ihctor
(Mctor Seen)
1 ● *. Yes2 ... No”3 . . . US or not rqorkd& ● .* lb-t applicable(Tkctor
medictieor treatqent)
Surgical Treatizent [DoctorSee3)
.-
Nd &en Or ILO. ..
--.
i
1 ● *O Yes
2 ● *, Ho3 . . . IX or not rqorted4 ● ** Hot agpicable (Doctor
EIospitaHzation (Dxtor Seen)
SaIae codes as Lceation 146
-;
\Hot Seen)
I&tor Visits in Past 12 Months (DoctorSeen)
UM.t
3 ● **
7..—
.. ..
Hone and-kmm nmiberof visits “Wknown and not repmkdNot a@icSble (Dxtor k-t Seen)
Number of Visits
Cco+g$ ● ** Nm&r of KLaitsif~tim.. .unhcmlm, mifgor~
--,
.i--’
-.,
1“- -i’
-- ;
.. .-
I’ocation 148 -..inbcatmtlks
.—.
--- .
--
..
~ Seepage C-17.67 ‘
>.
.Tape
Locations
-- 152-155
152
153-155
157
158
159
.. , ,,, .:-.IYf ?
Em - CAIZNDARYEAR 1973 - KDIALZAPE.RECORDS
ten No.
c-3.8
C-lga
C-UJb
19c,d
lge
Itemsand ~O&S
CONDITIONSFPiu4 PROBE C@-<ontd. YMys in Past E Mmths
UKlktloml C&”
1 . . . None and bum rmber of tisits2 ... U&mm andNat reyrted
Nwiberof llsys
OCQ-365
Frequencyof E!ather
1 ● .*2 ● **3 ● **4 ● **5 ● *96 ● e*
Never~ theOftezlOnce inotherIKj not
tiie
8 while
reprted
1“2
:“56
● ✎ ● N’evez’. . . Gre-t deal. ‘“..* Scme. . . Very little
● .* other● ** SK, not ZqQr&d
Status of Condition
1 . . . Yes2 .*. Cured3 ... tMer control4 ... Other,5 ... IXor not reported
k@h Of pm withCondition
1 *.*2 ● . .3 .**4 .*.5“.*.O6 ..*g ● ***..
9 ● 09
Less thaxl 1 month1-3months34 I&onths69 ~9-E?months1 year2+ yearsIx or not reportedNot applicable if #2 in chr.lfi
.
-.,.’-. .. :., .,
~ See page C-17.. 68
,.
—.c-a)
Y&m 1973HIs -
-~Tape
Lmatlom rtea 2?0. msmti cc&s
15i3. .
3muEm?s - QUEETIOHS22-24 FIXUD?
1 ● ** Hot fiJ2ed,adversemxytion2 6.. Hot filled,other injuries3 ● *O QEQ-24 filled‘D1... No injuries
C-3,20-24
.—
.-
U51...,.
c-3 FIRST IWJIU
1 ..?Yes2 .*. flo
m ● ** HO injuries
1
----
--
~
162 - INJURY K&WIRES HOQITALIUTIM
1 ... Te9”2 ● .* Ho
bl ... Ho injuries
~-MCIR3R VEHICIZ ~LVZD
1 ... Yea‘2 ..* Ho~< :::: ~yiw- @-24 not fled)Y
---i
. . i-—’
7i3.63
,.
c-24a
—!
i-_.
.—
c-24c
/
U54 IRnJRms “
1 ● **2 ● ..3 ● 00+ ● .*
bl ...
.-
---
..~-.
165 C-22 mnrRIFs - WiERE DID ACCIDEHT EAPH3
At bane - insideAt hcme - OtiuSi&
Street and my
IndustrialplaceSchoolPlace of retreationOtherIK, not reportedNo injuries
● ☛☛
☛☛☛
✎☛☛
✎☛☛
● ☛☛
☛☛☛
● ✎☛
● ☛☛
● ✎☛
✎☛✎
.,.-
---
.
----,
69
. .
.-..’ , .,
,.,. ,:,. . ,:
. . . ... . .:, -:
““~:L/m-cAImMRYzA.?.?lm -Fm4LTAPz Rmxx?m
.
Tapehat ions
366. .
167-x58
172-173
.174
.., ,,
175
176
c-a
Recode
c-2
c-lo
c-lo
Zt’a Maadcodtm
mJuRrEs-
1 ● **2 .**3 ● .*4 9*+5 ● **
bl . . ..-
WEKEYCN3AYWORK AT TIM OF ACCIEE5T
YesNoArmed ForcesUnder 17 at time of eccidentIK, Not reportedHo in$mies
mJuRIEs - cuss OF Acc3i$mTSee Attachment
IASTSXENBYIXCTOR
o . . .1 8**2 ● .*3 ● +04 ● **5 9**6 9067 ● O*8 9**9 9**
D-@ intervim weekPast 2 weeks2 weeks -6 mnths “@ner 6-E months1 Year2-4 yeara5+ Y==Ikmb3r seen - X whenIK (Tbctornot seen)IX if Ikxkr Seen
Ax3To FmDmAsPAFER-m FrEYx
1 . . . Yes ‘“2 ● .. ITo3X● ee4 ● ** waler 6 years of age or no eye condition
AELETOREAD N3WSPAPE R-RIGEI!EXE
1 . . . Yes2 ..* NO3=.**4 9** tider 6 years of qe or no eye coxviition
70
..’ , ,.
183.
182-183
U -a
m-cAumMRYaRlg73 -FEW L!I!APE
:tcm % ●
IEI-13Rec&e
EE-14Recede
P-2
. .
rt+E8aad codas
.-
To’IAL mcMs
1 ● ** ~22● **33● oe44● **5:● **6 ● *977● .,80● **
.. . .
-.
inofna. —rcunsrmis ....
rocms —.:
rouns9 ● **g+rmlls
...
...IXorHotreported .—
... Not a housingunit---
TcYr.AL mmERoFEEmxBfs0 . . . None “1 ..* lbdrocnl
2bedKKms; ::: 3 bedroans4 ● ** 4 bedrofans5 ..* 5bedrOcxns6 . ..61Mroans7 . . . 7bedmcazs8 . . . 8bedroas9 . . . g+ bedmxm
---!
.-
---
..._
---
. . . UC or Hot rqorted ---
... Hot a housingunit -..
FAMmi
0102030405060?08w10
S’rRucrum
● ☛☛
● ☛☛
● ☛☛
● ☛☛
● ☛☛
● ☛☛
● *m
● **
. . .
● **
E&h parents,no otherMother onlyFatheronQ%th parentsand otherMother =a @her dd.tFatherazidotheradult
adult s
.-
. .
-..
adult ZYLaiive
relativerelative
Ho parent, but one tit relativeNoparent,btiMO ormoreadult relatiyesOtherNot qplicable, 25+ yeas and/or everMed
-. . .. +“.,,.’””
c-23
.
‘@eIacat iom3
184
18s-M7
M8-192
3.93-198
199-2CXI
..
:tul 30.
P-32
-“
rta!uamicedus
IEAEqI sIL4m
1 ● .* E@lent “2 .** God
3 .** fib4 . . . Poor5 .*. unknown
: .. ... .-:.:.........:.:..
FIHAL IASICW31GEI’ (XXXCL)
6.5 WHEH2(E’IHALEMIC WEIGHTX 6.5) (XZCCCX)
‘MORE”
. .
7’2
—.—
. .
...-
----;
---
,..-
.—i
. .. .
—
I.-
..--!
‘G- z~m - CAIaRIR Y2wR 1973
(Note-FniALm?EFmxIm
:--AU It- h Locatiom 2CO+ are in binary fomat.)
Ite=aticcaas
I MSIC WEIGET
Tapehat ions
-. 2ol-2rA
2Q5-zQ8
209-.222
213-216
semiannual (*L/2)
Jbnud (“*/k)
Biannual.(wt/8)
6.5 WIHGET
‘2L7-22?2 ~er, Semiannual andknnnd
Biannual (wt/2) “ “ ‘221.-22A
W31Gfi:PJ13 ]~J?~~~ O“F HIS TRIC T3ZI NXPJ~ DAYS F03 .?--—
GH?3N HZRIOD (“msed on 2--weekrecall.peri.cd)---- .. ___......_._.._ __...——..—-... ..------.-..--—.--——Quaz-kr, Semiannual, Annti” ‘–” - ‘“”225-228
223:232 Biannual
?iiIWTZZDKMEE!R OF BZD DAYS FOR A GEJZN PERIOD..
-__.(based.on.2:we.ekr.~cag~er~.od)..______ —....-—-— —Quarter, S%?dm.nml, AnnUa3.
Btannaal
—-
----73-281 .82-z90
233-236
237-2h0
773IC-IHYEO) NZ77uR OF WOR@ SCHOOL LCSS ILLYIbFOR A C-~lZNF3310D (based on 2-week rsc?-Q merkd) .—.— .—— .-——. —------ .-... --------. ......-—-—.--—..-.-.—— .————___
Qnartxr, SeKLannUa.1.,Annual
-—
.-—
___
—-
—
.- .
---
.
.._
---
241-2W+
245-248 Biannual --> . .
WIC-HT2D MuTER. Of’DOCTOR VZ5iTS F03’.A GIVZli23HZOD(lEsd. on a ~ cmtbs r=:+ P:+~!) .._. - _ --— ---- _____._ ----..-.
Quarter2@-252 . @9-3~7
p8-326
327:335336-344
253-256
257-*
%1-+4
Sed.annual
Annual
RLaimud
!EIGHT3D Xiu71#EZROF BED D.AY3FOR A GIV’HT7?3:KCD.
,~oased on a U mnths recall period) .-. ._ .......Q=@e=si!zniaxlxlual.
26j-268269-272
273+76277-2&)
3$5-3533+362
363-371
372-380 Biannual. ..
281-32n 381-ML.
462-464
,.AttaC-t to KLnzU.CoxWLtzonHecoru ‘-
_,,.
HIS -1973 Caw- mocEssm
Descriptionof Class of AccidentJCode.-
The three-digit(X.aSS of AccidentC&e describedh detailbelou cksifies
accidentsas follows:
!I!otal Motor VehicleAccidents=
Moving MotorVehicleAccidents=
Wnmoving Motor Vehicle
Cedes 1 and 2 in fimh digit of recede
Code 1 in
Code 2 b
Codelti
mdelin
first digit of recode
firsttMgit of recode
seconddigit of recode -
Accide.d s =
Work Accidezts s
Home Accidents =
Total
Total third digit of recode
Ckss of AccidentRecode
Loc. 169-171 Description
motor vehicle - at work - at hom3Mov5ng
MoviRghene
Milvinghcale
MomLn.ghaze
MO*
a%
at
at
U-2 motor vehicle- at work - not--*reet or highway
IL3 motor vehicle-- not on Szeet
motor vehicle-- not on street
motor vehicle-
at work - notcmhighway
not at workor highway
no+ at work
121 .
not ~-+
not
at tie - on streetor highway
223 [email protected] motor vehicle- not at workat Imme
ITonmcm.ng
I?onmmat hcm.e
- not bn streetor Id.ghuay
motor vehicle- at work - at hczue
motor vehicle- at work - not
.
Nmoving motor vehicle- not .d work -at hczne
74
.—
-2”
Attaclunentto Final.ConditionRecord--Contd.
—
. . Class of AccidentRecode
bC. 169-in.— ,
-,D!3scrqkiorl
motor vehicle- not st work -not at home .
veticle- d work - at home.. ...’
3U.
312
Nonmotor
vehicle - at %-ork- not atNonmotorhome ..
321
322
vehicle - not at work - at hme
vehicle - not at work - not at
Mxnotor—
@nmotorkz!?e
4CQ Injured In Am@ Forces—.
Therepsubicmisadventure-,. .J
6U0..
nljwy Condition - NoTabk A
.
““1;J
.—if
-.
. --
..
-—
..
.—
.—-
—
.
’75
..
;—.
Esa
. .
.
.
ii!l7&-_.
-ei.
2.
??%3
Iiss - CAIZmMR YELRH:973 “FmAL!rAm RECuECs
OuGUne of Itexs and Codes
HospitalRecord (RecordTpe 4)
-...—.-—-——-—- _______ .. ___ ______ ______ _, ---- -_, .--— .-— .. -. .._ ..-.. ._ -a___~T~J1~~~ 0: 7j~cDi--S 16.i~~ :“_
.~Tape
Lacations
1
2
3-5
6-T
1O-XL
M-13
HE-3 ‘
m-5
EK-5
EH-5
Itemsand h%es
SAMPLE - RECODE OF
1 . . . Cwrkr2 ... Quzher
3 . . . Quarter4 ..s -=
Cmsus COEE
u ~9732, 19733, 19734, 1973
Y3?AR OF CCEJXCTIOEOF MI!A
3 ● ** 1973.,
mu “ ORIG- COTJE ( R2ndoIII Records )
wzmc- CxHsm COIE (maered tithin Seade Recede) “.- _.. ..-— —.- —-—--
01, 21, 41,02, 22, 42,03, 23, 43,04, 24, 44,05, 25, 45,06, 26, 46,07, 27, 47,08, 28, 48,
61, 81 . . . 0162, 82 . . . 0263, 83 . . . 0364,’ 84,(except Quar~er 2)65, 85 . . . 0566, 86 . . . 0667, 87 . . . 0768, 88 . . . 08
● m* 04
. .09, 29, 49,-69, 89 ... 09m, 30, 50, 70, 90 ● ** 1011, 31, 51, 71, 91 ,0. 1112, 32, 52, 72, 92 ... 1213, 33, 53, 73, 93 ● .* 13
~mmER
Week plu Se~nt limber identifies the Sf3gpent
Eousiwm) ImE?ER
?fumhered%fithiaPSU-lkee~
.- ... .,.
- CALEH?XR YIMR 1973 - FINAL TAPE RWXES:’
Ens
‘l@e
kcations Item and CQC353
14
-.u-16
I RECORDTYm (4)
RXCO.F5 SERIAL NUW3ER..=
CEXSUS WEEK RXCODE (Nmbered within Smple Recode)3ecode
01020304050607080910U.3213
. . . 01,● ** 02,● .. 03,.** ol&,
a,22,23,24,25,26,8,
dso,31,32,33,
h, 61, 8142, 62, 8243, 63, 8344, 64, 8445, 65, 8546, 66, 8547, 67, 87M, 68, M49, 69, @
.-
(exce~i C@It~r 2) .-.● ☛✎ 05;. . . c6,
.-. ...
..,,● .. 07;... 08,● ** 09,● .* 10,.*. U,*.. 12,● ** 13,
5L ‘n, 9152, 72, 92
.- ...
53? 73, 93
PRWESSmG QU7LHZIRCODE19●
Recode
1 . . . C&a.rter 1, 19732 ... Quarter 2, 19733 ... Quarter 3, 19734 ● .* Quarter 4, 1973 “
23
.—
21”22
Recode “ PRCCIZSSWGY224R-.
3 ..* 1973 -,
Recode PXCESSEG WEEK CODE (Nmbered withtiProcess@= Qwrterj
.- .
Census Week ....Qtrs.1,3,4 Qtr.2
010304
0506070809.10U1213
8182
01, 21, 41, 61,02, 22, 42, 62,03, ,23,43, 63,04, 24, 44, 64,05, 25, 45, 65)06, 26, 46, 66,07, q> 472 67~08, 28, 48, 68,0$),S, 49) 693
01020304050607080910
“U.E
● ☛☛
✎☛✎
✎☛☛
✎ ✎ ✎
✎✎☛
● ✎☛
✎☛☛
● ☛☛
● *O
. . .
. . .
. . .
.**
87 ..
88@9919293
10, 30, 50, ‘P>n, 31, 51, 71,12, 32, 52, 72,13, 33, 53, 73?13.
78
TapeI,ocatmns
-.
23-27
- ... ____“..-_
28
CALE3M.R
.. =-j
Y-Em 1973 -FRzfiLTAPERmoRls
te?n no. Items and Codes
L
1i BIANIK
3C Recoz
. . —— .-— ——— .—. ... .... .. . - -. ... . . .-
0-1346
● ✎☛
✎ ✎ ✎
✎ ✎ ✎
● ✎ ✎
☛✎✎
The 31 Iaz-geSelf-represent&uES{SAtsSNiA - Self-representing~,{~ . ~~onself-repre=enfi%~
lion-SMSA- Self-representingXon-SM3A - Non6eE-represeating
1 . . . Northeast2
........-.-.—... .. . ..-.—... North Central —-.. —- -. -~-
3 .*. South4 ... Vest
.—— .—. —-—-----------
79
TapI.acations
30-31-.
,. .. . .. :.:.::... . .. . ,’ ... ‘. .-, -,., . . Q.;::
w ---1
HIS- CALENMRYZAR1973-FEIAL!WE RECfXDS
:te?nHo ●
C Record
-—
Item and Codtm
---
‘IAHJIATIONA.RXA
Eleven NUTSSections.—
.\.
.. .
Recc&e
34
3536
3738
29b41
42
4344454647
48
Kknk .*. Non-seb”-representing sectionsand sel.ff-reyesentingSMSA’Sother than 34-64
. .SMSA
. .
BostonNew York*phfiadeQhiaPittsburgh-DetroitChicago=Cincinpa5iLos Angeles-.Long Ikach -San Fr5!5!cisco-03kland
BaitimoreAtlantaBuffaloCleveland14inneqoLb-
St. Pml.1Milwaukee
Recode
kg
%5152
5354
5556
5758
59
6061626364
- -.
--!
—.
—.
,.-—’
SMSA .-.:Xfnls.ascityEt. LapsHousic%DauasWashington, “KSeattle-EverettSan DiegoAnahei..m+anta &a-Ga.z-5enGrcr,-e
MiamiIkmvera i!ernz>di>o-Riverside-Cni=-ic
Ir.ldianepoE~San JoselTev OrLeem
—.
.—
—
---
---
—
—
Tampa-St.Peters-cuz-gPortMnd, Ore. —
* NortheasternNew Jersey ConsolidatedPJ+es* NorthwesternIndiana CoasoMlated Area .—.
.—%nUu
.-
‘rapLocatbns
32..
33
..
34.35
36
.-
/-f-.5-HIS - cALmIARYmR 1973- FZNAL TAPE RECORDS
-+
[tea Ho.
3ecode
,. ..-.
Item and Codas . .
HANK
.. . .
~eg~raptic Identification
1 . . .
2 ...
3 ...
2
3
- ITON-SMM.RZ’SDENCE
● ✎ ✎
✎☛✎
✎ ✎ ✎
SXSA .
Non-sMsA
~Ton-s~&5..
“.140RE”
..-. ..’ =.. ... . . .
H-6—
. .
HIs-cAmmA.R Yi2iMR1973-lnmLmm REmm.—
.~Tape
Locations
b *
tall m) ●
mi-fl
mExs & codes
37:.
TYPE OF LIVING QLURTERS . .
1 e’. ● Housing unit2 ... Other .-
. ..-.4
38-39 KK-2 BLANK
-7I
_-i.,
IRI’ERVEWZR NUMBER (Notedited)EH”174Q-41
42
..,-.,.1
.-
NU4EER 05’CAUS (Not edited)
1-8 ● ** Nud)er of Caus9 ●..9+ CSUSo ● ** Hot reported
I
.—
TEEEPIZONE(Not’edited)Yes - phones-
23
9m
No -ornoneIWne, but no numberlisted or nuderrefusedIX if phone or refusedNot reported
-—
----
44 ER-16 OBSERVED IN’TE’EWE14 (Not edited)
1 ... Yes2 .** No
bl ... Hot repotied
—..
.
WEEK E?TERvmI cc31PLErEDRecode DAY OF123k
NomlayTuesdayWednesdayThursdayFridaySaturdaySundayUnknown
● ☛☛
● ☛☛
s..
**.
● .*
.**
● O*
.**
5678
—
82
.“
E-7. . . .
HIs - CALENT!AR YEAR 1973 - I?IIWL ‘EWE R=Qm
Tapeticntions
46-48 1
lL9
. .
51
52
53-54
55”56
:t en 170.
HE-19
a.
Recode
Q1
Q3
Recode
It- and Codes
I.ENGTE OF IXTERVIW (lTot edited)
001-999 . . . Minutesbl ... Not repotied
TI141?lOF MY OF’?ZWEYZEH?(Eegh&” time) (]Tote~ite~)
1 ● *. 6:01 a.m. - 12:00 a.m. (noon)2 ... 12:01p.m. - 6:m P.M.3 ● *. 6:oi p.m. - 12:00 p ●n. (EMrl@’t)4 . . . E:OI a.iz. - 6:c0 a.m.
bl ... Not T~Otid
RACE (DE2HL)
1 ... Waite2 ... Negio3 . ● ● Othgr
FACE IWCOD3
1 . . . White2 ... OWer races
.,
1 . . . Jkle
2 ● .O Female
Am
Under 1 year01-% ::: Singleyears
99 ● .* gg+yea?s “.
, 01 ● *. 0044 yezc-s02 . . . 05-1403 ..6 15-2404 . . . 25-34o~ . . . 35-4406 . . . 45-5407 .** 55-6408 . . . 65++09 . . . 75+
.
83
..
+-$IDS - CAIZHMR YZAR 1973 - FINAL ‘EWE RECORDS
57-58. .
..
59
60
..
:t cl lb .
Recode
Recode
Q41
c@a
AGE RECODE 7“2
01 ... Under 6 years02 ..* 6-1603 . . . 17-2404 ● ** 25-sb-05 ● ** 35-4406 . . . 45-5407 ● ** 55-Q08 ● *. 65--[409 ● ** 75 +
AGERECODE+3
1 . . . Under. 2 ... 15-44
3 45-644 ::: 65+
mRImL EZATUS .,
0 ... Under 17 years1 ... Mkrried - Spouse preseat2 Wldoved:::: Nwer mrried
... Divorced‘ep=+e~ S~~u~e absent~ ::: ~imteaJ.-
EDUCATIOI{OF
01 . . .02 ● **
-.,03 .*.04 ● **05 .**06 . . .07 ● .*08 . . .09 ..*10 . . .SL ● .*12 ● .*13 ● 00
rmrmxm-co:.mmm mm
Under 17 years of qe .None1-4 yeazzscompleted5-? years completed8 yeazzscompleted9-IL years ccmpleted12 years cqleted (high school gad. )
13-14 yems ccmpieted15 years completed16 year= ccqleted (collegegraduate)17+ye.arscczpleted(graduatecchcol}up-~o**~ .Not reported
.,- .. .....
....
-—
—--,
—.I
.- .
I—:
-1-J
—-,
.,—.
...-.
___
84 —..
-.
63
64-65
t+--7KIS - CALEMMR YEA-R 2973 - FINAL TAH RiCORDS
c@aecode
EDUCATION OF INDIYIDU.LHECODE .
1.. 2
3., 4
78
... Under
... None● ** 01-08● ** 09-IJ.● ** 12● ● . ;~p.**
17 years of age
(elementarygraduate)(high school)(hi@n school graduate)(college)(college gm.due.te+)
EDUCATION CFDEL41L
010203ok050607
. 0809loXLX213
● *O
● 00
● **
● *.
● .-
● *O
● **
● **
.**
● **
● **
● O*
..*
FAM-LY KEAD OR UHREIATZD32~iVDU.X -
Under 1? years of age -lione1-4 years cozrpleted5-79years ccmpkted8 yezirs cczqleted9-IL years ccmple$ed12 years ccmpleted(highschool grad. )13-14 yeazzsccripleted .1> yea-s Cc?npleied16 years ccmpleted(colkgc gr~dwte )17+ yeus ccmpleted (graduate schcol)MkrloTmNot Reported
E)UCM’IONOF
1 ...2 ● *-3 ● .*4 ● **
t?:::7 ● .*8 ● *O
END - RECODE
under 17 year-s of cge
09-H, (high sckd)12 (’highschool graduate)13-15 (college>16+ (co~ege graduate +)UTIkIloml
l:Mo~~ll”
85
HIS - CALENDARrLIm 1973 - FIXAL ‘BJ?ER.ECO.ECS
Tape‘Lacations
67
. .
,
Item ITO .
Q38
q38Recode
o ● **1 ● **2 ● *.3 ● **4 ● **5 ● **
6 ● O.
7 ● **8 ● **
l?e..ale or unite:27 year,sof ageHonveteranF’caceth? ofiJWcrld War IWorld War IIKorea VuViet IiamvetermDK if served h .kmdIX jf war vete_mn
Forces
● ✎☛ Waler $1,COO
● . . $1,000-1,999. . ● 2,000-2,999..● 3,000-3,939● ** 4,CQQ-4,999● ** 5JO00-5;999● ** 6,cc0-6,959● ** 7,W0-9,9?9W**10,Cco-14,999● .* 15,’000-2~,g99● ** 25,cca +● .. THSm-m
01020304050607080910IL1213 .*. Not Reported
● ✎ ✎
✎☛✎
● ☛✎
✎ ✎ ✎
● ☛☛
● ✎ ✎
● ✎ ✎
Ikkiei$3,COO$3,cm-$,9995,CC04,9997,cca-9,999lo)cGo-14,999- .15,CC0+Unklolm
“MORE
1
-— .,
I.
‘1.:
--,
-
-.-J
i—;
—
——
—-
73
p-/[E?is- CAENDA.RYmR 1973 - FINALWE RECOFI)S
w
,. ..-.
FAMILY RELATIONSHIP.
& ● +. Pr&w.& individ=l● *9“Secon~ individual
o ● 9* wfJ?.?L3.ryfa?lily1-9 ● *. S&candaryfmilies
Relaticnshiu
& .**o ● **
1 ● *e
2 ● ee
3 .+*4
~~ 5 :::6 ● **
W.related individus.1livingal.cneHead of feaiQ or unrelatedindividual “not livingalone -Wife (husbandliving at hue and notin tied Forces)Wife {husbandliving.at home and isin A~rmedForces)~.ild of head or s&eGr-andchildof,kkad or spouseParent of head or spouseOther relative
o ,..1 ● .*23 :::4 ● **
UsuaIly%*orkiM~Keepinghouse (femalejRetired - Ee=Jth (45+ years)Goiw to SChOO~
5“ ● .*6 ● **
87
.—
TapeIacctions
75-.
.
76
77-79
ti-81
82-83
-84-86
,’
-~.t>
~ - CALZNDU YziYR 1973 - FINALTAPEREC(RES
—
4
. .
Q36
Q376
Recode
Recode
Q3?c
t
CURRENT ACTIVITY DURING PAST 2 WEMS
CE
UE
o ● . .-L .**
$....**
5 ● *.
6 ● **
8 ● ✎☛
Under”27 yearsWorked in yast 2 weeksDid notand notDid notDid notDid notlookingDid notlook+ingDid not
work, has $ok, not on kyofflook%= for workwork, has jo’o,work, ha-sjo’o,work, has job,for workwork,’ has job,or on layoffwork, no job, lookirg fcr work—
or on layoff-Not in bbor force (17+)
CUSS OX’ liCRSZR
1 . . . Fr~vate paid2 ... Federal Government3 . . . Other governmentk“... SAf-e.nployed5 ● ● . Nozpay6 ● ** Other (new worker)7 ... Unknown or not .rqorted8 . . . Not in Iabcr Force
017-39 ● ., Code nl_m.berBLmk ...”Not applicable
mDusTRY PZCODENO● 1
See Attachment
~iDUH?RYRECODE NO. 2 “
See Attachment
0CCL7ATIOHDETAIL CODE
001-995 ... Code nunberBlank ... Not applicable
88
—
L --
.-.
----
--
. . . .
, ,
TapeLacations
87-88-.
91
92-93
94
95-96
HIS - cALEmAR
;a?l I’70.
lecode
R
(Qb32) -
R
... .
H-13
YEAR 1973 - F3XAL TAPE RECORDS
,.. .. . . .-
I-tem and codes
CCCWJA’210NR3CODE NO. 1
See At%chmnt
GCCUWM!ION mom No ● 2
See Attac&@ent
REs?02mmT
7 ● **8 ● **9 *.*
“I&Qii
AGE OF RESPONEN!
.
1 ● ** Wider 20 years2 ● *. ~-~k years
3 ● ** 55-64 years4 ● ** 65-74 years
... 75+ yea-s2 . . . L?dcIownand I?otrepozted
kxmrat ed ACTUAL FfMILY SIZE “
00 .** Unrelated jmdividuals01+. ”.. I’e.milysize
89
Er3 “CAE?mRYEARlg73 -FxmL!!xE%RxmRm
TapeMat ions
97. .
9899 .
1OO-ID1
102
tem Ho.
Recode
E-3
Recode
SEZ3 OF FAMILY KECOD2
o *.. Unrelated individuals1 ... One member ... 5 membe~s2 ... 2 members z ... 6 mezicers
... 3 members 7 . . . 7 men-cers: ... 4 mem”oers 8 . . . 8+ mez-aers/
SHOKP-EZIX HOSPD!ALEPISOIJXmJMExR
TYPE OF SERVICE
01020304C60708w10XL32@w
93
94
959899
● ☛☛
✎☛✎
✎✎☛
● *S
● *.
● .*
..*
● .*
● . .
● **
● .*
. . .
● . .
● *4
..*
..*
● .*
● *.
GeneralPsychiatricTuhercuksisMatmlityEkr, Eye, Nose and ThroatChildren’sOz%hcpedicCont~iou9 DiseaseChronicDiseaseHospital.Depmtment of InstitutionAU. otherIn index,mknown typeTX (ent~ of IX for hospitalname or not
-;reported)Hospitalizedin ForeignCountq - lb-tin indexl%rsi.ngpersonal,s-cddomiciliarycarehmesNursinghome, assumedfrm titleOsteopathicHot identifiedas a hospital- Nat in
FWODE IK)R
1 ● **
2 ● **
3 ● O*
TY13 OF SERYICE
Short-stayIIospital(Codes01, 04, 06,07, u, w, X, 98, gg)bIICJ-St&y Hoq)it~ (fkdes02, 03, 08,w, ~, =, 94, 95)mt la lade% (code 93)
—,
,’
——
.-
.
-,
-- .!
i.;
,—
i—-,
!
“’.-i
-i
-.1
—,1t
-. -
—-.
---
,---
. . . .i
—-
..
—.
.-
—
$0’
-—
.
TapeLoce.tiorls
.. 1o3-1o4
H-Q
m - CAIWDAR m 19’73- F3N4LW- R=ORDS
tea No.
H-3
Items and. codes
Tm3 or
● W*
● **
4*4
● **
● **
GmERsEn
Governmental,nonfede.A
12 ● **13 ● ..14 ● **
stateCatycityCity-camtyEm-pita aist-ad.
HOIQrafit
23.”... Church opereted or23 . . . Othernoqmoftt24 ●,.● Xoqmf’i%, NW
Imprie-txry .
31 ● **Individual.32 ● *● Ru@e’rship
reet ed
33 ● ** Ccqoration (profit)34 ... Ruprietary, NW
Gove.rmerrt, Federed.
41 ... Air Fgrce5161 :::z62 ● **I@arheat of‘n ● ● 0 mimic L“d*h
Defense,Serdce
.,, .
..: ,
Ng-s
81 ... VetersasAhinistntion91 ●.:-.Otherfedeq=l.
959899
● O.
● **
● *O
● **
..*
● **
In tide-., mimmrt .t~e or not rqorted)DK (errtry of DK for hosmital ume ~Eoqklized in Foreign-Country-Not fin*xumhg hme, esswnedfrcxatitleOsteopathicNot idembifiedas a hospital -Hot in tidex
“MORE”
22242. . 105-u6
m7-Io8
log-m
n-u*-[6
—-
EIs-cAIzmm YzAR 1973 -FIz?ALTAm Rxaax I
Item Ho.
II-2
1“
FE-4
U5-ZL6 Gmemt e
f!
u7-119 I H-5
EATS OF ADiESiC)?i..-.
l+ior.itll
01 ● **02 ● **03 .**04 . . .05 ● . .06 ● **07 ● .*08 . . .09 . . .u ● **xl . . .12 ● *O
~
01-31
Year
62 . . .63 . . .64 . . .65 . . .6667 :::68 . . .
J.mzuKcYFebmaryM3rchA@lMyJuaeJulyAugustSe@mberOctoberNovemberDecember
15%71968
69 . ..196970 ● ** Igp71 ● .* 1X172 . . . 197273 ●* ● 197374 ● ● .1974
—.
.. ...
--—
.,- .-,
---:
—
-—!’
-.
‘rvML NiGms niEOSPITAL —Oool+$gg ● .* Nights
—
“mmERoF mEmm PAsr2’mim (7)—
CQ-14 . . . Ewiberof nights —
NUKELZROF IKKXES IK PAST 12 MONIES (E) .-000-55 . . . Number ot nights
EOSPITAL DIAGNOSTICCODE .-
IC3M mbric
—
92
—
—
~ Tapebcaticns
124-126
. .
127-128
129
130-131
132-133
134-135
136
137-140
141-144
145
4-17HIS - CALamAll Y2mR19’73 - FINAL T&F’&B.%XORDS
.,
Item NO.
Recode
Recode
H-7
H-7
H-7
H:7
Generated
Generated
Generated
Items =d Cedes
DIAGNOSISRECODE NO, 1
See January 1969 I&sting of Codes
DIAGNOSISRECObE HO. 4’
See January 1969 Listing of Codes,.
BLANK
OPEMTION NO, 1
See Medical Coding Manual, Appendix II
See.Medical Coding Manual, Appendix II
See kkdical Coding Manual, Appeniix 11
SURGICALLYT2EATED
o . . . No operation, unknuun if operation1 ... Operation, this diagnosis2 ... Operation, not this diagnosis
HWERWAL VALUE FOR DATE OF INMWIEW(C)
&32+@ . . . Value99999 ... unknown
NUMERICAL VALUE OF DATE OF AD~SSION (A)
000 143e9 . . . Date values
A- RECODE
1 . . . Admission in past 2 weeks2 Admission 2 weeks to a year ago
. 3 ::: Admission prior to past 12 months“4 ... Unknown (invalid date)
93
E-M .
Em -CuaEARY2xR 1973 -FmLL’I!#ERFxnus
..
;e!l Ho. It%stLEacQde!sTape
MC&ions.-..
.1
. . 146-149 DERrvEDr!AT20Fs)ISCEAFGli (D)
3621-43t39 . . . ValuesS999 ● ** --
?nemte{
150-152 merat et J - VALUE
Values oi’ W.nus COl, Plus CCO-b&999 ● =* ~-
-
-.<
153 J - RECODE -- .4
—..
still in hospital
Discbrges p3st 2 We-&sDischargesin past 2 wedcs~ mcmths .Disaes in 6-E mnths ago .-
0 ..0
1 ● **2 ● ..3 ● **
..l
- .’
—
.-ia
QUESTION N.BIEER .’
1 . . . Q282
● ** Qa3 ● **w4 ● ● ● Hoqlitd.5 ... Other
—,,, ,
—’
QX)-26a LIMITATIONOF A6TXVTLY (PmSmS mm 1+ CmmIc155Cmmxolfs)
Cannot petiom UsualActivityCal perfomllUA but limitedinand kindCan perfom W bti limited in
8ct ivities
-—
- .-,1 ● . .2 ...
3“.**
4 .*.Hot limited(in+.udmg.UKlklmm)—..
-----
.
----- . . . .
...
‘MORE”
—-
94 .—
,,
E-19,..
!LlqeIixations
.“Ei22i156
157-158
159-179
WI
181
KIs - Ck?xrAR
:tea Ho ●
U7
HE-13
Im-14
nAR 1973 -FIziALmm
DURATIONOF LI14rlN!rION OF MTTVI?Y
unit-l ● . . Months
2 ... Years b if 1-3 Cti. 1553 ● ** mknown>
U . . . Not appMcable (no cc)
MnEber of units
m ● .* Less than
01-$m . . . Nmuber of
99 ● .* Udmownblbl . . . NA
1 nml-thlmdas or yeers
ToTALRmMs
1 ● **2 ● *O3 ● **4 ● **
7 ● .O
: :::
-.**
XLank ..*
2 rouns
3~4 rums5rm21s6rouns?rcmlsarouusg+rmnaX or 190treportedHot a bus++ unit
TVCUNUXEER OF EEDRCCMS
o ● 09
1 ● **2 ● **
5 ● **6 ● .-7 *.*8 ● **9 ● e&
Blank :::
Nose1 bedrcuu2 hedmcms3 12edroms4bedrmns5 kdrocms6 bedrocms7 bedrcuns8bedmcms9+ bedrocinsIx or m’t repoiteaNot a hous~ unit
95
TqeLccat icmsI
182-187
188-192
193-198
1~-m
E--a—.
m-cAE2iMRY’3ARlm -m3ALm23~
tem Ho.
.
zta61iu4ccx3tt9
FniAL EAssc mm23T (xmx*)
6.5 WZIGE?!(FIH4L W-SICKEZK=5!X 6.5) (XC=)
“MORZn ,
.- ...
.-—
. I
.,..!
----
..-!
-—
—-:
‘“J
.?.
- .’
-—
—
.-—
. .
-.
——
H-21
ms-(Hote:--AU
PreviousBinagJTape Lccation
.-
al-2?14
m5-a8*
2cg-2x2
213-216
217-2a
223.-224
2+232
233-236
237-240
241-244
24’j-2h$
2k9-252
253-256*
257”260
2’Q-264
265-320.—
201-209no-218
?19-227
~28.236
26-2+
$57-263
2&-272
273-281
282-29
29~-~99
300-308
309-3173L8-32~
327-335
336-344
345-46~
locatioxPeriod.
cxLmnARItem b
YEAR 1973 - FINALm!UL?ERECORDSLacstioxzs22c-3J.2 == in bimxryf-t.)
Items and Codes
E?ASICWZGE!I?
WUer -
Saiannual (Bti/q -
Angl.al(3wt/4)
Biannual(Bwt/8)..
‘NTYCGHTEELNC?4ZHROF NK%Z’S IN HOSF’I”4L .FOF. .< c-~,11~
FWIOI)(-easedon a 2 week reca31period)—- --u=, Semi&ml, Annual
.. -,- ------ . .
‘mmzr-m NmEm OF TOTAL mc%irl?sm HOSPITAL
Semiarmual
Annual
“Mammal
for estimatesof hospitaldischarges ad d13yS ks.ed Gn
97
. .
.—.
I
TapeLucat ions
.
.,
:em Bo.
22
.
P32
+
m4!zi&a8.accdes
—.
01 ● *.. 02 ● *.
03 **.04 ..*O’j ● . .0607 :::08 .**
09 ● **10 ..*
Eclth pments,Mother onlyFather only
no other dult
---. ,,.;
—.>
Both parents snd other adult relativeMother and other adult relative
...
Father and other adult relative —No ywent, bti~ one adult rel.ativeHo parent, but two or mm adult .-;
relativesother
--
Hot a~Mcd@ 25+ years ad/Or everi— .4
married
12
3-4
5
. . . =celbnt —,
... Good i
.** Fati—1
... P&r
. . . Wsnoim,+—
i—...-
.-.-.
--
“END OF RECORD”
----
.—
...-
-—.
.—
.98—.
-..
— ,.. .
. .
.
.-
*
E
“Eia
l)w-fHIs-cALENDm YFAR 1973 - I?INU WE
Mtline of Item and Codes
RizcoRM
HospitalRecord (RecordTyne 5) ..—__ ____ _- ._. . ,,, e-- - ---- . ..- ------- -------- --—- .-.-..,.-
—.— ---- —- —-- ..—. . ———. — --—-— ------- -— -- —-— - ___Nua-oer Of p.~c~~:~ . ~~ l@
+
Tape -----i
Ii3cdions
1
2
3-5
6-7
8-9
1O-I3,
12-13
It al No.
m“3
KK-5
*
HH-5
Item and Cc6es
SMPIZ - PL70DE“OF CINSUS CODE
1 . . . Quarter 1, 19732 ... Qiirter 2, 19733 . . . Quarter3, 1973
“ 4 .** @tier 4, 19’73 .
YEW 03’COLLECTIONOF DATA
3 ● . ● 1973
P’w - ORIGiXAL CODE (Rmiom Recade)
Wzzx - C12$SWCOEE (N.mbe=edwithin Ekrmle_Rec@)--..— .-
01,02,03,04,05,06,07,08,09,10,IL,12,13,
21, 41, 61,22, 42, 62,23; 43, 63,24, 44, 64,2.5,45, 65,25, 46, 65,27, 47, 67,23, 48, 68,29, 49, 69>30, 50, 70,31, 51, 71*32, 52, 72,33, 53, 73,
81 . . . 0182 .,. 0283 . . . 03S49 (exce?t Quarter85 . . . 0586 ●..” 05 “67 ... 07&9 .** 0889 ● .* 0990 . . . 109L ,.. 11c)~ ● ,* 12
?3 ● . . 13
● ☛☛ 04””
S-mmm! Himm
Week plus .%gmentNwzber identifiesthe se~sct
EOUSEHOLDRLM3.3
Nuribered withinPSU-tieek-Se@eat
PERSCN Nm-2m
.
TM-LUu
HIs #- C!AI.?Z?HHRYS2R 1 f-7-- FIXAL ‘mPE REcomq
Itemsend CO&s
RTmRD TY?E (5)
. TapeLacations
tez’1Eo.
—:
-.
..
--
.-
---
-..
14
15-16
.-
. .
RECORD SIUUAL NM13E3
17-18 cmms WX’E’ RZCODE (Mmbered within Sample Recede)Recode
41, 61, 81k2, 62, 82h3, 63, 8344, 64, 8445, 65, 8545, 66, u47, 67, 8748, 68, 8849, 69, &~o, 70, go51, 71, 9152, 72, .9253, 73, 93
01020304050607080910XL3.213
● O* 01,.*. 02,● ** 03>● . . o~,● . . 05,4.* C6,● .* 07,● ** 08,● *. 09;● .* 10,● .* n,● ** L2,. . . 1~,
21,22,23,24,25,26,n,28,a,30,31,32,33,
(exceyt C@zzer 2)
.---
—
:. ,-
~->.
?
‘—
.—
--
.-.
.-
,.
—
. .
“-- .
. .
P30CESSiXG QW3TER CODE .
1 ... Quarter 1, 1973 ‘. ..
=)G . . . Quarter 2, 1973. . . QuartAr 3, 1573
2 ● .* Qaarter 4, 1973
PROCESSKG YitiIIR
3 ● .e 1973
19 Recode
20 Recode
.
Recode
Qtr.2
010304
050607080910IL1213
21,22,23,24,25>26,27P28,3,30,31,32,33,
h, 61, 8142, 62, 8243, 63, 8344, 64, 84
0102
01,02,03,04,05,06,
● ✎☛
✎✎☛
● ✎ ✎
● ☛☛✎
✎ ✎ ✎
✎☛☛
✎☛✎
✎ ✎ ✎
● ☛☛
● ✎ ✎
✎ ✎ ✎
● ✎☛
✎☛☛
03040506
45; 65; 8546, 66, 864T, 67, 8748, 68, 8849, 69, @
07Q80910u.12Is
07,08,09,10,n,E,
‘ 13,
---50; 70; ~51, 71, gl52, 72, 9253, 73, 93 —
101
. . 23-27
.. .
.
28
29
U* -~
VV-5R-Is - CALEHTARYEA 1973 - FINAL TAPE RECORDS
:temno.
-
RC Recor
.
FiC Recc~
Ite=s and Cd.es
,
,. !.
,.
TXP2 OF Psu
o .** ‘ihe- 31 L2rge Self-represer.tkg SX5A’s1 ... SMA - Self-rqresenting
~:.’&q- Nonselt-representiw2 ::: “lTon-SMA - Self-representing6 . . . Ecn-SLSA - llcasefi”-re~resent~hg
34
.**
..*
. . .
.**
Nor%east . . .- . .North Central . -.. ..
South . .West
M?- —
‘X’apeLac&tions
30-31
..
. .
‘m v -+
Ems - CALZmMRYEAR1973 - mm Wx mo--.
em Ho. Item ti Codes---
1Recor-
●
‘MUiiITION45X.-A
,.. .
—.
---
..
---
.-:
—
--
—
-..4
--,
—..- .- -.—---- ---., . -...-—. . —.. .
Recede
3435363738394041
42 .
43. 44
454647
48
I%stonXev York+FniladelQhiaPittsburghlktroitChicago=C’incinmtiLOS Angeles-.Im’lgE-eachSan F&anciscc)-Cz.kland.
Bdt immeAtlarka13affaloClevel.md14innee.polis-St● rixzl
Milwaukee
Recode
49~o”515253545556
575859
6061626364
SEA
Kansas Citys-t.Louis .Hou.stmEaUEU5lkshixl’gtoti,lxSeattLe-ZverettSan DiegoAm& ti+kuta A2a-Gar5ea G:ove
Mimi -~merSan fir.ardino-
- ...
—.
----
-.
---
Rivers ide-Gr.tari~tidiz.%~olisSan Jose -.-
New OrLemsTampa-%. Petersbw~ -Portland,Ore. ---
* NortheasterniiewJersey ConsolidatedArea?(+%~?ofi~~este~mdiana ConsolidatedArea
103---
—
.
TapeLocations
. . 32
33“.
.
34-35
36
SW-5
KIs - CAIEHIXRYi2i2 1973 - FINALT!APERECORIX
ten Ho.
Recock
*
,.
mEzs9 ad codes+
1 ..* b SMSA; in Central. City
2 .*. In ~f~A; Not in c~uir~ ci&r
3 . . . ITot in SMSA
SMSA - NON-SXSA EESEENCE
1 , . . SMw.
2 ..0 lTon-SNIA- ~OIlfS-ZZ
3 . . . 3Ton-SMSA- Farm
TqeLocations
37
38-39
40-41
42
43
44”
45
TO-G
HE - CALZNEAR YEAR 1973 - FINAL WE R.ECORIX
tenl Ho.
HE-8
mi-2
5H”17
Hi-lg
m-1~
*
mI-16
Recode
Itcz?!sand codet3
TYPE OF LIVING QU%R!I’ZRS
1 ● *. Housing Wit2 ... Other
.— -.. --- —. —--- .—----- . . .
NLM3ER OF CALLS (notedited)
1-8 ,*. Mziier 02 calls9 ● . . 9+ callso . . . Not reported
TE.LEmom
123
. . .
● ☛☛
✎ ✎ ✎
✎ ✎ ✎
✎✎☛
(lTot edited).
Yes - ph9ne =a mmberNo or noneI%cpe, but no number listed or nuzberrefusedIX if phone or re.tusedNot reported
OH”RVED INTEWiZ? (Not edited}
1 . . . Yes2 ... Xo
bl ... Not reported
TIM OF W INTERVIEWCOMPLETED
1 ● .*2 ● *.
? :::
2 :::7 ● **8 . . .
MondayTuesdayWednestiy
!m-msdayFridaySaturdaySundayUnknown
—
..-.
.#
.—
..
--t
—.
, ..”
--
: ‘/
—,
..-
-.
.- .
—
.—-
- ,--
---
---
-. -.
—
-.
---
.. .
1Q5
.
TapeLocation3
46-48
49
50
53-54
55-56
w-?
HI’s - CALZXWRYEAR1973 - FINALWE IW!ORES
tem No.
EIi”lg
v-
Recde
a.
Recode
Items and Co&s .
LENGTHOF INECWE2J (lTot edited)
001+99 ... Minutesbl ... Not reported
THE OF RAY 05’ iIiWZRVG wJ (I!eginni.ag tine) (Not e-5ited)
1 .*. 6:01 a.m. -3.2:00 a.m. (noon)2 ... 12:o1 p.m. - 6:cx) P.M.3 .*. 6:01 P.lil. --~:~ ~.~. (midai~bt)4 ● . . 12:01 e..n. : . ●
bl,... Hot reymtied
RN-x (Dmm)
1 . . . ?Wite2 ... Negro3 ● ** Othqr
PACEIwcom1 . . . Wnite2 ... CWer races
six1 7&~e”.**.2 ... F&male
00 . . . Uhder 1 year01-98 . . . Simgle yczs
99 . . . w+ years
01 . . . Oil+4 yeazzs02 .*. 05-1403 ● . . 15-24 .04 ● *. 25-3405 . . . 35-4+06 . . . 45-54
’07 .** 55-64-
08 . . . 65-7409 ● .* 75+
.
106
Dif-dHIs - CAIZIUMRYE”LR1973 - F13AL “- LW033)S
-., . . .
Tapelocations I
Item No.
57-58 “ Recode
I
.
.
59
40
I
Recede
(J41
I
.
i
I
-.. .
It- and Codes
AGE IWCODE #2
01 ... ~der 6 years .
..-.
02 ● ● ● 6-1603 . . . 17-2Jok ● . . 25-34o~ ● ** 35-4406 . . . 45-5407 .,* 55-6408 . . . 65-7409 ● ** 75 +
- -.
-.
—.
..
AGE RECGEE #3
1 ... Under 15 years● *.*15-44
.; ● ** 45-64. k . . . 65+
--,I
;--
—-I
-+
tiRmL sw.TusO ... Under 17 years1 ... krried - Spousepresent
... Widowed:.● Q* I:evermsrried
... Divorced~ ... Sep=-rated
... ],fz~ied- SaOUS.e dJSed
EDUCATIONOF
01 . . .02 ● . .
,03 ● **04 ..*Oj. ● .*06 . . .07 ● **
..08 . . .09 .*.10 ● **
“U ● **12 ..e
13 ..0
Imrvnxm-cc2mLmEDYEms
Under 17 years of ageNone1-4 years cozzpleted5-7 ym=rs cmpleted8 Yens cmpletedg-uyems completed12 years completed(highschool gmd.)13”-24 years completed15 years ccmpleted~ years ccqdeted (colle~egr.=duate)17+ years ccmpleted(grad~be schcol)whom .Not reported
.-.,,
- .. .
-- .
.-.
.. .
.-
.... ..107
&v-7
D(J-7HIS - CAIZXDARYEAZR2973 - NNA.L ‘EWE RECORDS
.. ..-
Stems md C@ea
63-.
.
64-65
66
Recode ~
Q+%
@.@
Recode
1 . . . Under.2 ... None
... 01-08“: ● ● : 09-IJ.
5 ‘ 12● *.6 ● ● , ~~-~~7 ● 9* 16+
(ekzmtary g=a~t~)(high schcol)(high school gzadmte)(college)(col.kge graduate +)
8 ● ☛☛ U2kIlc%m
13DIXXT3X: OFD?21!AIi
01 . . .02 ● ..03 ..*04 .*.o~ ● **06 . . .07 ● .*08 ● **09 .**10 ● . .xi. ● . .32 ● *.13 .*.
FAMILY I’EwD OR IJKmin!rm
‘Under17 ye=ars of ageHone1-4 years cc.npleted5-7.ye~rs c~A~hted8 years cmpleted9-EL ycs!l-s Cczl’pleted12 years ccripleted(high13-14 yeazzs ccmpleted15 years ccqieteti
school .gZaii . )
16 years cczpleted (coUege grdute)17+-yea:s cmpkted (graduaie school.)Wiricml
Not Reported
1 ● ** Ik.der17 years of age “2 ... Hone
3 ● O. “01+8 (ekaenteyy gradwt e)4 ● ** 09-32. (high schcol)
X2 (high school g~=d’=te )2 ::: 13-15 (colle~e )7 16+ (colle~e graduate +-).*. -8 ● .. Unkno’m
108
TapeIJ3cELtions
67
6&69
f
7G .
It= No.
’35
CS8
.
.
Dti-/o
Itezis ad Codes
vrrmfur STATUS
: :::2 ● **3 ● **4 ● **5 ● -*6 9007 ● **8 ● **
01020304050607080910111213
● ☛☛
● ☛✎
● ☛☛
● ✍☛
+00
● -b
.-e ●
● *.S**
● **
● **
● -*
*..
Under $l,COO$1,coo-1,9992,CCO-2,9993, CO0-3,%9q 00Q-4>9995, CC0-5,9996,cc0-6,9;97, CC09,993
10,000-14,$$9
Zot Reported
,:,..- .
;
-- .
-----
.- .
. .,
—-I
i.+
. —,\1-—.
FM1lLYiXX2:lRECOIN
1234567
... Und& $3,000
.*.$3,CG0-4,999
..* 5, GGo-6,999●“. ● 7, CCC-9,539● ** ~~)oi30-p&,999● .* 15,GO0+● *O Ll??clown
“MORE”
..=
-.
.A
i.. ...
.-
-..
...
-..
T(j--/{HIS ,-CAEZ?DUR YEIY31973 - FiXAL TAPS RECORDS
71-72..
73
.(;
. .
J. . . . ~-&&.1 .’. L3.
Q2
wRecede
& .**o ● **
1 ● **
2 “...
3 . . .4
~~ 5 :::6 ● *.
3 ● **4 ● **
“MORE”
u-o
TapeLocations
75.-
76
77-79
82-83 .
84-%
Ur-s
32(,)-/3-IQs - CAISNULRYfLLi 1973- FHAL ‘EJ?ER3COI?26
-----
.. .
Q36
.-
Q37d
?ecode
fecode
Q37C
—— — ... .. ---
i~~-~ ~~ cc&~
---
CURREXT ACTIVITYDURING PAST 2 WZEKS
m
o ● .*i-...2 ● ..
$:::5 ● **
6 ● **
I- ● **
8 ● *.
Under 17 yearsWorked in yest 2 vedss
.---
Did notmd notDid notDid notDid notlookirxgDid “TLOt
lookingDid not
work, h=s”job, not on Layofflookimgfcr workwork, has Job, kjdi~r.g for *JO:2 --
work, has JO-O,cn 12;JoHwork, b.asj0’0,on J3yoft =5 ...
for work -..W-Orli,ks j0“0,Un.b3.m ifor on layoff .8vork, no j0’3,looking Ior ;:crk
or on layoff-.-,
Not in labor force (17+) ----
ciAss OF’WOR12R1 ● **2 ● *.
2 :::
2 :::7 .,*8 .**
Pr<[email protected]~ govemenzSelf-esqloyedl:crl~zyOther (newworker}Unkruxn or not”reportedHot in IMcor Force
017-999 .e. CcidenuzberBlank ... Not mplicable
-~ZDUS’I’RYRECODE 170.1
Sce A.ttacbment
33DUS’T?ZRECODE NO. 2
See Attac’nmnt
OCCLPATICN?E2AIL CODE
001-995 ● *. c~~~ nug~~rEknk . . . Iiot applicable
.-JJ_
...-
.-
----
.—
.-
--
—
IF?-13
TapeLocations
87-88
89-9
92-$?3
94
95-96
Ins “ cALzliMR YE4.R1973 - FINAL‘!BWERECORDS
:em ITO.
3ecode
3ecode
.
R
;enerate(
CCCUPATIOURXODE NO. 1
See Attachment
CCCUPATICH?’ODE NO. 2
See Attac~ent
REiPcrmm1 ..*2 ● **3 ● *.4 ..*5 ● .*6 ● **7 ***8 ● *89 ● .*
Self entirelySelf partkfSpouse]{otherFatherOther female f’enilynembe;Other male f@y mmberOtherNot reported
EIAii”’ “- ““.
AGE OF R?Z5PONDEW
1 ● *. Ihder 22 years2 ● ** 20-54 years3 ● . . 55-64 yeas4 . . . 65-74 years5 . . . 75+ years6 .*. Unlmown and Not reported
—
ACTUAL FN41LY SIZE
00 ... Unrelatedindividuals01+-...Femil.ysize
LJv-L+
m-cJuzm4R Yi$ARlg-(3 “FmAL!l!Am RxoRm
TapeLocatiaxs
97’
,.
2E2Q98-99
Ica-1.ol
:tea Ho ●
Reccxie
IN-2a. .
A-ezat ef
_,.,.
I’tuM8zxlcod88
~
o“ ... Unrebted Individ@1 . . . One member ... 5 members -2 ... 2 nembers 2 ... 6 menice:s
... 3 inembers ... 7 members; .=. 4 members .: ... 8+ members
. --— ._.-_._ —--––7’’-”--”-” ‘ “-~ “ - - “ ‘- -
M3!E OF VISIT!
99 ● *e
~
01-g ● ● ,
$9 ● *.66 . . .
IkcemberWring 2we*)IK WhenIastveek, IXmonth andds,yWeekbeforez EKmonth sad daym month
my of monidlIX day coiks for&knoun inmodh sad dayCuring 2 weeks,DKwknLast-week,IKdaysadmanthWeeebefore, XX dayendmmth
ICCTOR
ix)0102
0304o~060708w2013.321314
VISZ VALUES
● ☛☛ v~sit ~● *. visit on.*. Vtiit on● .*visiton***visiton***visiton● **visiton...visiton● .*visiton**.visit on● .* visiton● .*visiton● *.visiton● **visiton.***Bbmlue
(Rinnberof days between~te ofVisit snd Interviev)
Ia8t Sundayof referencepericdsecondSaturdayof referencepericdsecondE&May of referencepefiodsecondThursdayof reference period
secondlkdnesdsyof reference,peridsecondTuesdayof ~f erencepe.ricdM Monday of refnce periodfirst Sundayof referenceperiodfirst Saturdayof referencegeriodfirstE&iky of referenceperiodM Thursdayof referencepe.ridfix5tWednesdayof referencepericdfirstTuesdayof referenceperiodfirstMonday of referenceperiod{==* c- 665, m, m,‘~ 522kte Of Viiitj-”-
.-.
\,1
...-
-1
.—
‘“I, ,1
-%.. .,. ...‘1..-
2. ....:.:,..*.
n,
T- ,/v
-. I.~.......d“
(
----
---
---
,—
.--
--. ... . .. . . U3
—-
.
TayeI.ocations
104
105
L06-3.07
..
31ti-16-HIs - cAmm.R Y2%ARlg~ - FnA.L TA.Pz moms
ten No.
Recode
Recode
W-4
.
Itemsand codes
i :::
3 ● . .4 ..*5
,6 :::
“ i :::
OE’VNIT
MondayTuesdayWednesdayThursdaymtdaySatux’5aysunaay&known
. .
WEEK OF
12
4
VIsrr
.*4
● **
● .*
Iast week (includes ~)Week before (includes I%)
OF IXX3Y3R RmmER3m SERVIC!3
010203
04
o~
06
07
08
0910
u.
12
13
. . .
..*● ☛☛
● ✎☛
✎☛✎
✎✎☛
● ✎☛
● ☛☛
✎ ✎ ✎
● ☛✎
● ✎ ✎
✎ ✎ ✎
● ☛☛
Generalpmctit icnerAnesthesiologist- A specitist inDemlatdogiSt - &eat8 diseasesof(SW Specid.ist)nlt.ernist - mats diseasesof theorgans
anestheticsthe skin
Wurologist - Treats diseases of the nermussystem
Obstetrician or ~ecdcgist - !I!&skspregnantwanen/diseases of the gen2taltract (Female~ecialist)Ophthsllmc)k.gia- Knc%?lsdgeof eye and itsdiseases(Z@ speckldti)Orthcpedi* - Surgeonof the skeletal.Syti=(Bone specialist)OsteapatlzOto-ok!.gist - Esx, nose, and throatspecialistPathologist- An expertin orgsn and tissuewe causedby diseaseRdMxicisn - Treatsthe child h its develop-ment and diseases(Childud bdy Do&~or)Proctolcgi* - Treatsthe rectumand itsdiseases
.
,-
.“RIs-CAxzmAR “’”’
.,.:-Y’EAR1973- FINAL TAPERxXmM
-. :’, ...- ~ -.> .-.. .>.
-.-t
!...-.
—..f.:
---
i
Tape‘Iae13tions Item No. Itemsand CodeB
KIND OF IXXTORR2WEREG SERVICE-*td.
.“,24 .** Psychiatrist- r!ealswith di90Aers of
the mindRadiologist- Uses mdiant energytodiagnoseand treat diseasesSurgeon (plastic, thoracic,unspecified)dealswith diseases and conditions
15 :..
16 ● -8
requiring operativepmxduresSyphilogiSt- Treats Sy@dMslkdogist - Ikats.and operatestisordersof the genito-uri.naqOther specialistsSpecialist- IK M@MD - DK generalPractitionerorDK if me&kal tictorIntern -DK kindNot reported
.-
-.. .
.17 ● **18 . . . on
Systenl19” . . .a) ● 9*a ● **22 ● Q*23 . . .24 . . .
speciaUst:--n
Ii
—..,
108 DV-3 PIACZ OF VISIT
W3torys of2tce1 ● **2 ● O*3 ● **4 ●*”*
TekphmeEoqita3.ouq?atiat Cu.nlc
Hoqital emergencyroomCa?lpanyand industrid Curd.cOhher
5 ● **6 9*O7 ● 00
109-u_7e ● *. Un.b3wn Ormrt rewrked
“. /
XL8 DV-6a.
123k56
REASON FQR VIS21! TO lXK!’IQR
Diagnosisor treatmentPre- or”post-natalcareGeneml checkupEye examination(glasses)13nInmizationOtherUMmounNot reported
● ☛☛
● ☛☛
● ☛☛
● ☛☛
● -9
● .*
● 9*
● **
..-
.-..
-—
—
.-
-—
. .78
IL9 Dv& SECOND REASX FOR VISIT TO DOCTOR
. SSJZEcodes as bcation U8
-
lL5
.
.. Tape-Locations
12L-128*
12L-K?3
124
125-L28
12g-154
155
156-158
kiAs-cAIz2mR nuRlgi3 -iutQLuwAm20m@vu - 17
mm lib.
DV-6a
DV-6
c20-25a
w
maaclcd!as
= KE?ASOHF#R VIST12 TO TXYX’OR
- codes as hcation U8
CONDITIONNO. 1 - CAUSE OF TIE! lXCTOR VSSIZ
Diagnosis Recode Ho. 1
See January 1970 Listing of Codes
Chrorkc/AcuteCode
1 ● .* Cm’onic2 ... Acute
Dbmosis Recode No. 2 m Ro. 3
he Jmuq? 1970 ~sta Of (kd.es
ImrI!Amm
1 .**2 ● **
3 ●**
4 ● **
OF ACTIVZPY @ERSONS WITK 1+ CE%MICCORD~IO19S)
Cmnot perfom usual activityCan perform UA but IJmited in SliLount
and kindCan perfom U4 but limitedh outsideactivitiesNot .Mnited (including~)
,. .-— .
DURAZIOHOF LIMSTATIOHOF ACTIVTTY
unit =1 . . . Mouths2 . . . Years k if Z-3 Cbr. 1553 ..* TJdalown)
bl ... Hot applicable(No CC)
Rimber of Units =
co .*. Less than lmmth01-98 . . . Niniber of months or wax-s
99 ... Unknownblbl ... NA
.,
*These items are blank W a condi$ioII was nat the cause of the I!octorVisit.
., m; i
. .1%3 I HE-13
181
182-187
188-192
193-198
199-2CQ
HH-14
.
. . .
.—
mYJYLLRccMs
1 ● *.2 9**3 8**4 .*.
1 ma2 rooms3 rounsk rooms5roals6 rocms7 Z’oans8roans9+ roomsDC or.Notreportedlid a housing unit
TVI!AL~OFBZDIKXMS
o . . . Hone
1 ● *W 1 bedrocm2 ● **2 bedrocms3 *..3 bedmxna4 ... kbedrocms5 ● .● ~ ::&~-6 ● **7 ● *.7bedroalM8 ● .*8 bedrocmi9 ... g+ bedrocma
IK or--NotreportedBlank ::: lb-ta housingunit
BLANK
FmAL BfuHcWEImT (Zccm. )
6.5WEIGET(FINALEASICmm! x 6.5)(XUXXX)
u?.
.-
---1
. . .!
. .j
1--,-)“
“?-/.- :.
(,
..4
.-. ,
---
.-!
- -’
. .
!
.-
,
.-
1
.“
‘.
.
,S
.
e’
TapeLoCat ions
ZK)l-ak
~5-208
2og-212
213-216
21-j’-2m
221-224
225+)20
46?+63
464
IN-19
Im-c&zsMR-Pzl g73-FmAL ZKF3?imxzu
Tae)ca%ioru
n-209
19-227
z8-236
37’-2b5
?55-461
P2
.
P32
Quarier
c ,.dd.EmriuAl (3 V-@)
Aamal (BW@)-
Rh.tI.uual(B w@]
6.5 WEIGEJ?
Quarter~a SemicmQ, .Ainniil
Biannual(%/2).
FMIII.7STRUC’2URX
01 ● **02 ...03 ● .*04 ● **05 . . .0607 :::08 . . .w ● **10 9.*
.
E&I parents, no otheradultMother onlyFather OnlyBothparentsand otheradflt relativeMother end other adultrelativeEhther ad other adultrelativeHo pant ~ b~z cm adult rekt iveNo parent,tuk two or more adult relativesOtherHot .q@i”AL” , 25+ years and/ore~ermsrried
HEALTH STATUS
1 . . .2 ● *93 ● . .4 ● . .5 ● **
Ekcellent
Pmrmkmwn
‘END
1.I_8OF RECORD”
.
. -.
DIAGNOSTIC RECODES
.
=.-i
mu-m IXIHVIIW “SURVEY
Jarwry 1969 .
DiagnosticRecode#l
I.
Diseases,Injuries,and Impairments
Purpose: Recode:1 is a list of 278 categoriesof diseasesand injuriesselectedfrom thecompletelistof 3- and 4-digitcategoriesof the InternationalClassificationof Diseases,Adaptedfor Use in the UnitedStates(ICD4J,8th Revision,as modifiedfor surveypurposes. In addition,a completelistof typesand sitesof i,qairmentsof the Classificationof I.wairmencs(X-code)completesthe recode. The recodehas been usedas a deviceto si+plifytabulatingof dia=~osticinformation.In general,thisrecedecontainsthe greatestamountof detailtabulated;very rarelyare the 4-digitI~rubrics usedfor finaltzbuktion purposes.
II. Content: Each lineof the recodecontainsthe followingelements:rsccde- titlesummarizingthe contents,and the equivalentrubricrmicersfrom the ICDA. Tne full detailof all modificationsof the ICDA is s’mwnin theMedicalCodingI+faual, %pendix 111. A summarylistingof mcdificzciorswhichdirectlyaffectthe use o: the “recodeis shownas follows:
(a)
(’0}
(c)
(d]
The letter“S’ followinga rubricmeansthatthis is a specialnumberdevisedfor surveypurposeswhichis not to be fomdin the,ICDA.
CertainICDArubricsare recodedto otherlocationswithinthe listof rubrics;LheserecodedICDArubricsare shokn in
parenthesesin the recodelisting.
ICDArubricsfor iimai.rmentsandmost of the late effeccsof diseasesare not-w~edin the surveymedicalcodingand,thereforeare not sho’min Recodeil. Impairmentsand theircauses,as reportedby the householdme~ers, are codeddirectlytothe X-codesaccordingto a systemthatdifferscansiderabfiffromthe ICDAriiethcd.A completedescriptionof the Classificationof Impairments(.X-code]is givenin theMedicalCodir.g}i~pl~~.
T’ne abbreviations“XOS,”“3H,” and “Pt.”represent,remectively,%ot otherwisespecified,”‘hotelse’fiherecl&sifie~,”~~,d‘@rt-.;’
III. A log of changesinllecode#l.is attached.The ~og indicatesthe &csof the change,thepre~;iousnotationand the cihangednotation.
4
Log of Changesin Recode:1 for 1969 and ~ter
●
Date of -#l Number c~ue
.-
From To
-.
.7 .*,
&
Health mtervlew suLJeyDiagnostic Recode 31
v
RecodeNumber
.
001
’002
003
004
005
006
007
008 -
009
010
011
012
013
014
015
016
017
018
lUM InclusionsTitle as modified by I-KS
-.
Infective and Parasitic Diseases ‘(Recodes 001-041)
Tuberculosis (pulmonary) (respiratoryNOS) (active)
Other specified respiratory tubercu-losis (active)
Tuberculosis, other specified sites(active)
Tuberculosis (pulmomry) arrested orimctive
Syphilis and its sequelae
Other venere;l diseases
~hoid and paratyphoid fever
Dysentery and diarrheal disease, NEC
Food poisoning (infection)
Other intestinal infectious diseases,including virus enteritis
Scarlet fever
Streptococcal sore threat
Septicemia ..
Diphtheria
?hooping cough
Meningococcal infection
Tetanus
Other bacterial diseases, NEC
011
010,012
013-018
137-s
090-097
098-099
001,002
004,006,00?,009
005
000,003,008
054.1
034.0
038 .
032
033
036
037
020-027,050,031,035,039
._._ .
,6’
*
RecodeNunber
.
019
.020
021
022
023
024
025
026
027
028
029
030
031
032
033
034
05s
036
Health Interview SurveyDiagnosticRecode:1
ICDAInclusionsTitle asmodifiedby HIS
-.
Infective and Parasitic Diseases (Recodes 001-041
Vincent’sangina 101
Otherspircchetaldiseaseexcept 100,102-104syphili~
Acutepalicmyelitis
Viralencephalitis
smallpox
Measles
Rubella(Germanmeasles)
Chicknpox
Herpeszoster(shingles)
Mumps
Infectioushepatitis
Infectiousmononucleosis
Trachom(active)(chrcnic)
Viralinfection,unspecified
Otherviraldiseases,NE
040-043
062-065
050
055
056
052
053
072
070
075
076
079.9
. 045,046;051,054,057,060,061,066,067,068,071,073,074,078,079.0-079.8
Typhusandotherrickettsioses 080-083
~~~aria 084
Trichiniasis- 1~~
RecodeNumber
●
037
.038
039
040
041
042
043
044 -
04s
046
047
048
049
050
051
Health InterviewSuiieyDiagnosticRecode#l
ICDAInclusionsTitle as modifiedby HIS
-.
Infectiveand ParasiticDiseases(Recodes001-041)
Ancylostomiasis
Otherhelminthiases
Dermatophytosisand dermatowcosis
Othernycoses
Otherinfectiveand parasiticdiseases
Neoplasins(Recodes042-080)
Malignantneoplasmof buccalcavityandpharym-
Mali=mt neoplasm’ofstomach
Mali=~t neoplasmof intestines,any -part
lMaliomt neoplasmof otherdigestive-organs,andperitoneum
~Malio~t neoplasmand lung
Malio~antneoplasmorg~
Malignantneopla.m
MaIiagna.ntneoplasm
Mfli=mt neoplasmgenitalorg~s
~~~i=~t neopla~
of
of
of
of
of
of
trachea,bronchus,
otherrespirator
femalebreast
uterus,any part
otherfemale
prostate
126
120-123,125,127-129
112-117
085-089,130-136
140-149
151
152-154
150,155-159
162
160,161;163
174, fe.mlecnly
180-182
195,184
185
\’
P
$
*
&
RecodeM.mber
s
052
-053
054
055
056
0s7
0S8
059
060
061
062
063
064
065
066
067
068
069
070
Health InterviewSurveyDiagnosticRecode#l
Title
Neoplasm (Recodes042-080)
Mali=gna.ntneoplasmof othermale genitalorgans
Mali=mt neoplasmof urimry organs
MalignantneoplasmoE skin
iiali=~t neoplasmof otherspecifiedsites
Mali=gxmtneoplasm,siteunspecified,ill-defined,or secondary -
Hodgkin’sdisease
LeuIIemiaand aleukemia
Otherneoplasm, lymphaticandhematopoietictissue .
Beni=mneoplasmof digestivesystem
Beni=~neoplasmof re-spiratorysystem
Benignneoplasmof femalebreast
Beni=~neoplasmof uterus
Beni=gnneoplasmof otherfemalegenitalorgans
.
Beni=aneoplasmof mle genitalorgans
Benignneoplasmof urim~ryorgans
Not used,see Recode208
Beniagnneoplasmof skin
Hemarqgiomaand lymphangioma
Beni=~neoplasmof otherspecifiedorgans
ICM Inclusionsas modifiedby HIS
-.
186,187
188,189
172,173
174,male,170,171,190-194
195-199
201.204-207
200,202,203,208,209
210,211
212
217,femaleonly
218,219”
220,221
216
217,males,215-215,224-226
.
Health InterviewSurvey
.
Recodelimber
.
071
.072
073
074
075
076
077
078
079
080
081
082
083,084
085
086
DiagnosticRecode#1-
*
Title
Neoplasms(Recodes042-080)
Beni=~neoplasm,other and unspecifiedorgansand tissue
Neoplasm,unspecifiednature,ofdigestiveorgans
hreoplasm,unspecifiedr~ture,of respira-toryorgans
Neoplasm,unspecified~~ture,of femalebreast
Neoplasm,unspecifiedr=ture,of uterus
Neoplasm,unspecifiednature,of otherfemalegenitalorgans
Neoplasm,unspecifiednature,of othergenltourinaryorgans
Neoplasm,unspecifiednature,of eye,brain,and otherparts of nervoussystem
Neoplasm,unspecifiednature,of skinand muculos’keletalsptem
Neoplasm, unspecifiednature,of otherand unspecifiedorgans
ICDAInclusionsas modifiedby HIS
-.
228
230
251
235,femaleonly
254
255,236
227
238
232
235,male, 259
Endccrine,Nutritional,N!etabolicand BloodDisorders(Re~ode~087.~01)
Not used--seeRecode157
Not used--seeRecode 153
Not used
Not used--seeRecodes157, 209, 210,211
Not used
.
RecodeNumber
8
087
-088
089
090
091
092
095
094
095
096
097
098
099
100
101
Health InterviewSurveyDiagnosticRecode#l
ICDAInclusionsTitle as modifiedby HIS
.
Endocrine,Nutritional,Metabolicand BloodDisorders(Recodes087-101)
Goiter(allforms] 240,241,242.0,242.1
Thyroidtrouble,NOS 246.0-S
Otherspecifieddisea+s ofthyroid 242.2,243-245,gland 246.1-S
Diabetes(rnellitus) 2s0
Diseasesof other endccrineglands 251-258
Niacindeficiency 262
Othervitamindeficiencystates “ 260,261,262-264,265.0,265.2,265.9,266
Othernutritionaldeficiency,NEC
Gout
Othermetabolicdiseases,MC
Perniciousand otherdeficiencyanemias
Irondeficiencyanemias
Otherspecifiedanemias
Anemia,unspecified
Otherdiseasesof bloodand blood-formingorgans
267-269(788.4)
274
270-273,275-279
281
280
282-284,285.0,285.8
285.9
286-289
-.
.
Health Interview SurveyDiagnostic Recode #l
Recode ICDA InclusionsNumber Title as modified by HIS
● . -.
Mental and Nervous System Disorders (Recodes 102-116 )
10Z
103
-104
105
106
107
108
109
110
111
112
113
114
115
116
Psychoses
Neuroses
Alcoholism, except psychotic
Personality and other nonpsychoticmental disorders, NW
Nervousness, depression, NOS, andspecial symptoms, MC
Not used--see Recode 134
Multiple sclerosis
Paralysis agitans, exceptpostencephalitic, viral
Epilepsy, all types; chronic convul-sions, cause *own
~figraine
Other diseases of central nervoussystem
.
Sciatica
Neuralgia and neuritis, NOS, NTC
Neuralgia, neuritis, specified sitesand types, N’EC
Other specified diseases of nerves, NEC
Z90-Z99
300
303
301,30Z,504,30S.0,305.3,305 .5,30S.6,308,309
319-S,306,507,(780.6,781. S,785.6,786.2,790.0,790.2)
340
34Z “
545 (780.Z pt.)
346
320-523,330-522,341,3+7;548,349;0,349.5,3%9.6,549.9,(781.7)
353
355.9
550-552,554,555.0,555.1
356-358 (781.4)
.
, Health InterviewSurvey.DiagnosticRecode31
.t
RecodeNumber Title
ICDAInclusionsas modifiedby HIS
Diseasesof Eye and Ear (Recodes117-12S]
117 Conjunctivitisand ophthalmia 360
118
“119
Stye 562
Otherinflamrmtorydisessesof eye
Refractiveerrors
361,565-369
120 370
121 Cataract,all forms 374 (744.3)
122 Glaucoma,all form-s 375 (744.2)
123 Otherdiseasesof eye (acquired)(congenital) ..
371-373,376-378,(781.0-781.2,744.0,744.1,744.4-744.9) - -
124
125
InflammatorydiseasesC: ear 380-584
Otherdiseasesof ear and mastoidprocess(acquired)(congenital)
385-387(745.0-745.3,781.3)
Diseasesof CirculatorySystem(Recodes(.126-143J
126 Rheumatic fever, i~ctive (old)(history]
399-s
127
128
129
Rheumatic fever, active ..
Chronic rheumatic heart disease
590-592
393-398
4~~-4~4,(410,411)
429 (782.4)
Ischemicheart disease (with hyperten-sion,
Heart
Other
any type) (with arterioskjjerosis)
trouble~ NOS, or ill-defined
forms of heart disease, NE
130
131 420-428(782.1,782.2)
132 Hypertensiveheart disease,NW (non-malignant)
402,404
,
●
*
RecodeNumber
.
153
134
135
136
157
138
139
140
141
142
144
145
146
147
148
149
150
1s1
Health Interview SmeyDiagnosticRecode#l
Title
Diseasesof the CirculatorySystem
Hypertensivedisease,MC
Cerebrovasculardisease(withnon-malignanthypertension)(with .arteriosclerosis)
Arteriosclerosis,NEC
Otherdiseasesof arteries
Varicoseveins,MC
Hemorrhoids
Phlebitisand thrombophlebitis,XEC “
Low bloodpressure(h~otension)
“Poorcirculation,”N3S
Noninfectivediseaseof lymphaticchannels
Otherdiseasesof circulatorysystem,NEC
ICIIA Inclusionsas mcdifiedby HIS
400,401,403.
430-455,458,(436,437)
440
441-447
454,456
455
4.51
458.0
458.5-S
457
448,450,452,455,458.1,458.9
Diseasesof Re~irator-/System(Recodes144-159)
Commoncold . 460
Otheracuteupper respiratoryinfections 461-465
Am.xtebronchitis 466
Influenzawith digestivemanifestations 475
Otherformsof influenza 470-472,474
Viralpneumonia 480
Other formsof pneumonia 481-486
Chronicbronchitis(nonallergic) 490,491
-.
‘.
,
Health InterviewSurveyDiagnosticRecode31
RecodeNumber
8
152
153
154
155
1S6
157
158
1s9
160
161
162
163
164
165
Title
Diseasesof RespiratorySvstem(Recodes144-159)
Emphysema 492
Asthma(withor withcuthay fever) 495(allergic)
Hypertrophyoftonsilsad adenoids, 500chronic
Chronicpharyngitis,nasopharyngitis, 502,506and laqmgitis,~
Chronicsinusitis,NT= 503
Hay fever,and upper respiratory 507alleregy,withoutas:~u
Otherdiseasesof ~qe: respiratorytract,nonallergic
Otherdiseasesof respiratorysystem,
Diseasesof DigestiveSvstem(Recodes160-180]
ICDAInclusionsas modifiedby HIS
-.
501,504,505,508
S1O-519
Toothache 525.8-S
Otherdiseasesof teethand supporting 520.3,520.4,520.6,structures,NE 520.7,520.9,521.0-
521.5;521.7-521.9>sz~,szj,sz~.o,
525.1,525.9
Diseasesof jaw, salivarygknds,tongue,and other oral conditions
Ulcerof stomachand ducdenum
Gastritisand duodenitis,nonviral
Functionaland symptomaticupperg.i.conditions,w
526-529
531-554
555
536(784.0,784.1,784.2,784.7,785.4pt.)
—
.
*
●
Health InterviewSurveyDiagnosticRecode%1
.
RecodeNmber
166
167
-168
169
170.
171
172
175
174
175
176
177
178
179
180
Title.
Diseasesof DigestiveSystem(Recodes160-180)
Stomach”trouble,NOS
Appendicitis,all form
Herniaof abdomiml cavity
Gastroenteritisand colitis,exceptulcerative,of noninfectiousorigin
Chronicenteritisand ulcerativecolitis
Diverticulaof intestine
Constipation
Otherfunctional.disordersofintestines
Intestiml or bowel trouble,NOS
Hepatitis,NOS
Livertrouble,NOS
Other.specifieildise~sesof liver,NYC
Specifieddiseasesof gallbladderandbiliaryducts
Gallbladdertrouble,ME
Otherdiseasesof the digestivesystem,lNEC
ICDAInclusionsas modifiedby HIS
-.
557.1-S
540-543
550-553
561
565
562
564.,0
564.1,564.9,(78S.4pt.)
569.5-S
573.0
575.1-S
570-572,573.9
574,575,S76.0,576.1,576.9
576.2-S
530,537.0,557.9,560,565-568,569.0-569.4,569.9,577,(784.2,784.4)
RecodeNumber
●
181
182
-183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
Health InterviewSurveyDiagnosticRecode#l
ICDAInclusionsTitle as modifiedby HIS
Genito-urinafiDisorders.Prema.nu and Childbirth. -.
Nephritis(acute](chronic),NE
Calculusof kidneyand ureter
Calculusof otherparts of urinarySystell
Kidneytroubleor disease,N3S
Otherdiseasesof kidiieyand ureter,NW
Diseasesof the urinarysystem,NIX
Diseasesof the prostzte
Otherdiseasesof male genitalorgans
Diseasesof male breast
Diseasesof femalebreast
Diseasesof ovary,fallopiantube,parametrium,and pelvicperitoneum,female
Diseasesof uterus,NEC..
Disordersof menstruation
Menopausalsymptoms,exceptpsychosis
Otherdiseasesof fezalegenitalorgans,N&C .
Femaletrouble,NOS
Minorcomplaintsof pre=aancy
Othercoqlicationsof pregnancy,NEC
580-584
592
594
595.6-S
590,591,593.0-593.5
595-599
600-602
605-607
610,611(maleonly]
610,611(femaleonly]
612-616
620-625
626
627
628,629.0-629.9
629.Y-S
624. Y-S
650-635,634.0-634.9
h
.
RecodeNumber
●
199
.200
201
202
203
Health InterviewSurveyDiagnosticRecode #l
ICDAInclusionsTitle as modifiedby HIS
Genito-urina~Disorders,Pregnancy-.
and ChildbirthRecodes181-205)
Urinaryinfectionsand toxeiniasof 635-639pregnancyand the puerperium,NEC
Abortion 640-645
Delivery,normalor unspecified 650
Deliveryby cesareznsection,complica- 661.4-Stionnot specified
Deliverywith specifiedcomplications 651-660,661.0-
204 fi~inor
205 Oth&
206
207
208
209
210
211
661.3,661.8,661.9.
complaintsduringthe puerperium 677.8-S
coqlicationsof thepuerperiumj 670-676,677.1,677.2,677.9,678
Diseasesof the Skin and SubcutaneousTissue(Recodes206-211)
Boil and carbuncle,NEC 680
Cellulitis(withlyn@angitis],lNEC 681,682
Pilonidalcyst 685
Eczem and dermatitisdue to plants 6G2.6(allergic)
Otherdermatitis,eczemz,and..
@o,[email protected](allergic) 692.5,692.7-
69~.9,69j,(70~)
Otherdiseasesof skin aiidsukutanems 685,684,686,6S4-tissue,LNEC 698,700,701,0-
701.3,701.9,701.4-s,702-707,709.1,709.9,(709.0pt.)
Health InterviewSurveyDiagnosticRecode*1
Recode ICDAInclusionsNumber Title as modifiedby HIS
* .
212
-213
Diseasesof ifusculoskeletalSystemand ConnectiveTissue(Recodes212-219)
Arthritis,NE
Rheumatism,nonarticul.arand unspecified
214 Di~lacementof intervertebraldisc
215 Acuteback,spine,and neck pain,MC.
216 Otherdiseasesof bone and joint,MC
217” Bunion
218 Synovitis,bursitis,and tenosynovitis.
219 Otherdiseasesof musculoskeletalsystem,MC
220
221
222
710-714,715.0-s,715.1-s,715.2-s
716,717.0,717.1,717.9,718
725
728.0-728.2,728.5,728.7,728.9
720-723,728.3,728.4,728.6,728.8,729
730
731
732,73:.0,735.2753.3,733.6,735.9,734
CertainCongenitalAnomaliesand Causesof Perimtal Morbidity(Recodes220-222)
Certaincongenitalanordies, not 745.2-743.4,745.8,classifiedas impairnients .. 743.9,745.4,745,
747,748.0-748.4,748.6-748.9,750.1-750.9,751,752,753.1-753.9,756.5-756.9,757,758.0-758.8,759.0-759.2,759.4-759.8
Immaturity, unqualified
Certainothercausesof perinatalmorbidity
777
7.60-768,769.0-769.4,769.9,770-772,774-776>778
-.
Health InterviewSurveyDiagnosticRecode:1
RecodeNumber
.
223
224
’225
226
ICDAInclusionsTitle as modifiedby HIS
CertainSymptomsand Ill-definedConditions(Recodes225-240)
Debilityand undue fatiQqe
Headache,MC
Senilitywithoutmentionof psychosis
Certainnervoussystemsymptoms
227 - Heartpain,cyanosis,fainting:shock,edema,enlargedlymphglandor spleen
228 Certainrespiratorysyptcms
ZZ9 Hiccough
230 Enlarged
251 Jaundice
and hematezesis
liver
(notof nekborn)
232 Certainotherabdcmi,nalaiidlowerg.i.Synptoms
233 Certaingenitourinz-ysyqtoms;abnormalurinaryconstituents
254 Acute symptcmsreferableto limbsand
235
236
257
258
joints- -
Othergeneraletc.),NEC
Uremia(cause
Observation
spptcms (rash,fever,
unknown)
111-definedLNK, and uzkicwntypesofillness
Glandtrouble,NOS
790.1
791
794
780.0,780.1,780.2pt.,780.3-780.5,780.7,780.8,781.6,781.8
782.0,782.5,782.5-782.9
785
784.6,784.5
785.1
785.2
785.0,785.3,785.5,785.7,785.8
786.0,786.1,786.5-786.7,789
787.0-787.6,787.7-S
788.0-788.3,788.5-78%.9
j’g~
~~~
7g6.o,796.1,7~6.~
797-s
-.
‘*
RecodeMnber
240
241
242
243
244
245
246
247
248
249
250
251
252
Health InterviewSurveyDiagnosticRecode#l
ICDAInclusionsTitle as modifiedby HIS
CertainSymptomsand Ill-definedConditions(Recodes223-NO)
“fio~s,” “IWS, ” “bunips, ” causeandtype unknown
Injuries (Recodes241-278)*
Fracture,skull(vault)(base]
Fractureof rib(s),sternum,and larynx
- Fractureof arm
Fractureof mist, ha-d,and/orfingers
Fractureof femur (hip)(qper leg] “ ~~~
Fractureof lower leg not involving‘knee,ankleor foot
Fractureof ankle
Fractureof foot and toes
Fractureof otherand multiplesites,N-EC
Fracture,3 months+,no residualspecified
Dislocationof wrist
Dislocationof ankle
798-S
800,801,803
807
812,815,818
814-817
-820,821
823,827
824
825,826
802,804-806,808-811,819,822,828,829
800.9-829.9(bysite)
855
857
*Recodes272,273,276,277includeboth acuteand chronicexposure.Recodes250,259,269,271,278referonly to injuries3 months+,withno residualspecified.All otherrecodesin the series241-278referto acute injuriesonly (past3 monzhs].
.—.
.
Health InterviewSurveyDiagnosticRecode~1
RecodeNumber Title
.
Injuries(Recodes241-278)*
253
.
.254
255
2S6
257
258
... -.-.---
259
Z60
261
262
263
264
265
Dislocationof otherand multiplesites
Sprains,strains,Of viristand hand
Sprains,strains,of ankleand foot
Sprains,strains,of back
Sprains,strains,of otherand multiplesites,NEC
Intracranialinjury,kithoutskullfracture
.. .
Intracranialinjury,without~Kti”~~:~::a 3 months+,no residual
+
Internalinjury,any,”ofchest,abdomen,and pelvis
Lacerationand open wcund of head,neckand trunk
Lacerationand openwculd of upper limlD
Lacerationand open wound of lowerlimb
Lacerationand openxour.dof multiple --location
Superficialinjury
ICDAInclusionsas modifiedby”fiIS
830-832,834-856,838,829
842
845
846,847
840,841,845,844848
850-854
_...._._ .‘850.9-854.9
860-869
870>872-879
880-884
890-894
900-907
9~0-918
-.
.. . .
*Recodes272,273,276,277includeboth acuteand chronicexposure.Recodes250,259,269,271,278referonly to injuries3 months+,withno residualspecified.AH otherrecodesin the series241-278;eferto acuteinjuriesonly (past3 months)
Heal;h InterviewSurveyDiagnosticRecode:1
8
RecodeNumber
266
267
“268
269
270
271
272. :
275
274.
275
276
277
278
Title
Injuries(Recodes241-278)4
Contusion
Forei=mbody enteringthroughorifice
Bums
Burns,3 months+,no
Injuryto nervesand
Injuryto nervesand
residualspecified
spinalcord
spinalcord,3 months+,no residual-specified
.Adverseeff~czOE r,edicinalagen:s---(acute)(chronic],WC -
Toxiceffectof substanceschieflynonmedicinalas to source(acute)(chronic)
Effectsof radiation,reducedtemperature,heat and otherexternalcauses
Injury,otherand unsp~ified
Complicationsof surgicalprocedures(acute)(chronic)
Othercomplicationsof ~edicalcare(acute)(chronic)
Injuries,3 months+,NEC, no residualspecified
ICDA Inclusionsas modifiedby HIS
279 Errors,residual
-.
920-929
920-939
940-949
940.9-949.9(bysite)
950-959
9so.9-959.9(’oysite)
960-979
980-989
990-994
996
9S7>998
999
4th digit .9 adde~io:
860-870,872-884,890-894,900-907,910-918,920-929950-939,996
*Recodes272,275,276,277includeboth acuteand chronicexposure. Re.cedes250,259,269,271,278referonly to injuries3 months+,with no residualspecifie~.All otherrecodesin the series241-278referto acute injuriesonly (past3 months).
. Health InterviewSurveyDiagnosticRecode 81
X-CodeNumber
●
“Xoo
Xol
X02
X03
MS ‘-”-
X06
X07
X08
X09
no
Xll
x12
x13
XI.4
Xls
Title
All impairments(XOO-4X99).For additionall-digitcodesexpressingetiologyof impairments,seeAppendixI, MedicalCodingknual.
Impairmentof Vision(XOO-X051
Visualimpairment: Inabilityto read ordinarynewspaperprintwith glasses,and impairmentindicatingno usefulviskmin eithereye
Blindin one eye,
Blind in one eye,
Visualimpairment
othereye
o’ther eye
defective,but not blind
good or not mentioned
in both eyes
‘Impairedvi-sion-exceptas in XOO-X03 ~ :- - -- ..-,.. .
Impairmentof Hearinq(X06-X09)
Deafness,total,both ears includingdeaf-mutismIncludespersons,with or withoutspeech,who are completelydeaf.
Hearinglossnot codes’oleto X06 involvingboth ears
All hearingiiiiiairmentsinvolvingonly one ear
Hearingloss,completeor partial,for kiich it is impossibleto determinewhetherone or both ears are involved
Impairmentof SDeech,Smcial Sense,Intelligence(XIO-X19)
Stammering,stuttering
Otherspeechdefectexceptdeaf-mutismand cleftpalate.qeech
Loss or impairmentof senseof smellor taste
Loss or disturbanceof sensation,NEC
Speciallearningdisability(reading)(mixeddominance)
lklentaldeficiency,in mongolism
-.
.Health InterviewSurveyDiagnosticRecodeH
X-CodeWnber
●
X3.6
.x17
X18
X19
X20
Title
Impairmentof Speech,SpecialSense,Intelligence(XIO-Xl.9)
Mentaldeficiency,(1.Q.under36)
Mentaldeficiency,
Mentaldeficiency,
Mentaldeficiency,
severeor profound,exceptin mongolism
mcderate(1.Q.56-51)
mild or borderline(1.Q.52-85)
degree not specified
. -.
-Absence,Loss,Extremitiesand CeztainOtherSites(X20-X54,X36-X59J
Absence,loss,. . . :.----- - -..“:. . ------- . ... .
X21 Absence,loss,
x22 Absence,loss,
X23 Absence,loss,
X24 Absence,loss,
X25 Absence,loss,
X26 Absence,10ss,
X27 Absence,loss,
X28 Absence,loss,
x29 Absence,loss,
X30 Absence,loss,
X31 “ Absence,10ss,
X32 Absence,loss,
arm, NOS, NK...._ ,,____....... ..._”- --,-=.,. ..-.....—..-_..—. -_-: _-..arm, below and abovemist ‘---
arms,both
hand, exceptfingersor thumbsonly “
hands,both exceptfingersor thumbsonl~
fingers=nd/orthunbs,only one or both hands
leg,NOS, MC
leg, bel~~~ee and above~.kle
legs bo’& ..
foot,excepttoe(s)otiy
feet,both
toe(s)only one or both feet
one unper (armor hand)with one lower (legorfoot),except-digitsonly
x33 Absence,loss, three or moremembers(arm,hand,leg, fcot]exceptdigitsonly
X34 Absence,lOSS, fingersand/orthumbs,and toe(s)
X35 Not used
.
X-CodeWd3er
,
X36
.x37
X58
x39
Health InterviewSurveyDia=mosticRecode 31
Title
-.
Absence,Lass,Extremitiesand CertainOtherSites (.X20-XN,=6-.X59)
Absence,lung
Absence,kidney
Absence,breast
Absenceof rib or otherbone, joints,muscleswithoutlossof extremity
‘Paralysis,Comoleteor Partial,ail SitesExceptas in XOO-X19(X40-X69)
---- .. ---Paralysis,.Ccmleteor [Un.me_ifiedof: , .._—.. -
X40- - “-”’“-Upperextremiiy,one, exceptfingersonly--- - ‘-” -
X41 Upperextremities,both
X42 Finger(s)only
x43 Lowerextremity,one, any part excepttoes only
X44
x45
Lowerextremities,both (paraplegia]
Toes only
X46 Lowerextremitiesboth,with bladderor anal sphincterinvolvement(paraplegia)
x47 One sideof body, one roperand one lower,same side(hemiplegia)
X48 Three or more major members; quadriplegic
x49 Othersitesof extremitiesor trurik,siteunspecified
.
.
X-CodeNmber
●
Xso
X51
‘X52
x53
X54
x59
.. . .. :-.... ....;...,
X60
X61 .
X69
X70
X71
X72
X73
x74
x75
X76
x77
Health Interview SurveyDiagnostic Recode #l
Title
Cerebral Pals y, Paralysis, Partial, of Extremities and Trunk
Cerebral palsy
Partial
Partial
Partial
Partial
- Partial
paralysis,
paralysis,
paralysis,
paralysis,
paralysis,
am or
(leg(s)
fingers
any part(s))
one side of body (hemiparesis)
other sites of extremities or trunk
palsy, pares%, site unspecified
Paralysis, Conmlete or Partial, Sites Except Extremities --- T-..-.?.
. .-.
UL 11.LUI.K..-. -.---- . . . ,,. .- ...._ ---- . . . .. . . . . . . .. . .-.—
Paralysis, ccniplete or partial., face
- ---- ---- -,-- ‘s - ----.. —- .. ---- . . . . . . . .. .
Paralysis, ccmplete or partial, bladder or anal sphincter,extremities not mentioned
Paralysis, complete or partial, sites not of extremities,trunk, nor, affecting special senses or~eech
Orthopedic Impairment Ni, (x70-x79) including old (3 months+)dislocations and ~rains, with no residual specified involving:
Back, spine, vertebrae, - (low) (lmbosacral) (sacroiliac)
Cervical or thoracic region of back, spine, vertebrae
Coccygeal region, spine, vertebrae
Shoulder, uoper arm, forearm above wrist; arm, NOS
Wrist, hand, finger, thumb
Hip and/orpelvis (withany other site in X70-X79)
Knee, leg, NOS
Ankle, foot, toe
Health Interview SurveyDiagnostic Recode #l
*
.
X-CodeNumber Title
, -..-
Orthopedic Impairment MC, [X70-X79) including old (3 months+)dislocations and sprains, wtn no res~dual specified lnvolvm::
X78 Multiple sites except as in x70-X77, not involving hip (backand legs) (fingers and tees) (legs and arms) back and arms)
-x79 Other and ill-defined sites (rib) (“sides”) (limping, NOS)
Specified Deformity, Limbs, Trunk, Back (X80-X89)
X80
X31 -
Curvature of spine
Spinabifida (with mening.ocele)-
xaz-. . .- --- -.
X85
Flatfoot; weak arclnes. ---, ._.
clubfoot -... .- . . . -- .
X84 Deformity, other and multiple, lower extremity, NEC
Dislocation, congenital, and other deformity, hip and/or
X87
X85pelvis
Deformity,
Deformity,
Deformity,
x86
X87
X88
X89
neck or shoulder region
finger(s), thumb(s), only
upper extremity, except as in X86,
Deformity,(chest)
back spine, trmk , WC (ill-defined) (rib)
X90
Defect, Abnormality, ~mai~Lent, NEc (x90-X99)
DisfiOwement, scarring, face,
Cleft palate and harelip (with
Other dentofacial handicap
nose, lips, ears
speech defect)X91
X92
x93 Deformity
Dwarfism
Gigantism
of skull
X94
x95
.
.
.
Health Interview SurveyDiagnostic Recode #l
X-CodeNumber
Defect, Abnormality, Impairment, LNEC(X90-X99)
X96
x97
‘X98
x99
Obesity, 3 months+, cause unknown
Underweight, 3 months+, cause unknown
Artificial orifice or valve, any site
Impairment, ill-defined site or type
. . . ,, .. ..- -., . . . . . .
-.
.
January 13, 1963
.I-iealth Interview Survey -.
Diagnostic Recode #2
Acute Conditions
I. Purpos~: Recode #2 consists o: 334-digit categories of frequently iepcrtedacute conditions. Tnese acute condition categories have been selected from
the more extensive diagnostic listing in Diagnostic Recode #l following the definitionof acute condition shown below. Categories shown in this recode are us&d forsummary tabulation and publication. “
II. Arrangement of the Recode: T& first two digits of the recode are to beused for subtotals for use in the annual Acute Conditions report. Thefirst digit will be used to sep”arate the data into the five major conditicngroups, and the second digit into subcategories of these five. The thirdand fourth digits are the basic units of the recode.
111. TMiniticn of Acute Condition: For..the purposes of the Health InterviewSurvey an acute condition is ary disease or-injury with onset in the 3-ranthreference period prior to the week of interview, exclusive of certain ccr.diticnsalways classed as chronic regardless of date of onset. The iricick~.c~ ofacute conditions is limited to acute conditions with onset in the Z-xeekreference period prior to the interview week. Acute conditions also includecurrent deliveries, normal or coqlicated, and current complications ofpreemcy and the puerperium. Acute conditions must have had eitheractivity restriction or medical attention in order to be included in thesurvey statistics.
Acute conditions, as defined, are given a supplementary l-digit cede ri’.zberidentifying them as acute, and are sorted for tabulation under Recede:2 categories on this basis. .QSO, the incidence of acute conciiticns istabulated under Recodes ;I and ;2 only for those conditions with cnsetin the 2-week period prior to interview.
IV. Content: Each line of the recede contains the following elements: ?.ecGde #2
number, title summarizing the contents of the category, Recode #l incl~<ions,and rubric numbers from the International Classification of Diseases (ICDA),8th Revision.
A summary listing ofis shown as follows:
(a) The letter
modifications
“S” follokinsza special number devisedbe found in the ICDA.
which affect the use
an ICDArubric means
of the rzcsd?
that this isfor survey purposes which is not t~
i
.
●
(b)
(c)
Diagnostic Recode $2
Acute Conditions .
Certain IQ)A rubrics are recoded to other locat:the list of rubrics; these recoded I(2M rubricsparenthesis in the recode listing.
ons withinare shovm in
Abbreviations “XOS,” ‘WC,” “Pt.,” represent respectively,“not otherwise specified,” “not elsewhere classified,” aiid “part.”
-.
‘
‘,
.
V. AIog of changes in Recode :2 is attached. Refer to Recode :1 for detailsof changes in that listing.
● -.
Log of ~~.re~ in Recode #z
Recode Ilate+2 of
Number CtigeFrom To
.,.. .--- ..- . . . . . . . .... . ..-: .-. . ... .
. ..._. . .- ..-. . . .
,
!.
● Health InterviewSurveyDiagnosticRecode#2
Acute Conditions
. Recode.#z Recode$1
limber Title Inclusions
ICDA Inclusions -as modifiedby HIS
-.
024 055
Rubella 025 056
Whoopingcough,chickenpox,mumps
015,026,028 033,052,072
1004 Viral infection,unspecified 032 079.9
004,006,007,0091005 -Dysenteryand diarrhealdisease,_ 008
1006 Otheracuteinfectiveand- .- ....parasiticdiseases ..
O06,007,Q09- 000-003,005,008,014,016-023, 020-032,034-043,027,029-031, 045-051,053,054,035-041 057-065,067-071,
073-076,078-079.8,080-089,0’38.0,098.2-098.9,099-136
. -—._
2107
2108
Commoncold 144, 460
Otheracuteupperrespiratoryconditions
145>158 461-465,501,S08
Influenzawith digestivemanifestations
147 473
2210
2311
2312
2313
Otherformsof influenza 148 -
149,150
146
159,228
470-472,474
Pneumonia,MC 480-486
Acutebronchitis 466
Otheracuterespiratoryconditions
510-516,519,782
3414 Acute dentalconditions 160,161 520.6-521.5,521.7-523.9,525
3415 Functionaland symptomaticqper gastrointestkalconditions,N&
165 536,(784.0,784.1,784.3,784.7,785.4pt.)
ICDA Inclusions
Health InterviewSurveyDiagnosticRecode#2.
Recode#2 Recode#l
Inclusionsas modifiedby HIS . ..Title .. Number
526-530,525,557,540-545,560,S61,564-577(784.2.
Otheracutedigestivesptemdisorders
162,164,166,167,169,172-180,229-232
3416
784.4]784.5,7kL6,785.0-785.5,785.5,785.7,785.8(785.4pt.)
Fracturesand dislocations, 241-249,251-acute 253
800-8594517
Sprainsand strains,acute 254-257
Openwoundsand lacerations, -261-264acute
840-8484518
4619 - 870,872-884,890-894,900-S07
Cofitu.Sions-a.nds~e~fick~l-=---’--265,266 -injuries,acute
Gm~fJ-929:--=-,:.5.=-.:..-..—---.—.
4720 --
Complicationsof medicaland 276,277surgicalprocedures,amte
997-9994821
Other injuries,acute 258,260,267>268,270,272-275
850-869,950-994,996
4822
. .5923 Acutediseasesof eye 117-119,123 560-369,572,575,
377,378(744.0,744_.l,7w.4-744.9,781.0-781.2)
5924 Acutediseaszsof ezr 380-387(745.0-745.3,781.3)
124,125
224 791.S925 Headache,under3 months(excludestensionheadachecodedto 306.8in Recede5933)
5926 Acute geni;ourinarydisorders ~8~,~84,1g5, 580>581,585,S90,591,186,188-196 595,595-599,605-233 - 629,786.0,786.1,
786.3-786.7,789
5927 Deliveries,normalor compli- 201-203 650-661cated
●
Recode;2
●Number
.5928
5929
5950
5931
5932 -
---->--- ,- -5533-- -“---”
Health Interview SurveyDiagnostic Recode #2
RecedeTitle . Inclusions
Abortions, and complications of 197-200,204,pregnancy and the puerperim 205
Acute nomllergic diseases of 206,207,209-the skin 211
Lumbago, fibrositis, myositis 215
Other acute niusculoskeletal 214-219,234disorders
Acute circulatory condition - 136,139-143,227
OtFiei’~cut5-condition~’ - ~------ 091-094,096--101,106;lll-116,221-223,226,235-240
ICDA Inclusionsas modified
byFHS .
630-645,670-678
680-684,686-707,709{708)
717.0,717.1,717.9
720-725,725,723-733,787
441-453,457,458782.0,782.3,782.5-782.9
-:.u!ll.other.-IClM ,.Y ,:- --.=-=code numbers _which may beacute ccinditio~c
6934 Errors--Residual
4
.
Health InterviewSurveyJanuary13, 1969
I.
11.
IV.
DiagnosticRecode:3Chron-icConditionsand Impairments
-.
Purpose:.Recode+/3consistsof 53 Z-digitcategoriesof chronicconditionsand unpalrments.These categorieshave been selectedfrom the moreextensivediagnosticlistingin DiagnosticRecode#l followingdefinitionsshownbelow. categoriessho~min thisrecodeare used for smmav ta’oulationand publicationpu-qoses.
Definitionof ChronicConditionand Impairment:For the purposesof theHealthInterviewSurveya ci-uonicconditionand an impairmentare anydeparturesfromnormalhealthwith onsetmore than3 monthsfrcmdateof interview,exceptcertaincomplicationsof pregnancy. Also includedare-certainconditionslistedon the checklistsof chronicconditionsandimpairmentswhich are classedas chronicregardlessof the dateof onset.Ml chronicconditionsare ccuntedin the survey~hetheror not theykve .necessitatedactivityrestrictionor medicalcare. All impairmentscodedwitll-’’’X’l~the-thefirst..dfgi.r:are~bysdefi~~itionj--chz~nic;...--=<G=-<G.----------... ..-----—.-—_____ -Chroniccondticnsand impaim,ents,
.-. -—...as defined,are givena s.upple~,ent=ry
l-digitcodenumberidentifyingthemas chronicand are sortedfor tabulationunderRecode#j categorieson thisbasis.
Content:Each lineof the recodecontainsthe followingelements:Recede:3 nunmer,titlesummarizingthe contentsof the category,Recede#linclusions,and rubricriders fromthe InternationalClassificationo:Diseases[ICDA). Since the impairmentcategoriesare codedaccordingto the Classificationof Iqai-ments(X-code)insteadof the ICDmethod,no corresaondinzICD rubricncrabersare shownin the lastcolcmnforthesecat&gorie~.See &pendix 1 of the~edicalCoding~&~lof the X-codes.
A summry listingof modificationswhichaffectthe use of theis shownas follows:
(a) ~ne le~ter“S’ followingan ICDArubricnumbermeansthata spec~alnumberdevisedfor surveypurposeswhichis notin the ICDA.
for a listing
rscode
this isto be found
(b) CertainKDA rubricsare recodedto otherlocationswithinthe listof rubrics;theserecededICDArubricsare showsin parenthesesinthe recode-listing.
(c) Abloreviations‘NW,” ‘WC,” and “Pt.”representrespectivelyotherwisespecified,”*’notelsewhereclassified,l’aiid“part.”
A log of changesin Recode:3 is attached. Referto Recode:1 forOf changesin t~t listing.
*
‘ Recode Date#3 of
Number Change
Log of Changes in Recode :3
From
. .
* Health Interview SurveyDiagnostic Recode :3
●
January 13, 1969Chronic Diseases and Impairments
‘ Recode - ICDA Inclusions - ‘“#3
NumberRecode $1 as modified
Title Inclusions by HIS
Tuberculosis, active 001-003 010-018
Tuberculosis, arrested or in- 004 157-sactive
Other chronic infective and 00s-041 000-009,020-043,parasitic diseases 045-076,078-136
MaliOgu_nt neoplasm .042-059 140-209
Benign and uns-pecified 060-080 ~lo-23gneoplasms
03
04
05
----- ... &
.,- , . . ..-. . . .“i~o:z~i--:””“----- - ‘--Disea;e of the thyroid gla&”” “‘-““”087-0~9 ‘“-”“-- . . .
--.. :-.
07 Diabetes (~ellitus) 090 250
280-28508
09
Anemias, 3 months+ 097-100
286-289Other diseases of blood ad 101blood forming organs, 3 months+
Headache and ~graine, chronic 111,224(excludes tension headachecoded to 306.8 in Recode 12)
546,79110
11 Specified ~ental disorders, K% lo~-105° z~l)-.jo~,jos.(),
305.3,505.5,305.6,308,309
12 Nervousness, depression, ME and 106special syrptoms, NEC, 3 month+
306,307,31!2-S,(780.6,781.5,785.6,786.2,790.0 ;790.2)
12613 Rheumatic fever, imctive 33S-S
NOTE: For prevalence of heartdisease, use Recodes 14-16
127
128
14
15
Rheunatic fever, active 5S0-592
595-598Rheumatic heart disease
Health InterviewSurveyDiappostic Recode :3
I(ZW Inclusionsas modifiedby HIS .
Recode//3
, Number
16
. 17
18
19
20
21
..... ..
22
23
24
25
26
27
28
29
30 “
Recode :1Title Inclusions
Otherdiseasesof heart,WC 1~9-132 402,404,412-429,(410,411,782.12“782.2,782.4)
430-435,438,(436,437).
CerebrovascuLzrdisease 134
Hypertensivedisease,NE 400,401,403
Varicose veins 157 454,456
455Hemorrhoids .138
Arteriosclerosisand otherchronicdiseaseof the circu-latory.systerl- --------- :..-. . .-Chronicbronchitis ““ ““
155,136,159-143,227
440-453,457,458,782.0,782.3,782.5-782.9--- “ . .
.- .-
“i51-” “--. -. .- — - . --
4s0,491
152 492Emphysema.
Asthma(withor withouthayfever)
153 495
Hay fever,withoutasthma 157 507
Chronicsinusitis
Otherchronicdiseaseof therespiratorysystem
503156
147-150,154155,158,.159,228
470-486,500-502,504-S06,508-519,785
Ulcerof sGa-r.2chor duodenum 163 531-534
Herniaof abdominalcavity 168 550-553
Diseasesof the gallbladder,chronic
1783179 574-576
Health InterviewSurveyDiagnosticRecode#3
ICDAInclusionsas modifiedby HIS .
Recode#3
, Number TitleRecodeS1Inclusions -.
31 Otherchronicdiseasesof thedigestive~stem
160-162,164-167,169-177,180,229-252
520.3,520.4,520.6-521.5.521.7-523,525-530,53S-543,560-575*577(784.0-784:4784.7,785.4j,784.5,784.6,785.0-785.3,785.5,785.7,785.8
52 Disordersof menstruation .195 626
35 Menopausalsymptoms,except 627194psychosis
------------,,...-..:,=..— .-. . .. - -----. .. .’181,182,184,185
‘“5gl:-5$~:5;&.g5-“’”’:’-34
35
36
37
38
39
Chronicdiseasesof kicheyandureter
Other chronicdiseasesof urinmy 183,186,235 594-599,786.0,786.1>786.3-786.7,789if 5months+
Chronicdiseasesof genitalorg~s, hj
187-192,195196
600-602,610,613,605-607,6U,614-625,628,629if3 months+
Chronicand allergicskin 206-211. 680-707,70S!.1709.9,(708,709.0)
diseases
Acthritisand chronicrheumatisin
musculoskeletal
zl~,zlj 710-716,717.0717.1,717.9,718
214-219 720,733.0,753.2,735.5,735.6,733.9,721-723,725,728-752,734if three
Otherchronicdisorders
months+
800.9-829.940 Fractures,j months+noresidualspecified
250
Health InterviewSurveyDia~ostic Recode:3
Recode;3
* Number
41
42
. 45
44
45
46
47
48,...
49
50
51
52
52
54
Title
Blindness
Othervisualimpairments
Hearingimpairinents
Speechdefects
Paralysis
Absence,fingers,toes,only
&sence, majorextremities
Impairments(exceptparalysi. -.and absence),’back or spine
Impairments(exceptparalysisand absence),upperextremitiesand shoulders
Impairments(exceptparalysisand absence),lowerextremitiesand hipswith any othersite
Impairments(exceptparalysisand absence),multiple,NEC, andill-defined,limbs,back,trunk
Other impairments
Otherchronicconditions,exceptimpairments(gout),(multiplesclerosis),(paraljsis agitans), -(epilepsy), (refractiveerrors),(cataract),(~laucoma),(con-genitalmaifo~tions not inX-code),(senility),{etc.)
Errors,residual
ICDA InclusionsRecode#l as modifiedInclusions by HIS
Xoo
XO1-X05
X06-X09
Xlo ,Xll
X40-X69
X25,X31,X34
‘x3)-xz4,.~&X30,X52,X33
X70-X72,X80, - .X81 ._ ‘.. . .. . .... . . “.
X73,X74,X86-X88
X75-X77,X82-X85
X78,X79,X89
X12-X19,X56- .X59,XQ0-X99
91-96,108- All otherICDJ.110,112-12s codenumloers220-223,225, whichmay be226,255-240, chronicconditions259,269,271,278,272,275,276,277
-.
*
,
Health InterviewSurvey
DiagnosticRecode:4Homital Diamosis
January13, 1969 -.
Purpose:‘dreported
Recode:4 is a list of 38 categoriesoffromRecode#l. It is designedfor usefor eachhospitalization.
diseases,injuries,aiidi~airrlentsin tabulatingthe ciiaq.oszs
Contents:l%ch lineof the recodecontainsthe followingelements:recedenmmer, titlesummarizingthe contents,Recode#l incl~-ions,rubricnumbersfrom the ICDA. The full detailof all modificationsof ICDA is shownin.AppendixIII of the?dedicalCodingWnual.which directlyaffectthe use of the recode
(a)
... —----- ...Ga- (b)
(c)
(d)
tie letter“S” followinga rubricfieans
A summarylistingof modificationsis shownas follows:
that this is a specialnm?cecdevisedfor surveypurp~seswhich is not toke fomd in~he ICDA.
ceptain~?.n~ rubricsare-recodedto,otherlocations.within.thelist ~...=..,.:,.-Sof,rubr~cs;.~heseyeccdedIC3Mrubricsare shownin-parentheses-”’~nthe recodelisting.
. _-_____ -.-
ICDArubricsfor impairmentsand r,ostof the late effectsof diseasesare not used in the surveymedicalcodingand, ther%foreare not sho~nin Recode:1. Impairmentsand theircauses,as reportedly the householdmembers,are codeddirectlyto the X-codesaccordingto a systemthat differsconsiderablyfromthe ICDAmethod. A completelistingof the Classificationof Impairments(X-code)is given in the&endixI of the MedicalCodingNfaual.
The abbreviations“NOS”and ‘NET represent,respectively,“nototherwise ‘specified”and “not elsewhereclassfieii.”
Health Interview SurveyDiagnostic Recode :4
Recode$4 Recode $1
Number Title Inclusions●
U1
02
03
04
0s
06
. . . .. . . .=: 07 -=T,..
08
09
10
11
12
lUber$UIOSIS LaCtlVeJ (macmvej, UU1-UU4all sites
Other infective and parasitic 00s-041diseases
M..lignant neoplasm 042-059
Beni=m and unspecified necpk~ 060-080
Diabetes (mellitus] 090
Other endocrine, nutritional, 087-089,091 -~etabolic disorders ’096
ICDA Inclusionsas modified by
HIS Number
010-018,137-S
000-009,020-043,045-076,078-136
140-209
210-239
250
240-246,2S1-264,265.0,265.2,
-.
265.9,266-279
lfqtal.~d-prsonality ?is.-...-..._y.._-ti9..-.._y~. -102-106 X14- 290-304,305.0,orders, and defici”enc~es- -– :ij@j~-~;~~~5; :: .=-:::=n .-. -.. -_-’
Cerebrovascular disease
Diseases of the eye and visualimpairments
Other diseases of nervous systemand sense organs, exceptparalysis
Diseases of the heart, MC
.Hypertensive disease, NM
Arteriosclerosis, NIX
134
ll7-123,XOO-Xos
108-116,124,125,226,X06-.X3.3
..
127-152
135
135
305.6;3M7-%9-, -319-S,780.6,“781.5,785.6,786.2,790.0,790.2
430-438
560-378,744,781.0-781.2
520-323,550-342,345-348,549.0,549.5-349.9,550-358,380-387,745;0-745.2,781.3,781.4,781.7
390-398,402,404,410-429,782.1,782.2,782.4
400,401,403
440
Health InterviewSurveyDiagnosticRecode#4
Recode;4
, Xumber
14
1s
- 16
ICDAas
Inclusionsmodified
Title
Varicoseveins
Hemorrhoids
Otherdiseasesofsystem,NEC
Upperrespiratory
Otherreqiratoryconditions
Inclusions by HIS-.
137
138
454,456
455
circulatory 126,136,139-143,227
399-S,441-455,A5~,4~8,7~2.~,782.3,782.5-782.9
17
18
‘...’...-.... . .l.s!.:
conditions
s’)%ten
144,145,1s4-158
460-465,500-508
‘146-153,159,228,X36
466-493,510-512,783
,JJlger.qfstomac’h------or ckcckn:~:,,::.--.”.-=- 531-534..- ___ ;_. . .... . . . ~._ =_ ,. -. -- - -. ...:- .- .:.-.’. . . . . .. . . . . .. ,. --- ,.:
20 -
21
22
23--
Appendicitis,all fo~ - “- 167 ‘540-543
Herniaof abdominalcavity 168 5s0-553
Diseasesof the gallbladder 178,179 574-576
Otherdigestivesystemconditions
160-162,164-166,16!3-177,180,229-232
520.3,520.4,520.6-520.9,521.0-521.S,521.7-521.9,522,523,525-530,535-537,560-575,577,784>785.0-78S.5,785.7,785.8
24 Male genitaldisorders 187,189 600-607
25 Femalegenitaldisorders 190-196 610-629
26 Othergenitourinarysystemconditions
181-186,189,233,X37,X38
580-599,610,611(male);786.0,786.1,786.3-786.7,789
27
2a
29
Delivery,normalor unspecified 201 650
651-661Deliverywith complications 202,205
Complicationsof pregruuxyandthepuerperium
197-200,204,205
630-645,670-678
.,. . . ... .. . . . -... - .
Recode#4
Number Titles
30
31
32
33
34
.- ..... . . . .35-
----
36
37
38
.-,. . . . .. .. . . .
Health Interview SurveyDiagnostic Recode :4
Recode #lInclusions
Diseases of the skin and 206-211cellular tissue, MC
Arthritis 212
Conditions of bones and joints, 214-216,250,MC
Other conditions of themu.sculoskeletal system, MC
Fractures and dislocations,current
.,Other current injuries. .
-. —..
Paralysis, all sites
Observation only
Other conditions andimpairments, MC
X70-X79
213,217-219,234,X20-X34>X80-X89
‘241-249,251-253
,,.. - . ..”. . . . . . . .. -------- .--. , ... .’. ----- :...--------
ICDA Inclusionsas modified
by HIS
680-709
710-715
720-723,725,728,729,800 .9-829.9
716-718,730-734,787
800-839
254-258,260- 840-85~,86Q:S49-~ .. .. . ... .. .. . .,. ;268;270,272-- ’~~9g9g9 --- ?-.
277. .
X40-X69
237 793
097-1o1,220- &Ll other KDA225,235,236, code numbers238-240,259, used for ad-269,271,278, mission toX39,X90-X99 hospital