Instrument Variable Name: IPHOW
Question Text:

? [F1] [fill1: How did [fill2: your/ALIAS's] [fill3: injury/poisoning] on [fill4: ^IPDATEM ^IPDATED (starting with most recent if multiple)] happen?/How did this [fill3: injury/poisoning] happen?] Please describe fully the circumstances or events leading to the [fill3: injury/poisoning], and any objects, substances, or other people involved.
* Enter the verbatim response, probing for as much detail as possible, including specifically what the person was doing at the time and all circumstances surrounding the event. Record all volunteered information.

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:

(verbatim) [if an injury episode, go to ICAUS; else, if a poisoning episode, go to PPCC]
(R) [if an injury episode, fill "R" in ICAUS and go to IJBODY; else, if a poisoning episode, go to PPCC]
(D) [if an injury episode, fill "D" in ICAUS and go to IJBODY; else, if a poisoning episode, go to PPCC]

Instrument Variable Name: ICAUS
Question Text:

? [F1]
* Do not read. * Enter the number which best describes the cause of the person's injury from the list below.

01 In a motor vehicle
02 On a bike, scooter, skateboard, skates, skis, horse, etc.
03 Pedestrian who was struck by a vehicle such as a car or bicycle
04 In a boat, train, or plane
05 Fall
06 Burned or scalded by substances such as hot objects or liquids, fire, or chemicals
07 Other
97 Refused
99 Don't know

Universe Text All injury episodes for which a medical professional was consulted and don't know or refused was not entered at IPHOW
Skip Instructions:

go to IJBODY

Instrument Variable Name: IPHOW
Question Text:

? [F1] [fill1: How did [fill2: your/ALIAS's] [fill3: injury/poisoning] on [fill4: ^IPDATEM ^IPDATED (starting with most recent if multiple)] happen?/How did this [fill3: injury/poisoning] happen?] Please describe fully the circumstances or events leading to the [fill3: injury/poisoning], and any objects, substances, or other people involved.
* Enter the verbatim response, probing for as much detail as possible, including specifically what the person was doing at the time and all circumstances surrounding the event. Record all volunteered information.

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:

(verbatim) [if an injury episode, go to ICAUS; else, if a poisoning episode, go to PPCC]
(R) [if an injury episode, fill "R" in ICAUS and go to IJBODY; else, if a poisoning episode, go to PPCC]
(D) [if an injury episode, fill "D" in ICAUS and go to IJBODY; else, if a poisoning episode, go to PPCC]

Instrument Variable Name: ICAUS
Question Text:

? [F1]
* Do not read. * Enter the number which best describes the cause of the person's injury from the list below.

01 In a motor vehicle
02 On a bike, scooter, skateboard, skates, skis, horse, etc.
03 Pedestrian who was struck by a vehicle such as a car or bicycle
04 In a boat, train, or plane
05 Fall
06 Burned or scalded by substances such as hot objects or liquids, fire, or chemicals
07 Other
97 Refused
99 Don't know

Universe Text All injury episodes for which a medical professional was consulted and don't know or refused was not entered at IPHOW
Skip Instructions:

go to IJBODY

Instrument Variable Name: IPHOW
Question Text:

? [F1] [fill1: How did [fill2: your/ALIAS's] [fill3: injury/poisoning] on [fill4: ^IPDATEM ^IPDATED (starting with most recent if multiple)] happen?/How did this [fill3: injury/poisoning] happen?] Please describe fully the circumstances or events leading to the [fill3: injury/poisoning], and any objects, substances, or other people involved.
* Enter the verbatim response, probing for as much detail as possible, including specifically what the person was doing at the time and all circumstances surrounding the event. Record all volunteered information.

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:

(verbatim) [if an injury episode, go to ICAUS; else, if a poisoning episode, go to PPCC]
(R) [if an injury episode, fill "R" in ICAUS and go to IJBODY; else, if a poisoning episode, go to PPCC]
(D) [if an injury episode, fill "D" in ICAUS and go to IJBODY; else, if a poisoning episode, go to PPCC]

Instrument Variable Name: ICAUS
Question Text:

? [F1]
* Do not read. * Enter the number which best describes the cause of the person's injury from the list below.

01 In a motor vehicle
02 On a bike, scooter, skateboard, skates, skis, horse, etc.
03 Pedestrian who was struck by a vehicle such as a car or bicycle
04 In a boat, train, or plane
05 Fall
06 Burned or scalded by substances such as hot objects or liquids, fire, or chemicals
07 Other
97 Refused
99 Don't know

Universe Text All injury episodes for which a medical professional was consulted and don't know or refused was not entered at IPHOW
Skip Instructions:

go to IJBODY

Instrument Variable Name: IPHOW
Question Text:

? [F1] [fill1: How did [fill2: your/ALIAS's] [fill3: injury/poisoning] on [fill4: ^IPDATEM ^IPDATED (starting with most recent if multiple)] happen?/How did this [fill3: injury/poisoning] happen?] Please describe fully the circumstances or events leading to the [fill3: injury/poisoning], and any objects, substances, or other people involved.
* Enter the verbatim response, probing for as much detail as possible, including specifically what the person was doing at the time and all circumstances surrounding the event. Record all volunteered information.

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:

(verbatim) [if an injury episode, go to ICAUS; else, if a poisoning episode, go to PPCC]
(R) [if an injury episode, fill "R" in ICAUS and go to IJBODY; else, if a poisoning episode, go to PPCC]
(D) [if an injury episode, fill "D" in ICAUS and go to IJBODY; else, if a poisoning episode, go to PPCC]

Instrument Variable Name: ICAUS
Question Text:

? [F1]
* Do not read. * Enter the number which best describes the cause of the person's injury from the list below.

01 In a motor vehicle
02 On a bike, scooter, skateboard, skates, skis, horse, etc.
03 Pedestrian who was struck by a vehicle such as a car or bicycle
04 In a boat, train, or plane
05 Fall
06 Burned or scalded by substances such as hot objects or liquids, fire, or chemicals
07 Other
97 Refused
99 Don't know

Universe Text All injury episodes for which a medical professional was consulted and don't know or refused was not entered at IPHOW
Skip Instructions:

go to IJBODY

Instrument Variable Name: ICAUS
Question Text: ? [F1]

* Do not read.
* Enter the number which best describes the cause of the person's injury from the list below.

01 In a motor vehicle
02 On a bike, scooter, skateboard, skates, ski, horse, etc.
03 Pedestrian who was struck by a vehicle such as a car or bicycle
04 In a boat, train, or plane
05 Fall
06 Burned or scalded by substances (hot objects,fire,liquid,chemical)
07 Other
97 Refused
99 Don't know

Universe Text: All injury episodes for which a medical professional was consulted and don't know or refused was not entered at IPHOW
Skip Instructions:

goto IJBODY

Instrument Variable Name: ICAUS
Question Text: ? [F1]

* Do not read.
* Enter the number which best describes the cause of the person's injury from the list below.

01 In a motor vehicle
02 On a bike, scooter, skateboard, skates, ski, horse, etc.
03 Pedestrian who was struck by a vehicle such as a car or bicycle
04 In a boat, train, or plane
05 Fall
06 Burned or scalded by substances (hot objects,fire,liquid,chemical)
07 Other
97 Refused
99 Don't know

Universe Text: All injury episodes for which a medical professional was consulted and don't know or refused was not entered at IPHOW
Skip Instructions:

goto IJBODY

Instrument Variable Name: ICAUS
Question Text: ? [F1]

* Do not read.
* Enter the number which best describes the cause of the person's injury from the list below.

01 In a motor vehicle
02 On a bike, scooter, skateboard, skates, ski, horse, etc.
03 Pedestrian who was struck by a vehicle such as a car or bicycle
04 In a boat, train, or plane
05 Fall
06 Burned or scalded by substances (hot objects,fire,liquid,chemical)
07 Other
97 Refused
99 Don't know

Universe Text: All injury episodes for which a medical professional was consulted and don't know or refused was not entered at IPHOW
Skip Instructions:

goto IJBODY

Instrument Variable Name: ICAUS
Question Text: ? [F1]

* Do not read.
* Enter the number which best describes the cause of the person's injury from the list below.

01 In a motor vehicle
02 On a bike, scooter, skateboard, skates, ski, horse, etc.
03 Pedestrian who was struck by a vehicle such as a car or bicycle
04 In a boat, train, or plane
05 Fall
06 Burned or scalded by substances (hot objects,fire,liquid,chemical)
07 Other
97 Refused
99 Don't know

Universe Text: All injury episodes for which a medical professional was consulted and don't know or refused was not entered at IPHOW
Skip Instructions:

goto IJBODY

Instrument Variable Name: IPHOW
Question Text: ? [F1]

[fill1: How did [fill2: your/ALIAS's] [fill3: injury/poisoning] on [fill4: ^IPDATEM ^IPDATED (starting with most recent if multiple)] happen?/How did this [fill3: injury/poisoning] happen?] Please describe fully the circumstances or events leading to the [fill3: injury/poisoning], and any objects, substances, or other people involved.

* Enter the verbatim response, probing for as much detail as possible, including specifically what the person was doing at
the time and all circumstances surrounding the event. Record all volunteered information.

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text: All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions: (verbatim)

[if an injury episode, goto ICAUS; else, if a poisoning episode, goto PPCC]
(R) [if an injury episode, fill "R" in ICAUS and goto IJBODY; else, if a poisoning episode, goto PPCC]
(D) [if an injury episode, fill "D" in ICAUS and goto IJBODY; else, if a poisoning episode, goto PPCC]

Instrument Variable Name: ICAUS
Question Text: ? [F1]

* Do not read.
* Enter the number which best describes the cause of the person's injury from the list below.

01 In a motor vehicle
02 On a bike, scooter, skateboard, skates, ski, horse, etc.
03 Pedestrian who was struck by a vehicle such as a car or bicycle
04 In a boat, train, or plane
05 Fall
06 Burned or scalded by substances (hot objects,fire,liquid,chemical)
07 Other
97 Refused
99 Don't know

Universe Text: All injury episodes for which a medical professional was consulted and don't know or refused was not entered at IPHOW
Skip Instructions:

goto IJBODY

FR: ENTER THE FIRST APPROPRIATE BOX WHICH DESCRIBES THE CAUSE OF THE PERSON'S INJURY/POISONING FROM THE LIST BELOW.

(01) Transportation, including motor vehicle/bicycle/motorcycle/pedestrian/train/boat/airplane (FIJ.090)
(02) Fire/burn/scald related (FIJ.150)
(03) Fall (FIJ.171)
(04) Poisoning (FIJ.195)
(05) Overexertion/strenuous movements (FIJ.200)
(06) Struck by object or person (FIJ.200)
(07) Animal or insect bite (FIJ.191)
(08) Cut/pierce (FIJ.200)
(09) Machinery (FIJ.200)
(10) Other (FIJ.200)
(97) Refused (FIJ.200)
(99) Don't know (FIJ.200)

FR: ENTER THE FIRST APPROPRIATE BOX WHICH DESCRIBES THE CAUSE OF THE PERSON'S INJURY/POISONING FROM THE LIST BELOW.

(01) Transportation, including motor vehicle/bicycle/motorcycle/pedestrian/train/boat/airplane (FIJ.090)
(02) Fire/burn/scald related (FIJ.150)
(03) Fall (FIJ.171)
(04) Poisoning (FIJ.195)
(05) Overexertion/strenuous movements (FIJ.200)
(06) Struck by object or person (FIJ.200)
(07) Animal or insect bite (FIJ.191)
(08) Cut/pierce (FIJ.200)
(09) Machinery (FIJ.200)
(10) Other (FIJ.200)
(97) Refused (FIJ.200)
(99) Don't know (FIJ.200)

FR: ENTER THE FIRST APPROPRIATE BOX WHICH DESCRIBES THE CAUSE OF THE PERSON'S INJURY/POISONING FROM THE LIST BELOW.

(01) Transportation, including motor vehicle/bicycle/motorcycle/pedestrian/train/boat/airplane (FIJ.090)
(02) Fire/burn/scald related (FIJ.150)
(03) Fall (FIJ.171)
(04) Poisoning (FIJ.195)
(05) Overexertion/strenuous movements (FIJ.200)
(06) Struck by object or person (FIJ.200)
(07) Animal or insect bite (FIJ.191)
(08) Cut/pierce (FIJ.200)
(09) Machinery (FIJ.200)
(10) Other (FIJ.200)
(97) Refused (FIJ.200)
(99) Don't know (FIJ.200)

FR: ENTER THE FIRST APPROPRIATE BOX WHICH DESCRIBES THE CAUSE OF THE PERSON'S INJURY/POISONING FROM THE LIST BELOW.

(01) Transportation, including motor vehicle/bicycle/motorcycle/pedestrian/train/boat/airplane (FIJ.090)
(02) Fire/burn/scald related (FIJ.150)
(03) Fall (FIJ.171)
(04) Poisoning (FIJ.195)
(05) Overexertion/strenuous movements (FIJ.200)
(06) Struck by object or person (FIJ.200)
(07) Animal or insect bite (FIJ.191)
(08) Cut/pierce (FIJ.200)
(09) Machinery (FIJ.200)
(10) Other (FIJ.200)
(97) Refused (FIJ.200)
(99) Don't know (FIJ.200)

How did {subject's name} injury(s) happen? Please describe fully the circumstances or events leading to the injury(s), and any object, substance, or other person involved.

FR: ENTER THE VERBATIM RESPONSE, PROBING FOR AS MUCH DETAIL AS POSSIBLE, INCLUDING SPECIFICALLY WHAT THE INJURED PERSON WAS DOING AT THE TIME AND ALL CIRCUMSTANCES SURROUNDING THE EVENT. RECORD ALL VOLUNTEERED INFORMATION.

IJHOW1 ____________________
IJHOW2 ____________________
IJHOW3 ____________________
IJHOW4 ____________________

FR: ENTER THE FIRST APPROPRIATE BOX WHICH DESCRIBES THE CAUSE OF THE PERSON'S INJURY FROM THE LIST BELOW.

(1) Vehicle as transportation, including motor vehicle/bicycle/motorcycle/pedestrian/train/boat/airplane(FIJ.090)
(2) Gun/being shot (FIJ.190)
(3) Fire/burn/scald related (FIJ.150)
(4) Near drowning/water in lungs (FIJ.160)
(5) Fall (FIJ.170)
(6) Other (FIJ.200)
(7) Refused (FIJ.200)
(9) Don't know (FIJ.200)