Instrument Variable Name: IPER
Question Text:

* Read lead-in if necessary. Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]? A visit to an emergency room

1 Yes
2 No
7 Refused
9 Don't know

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

(1,2,D) [go to IPDO]
(R) [go to IPHOSP]

Instrument Variable Name: IPER
Question Text:

* Read lead-in if necessary. Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]? A visit to an emergency room

1 Yes
2 No
7 Refused
9 Don't know

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

(1,2,D) [go to IPDO]
(R) [go to IPHOSP]

Instrument Variable Name: IPER
Question Text:

* Read lead-in if necessary. Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]? A visit to an emergency room

1 Yes
2 No
7 Refused
9 Don't know

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

(1,2,D) [go to IPDO]
(R) [go to IPHOSP]

Instrument Variable Name: IPER
Question Text:

* Read lead-in if necessary. Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]? A visit to an emergency room

1 Yes
2 No
7 Refused
9 Don't know

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

(1,2,D) [go to IPDO]
(R) [go to IPHOSP]

Instrument Variable Name: IPER
Question Text:

* Read lead-in if necessary. Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]? A visit to an emergency room

1 Yes
2 No
7 Refused
9 Don't know

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

(1,2,D) [go to IPDO]
(R) [go to IPHOSP]

Instrument Variable Name: IPER
Question Text:

* Read lead-in if necessary. Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]? A visit to an emergency room

1 Yes
2 No
7 Refused
9 Don't know

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

(1,2,D) [go to IPDO]
(R) [go to IPHOSP]

Instrument Variable Name: IPER
Question Text:

* Read lead-in if necessary. Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]? A visit to an emergency room

1 Yes
2 No
7 Refused
9 Don't know

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

(1,2,D) [go to IPDO]
(R) [go to IPHOSP]

Instrument Variable Name: IPER
Question Text:

* Read lead-in if necessary. Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]? A visit to an emergency room

1 Yes
2 No
7 Refused
9 Don't know

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

(1,2,D) [go to IPDO]
(R) [go to IPHOSP]

Instrument Variable Name: IPER
Question Text:

* Read lead-in if necessary.
Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]?
A visit to an emergency room

1 Yes
2 No
7 Refused
9 Don't know

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

(1,2,D) [goto IPDO]
(R) [goto IPHOSP]

Instrument Variable Name: IPER
Question Text:

* Read lead-in if necessary.
Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]?
A visit to an emergency room

1 Yes
2 No
7 Refused
9 Don't know

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

(1,2,D) [goto IPDO]
(R) [goto IPHOSP]

Instrument Variable Name: IPER
Question Text:

* Read lead-in if necessary.
Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]?
A visit to an emergency room

1 Yes
2 No
7 Refused
9 Don't know

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

(1,2,D) [goto IPDO]
(R) [goto IPHOSP]

Instrument Variable Name: IPER
Question Text:

* Read lead-in if necessary.
Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]?
A visit to an emergency room

1 Yes
2 No
7 Refused
9 Don't know

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

(1,2,D) [goto IPDO]
(R) [goto IPHOSP]

Instrument Variable Name: IPER
Question Text:

* Read lead-in if necessary.
Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]?
A visit to an emergency room

1 Yes
2 No
7 Refused
9 Don't know

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

(1,2,D) [goto IPDO]
(R) [goto IPHOSP]

Instrument Variable Name: IPER
Question Text:

* Read lead-in if necessary.
Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]?
A visit to an emergency room

1 Yes
2 No
7 Refused
9 Don't know

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

(1,2,D) [goto IPDO]
(R) [goto IPHOSP]

Where did {you/subject name} receive MEDICAL ADVICE OR TREATMENT for this injury/poisoning? Anywhere else?

FR: SHOW FLASHCARD F3. MARK ALL THAT APPLY. ENTER (N) FOR NO MORE.

(1) Yes
(2) No
(7) Refused
(9) Don't know

You may choose more than one.
1. Did not receive medical treatment or advice
2. Phone call to doctor or health care professional
3. Phone call to Poison Control Center
4. Visit to Doctor's Office
5. Visit to Clinic or Outpatient department
6. Visit to Emergency department
7. Hospitalized for at least one night

IJMED_2 (2) Phone call to doctor or health care professional
IJMED_3 (3) Phone call to Poison Control Center
IJMED_4 (4) Visit to Doctor's Office
IJMED_5 (5) Visit to Clinic or Outpatient department
IJMED_6 (6) Visit to Emergency department
IJMED_7 (7) Visit to Hospital (stayed at least one night) (FIJ.047)

[If IJMED_2 to IJMED_7 equal 2, skip to FIJ.046]

Where did {you/subject name} receive MEDICAL ADVICE OR TREATMENT for this injury/poisoning? Anywhere else?

FR: SHOW FLASHCARD F3. MARK ALL THAT APPLY. ENTER (N) FOR NO MORE.

(1) Yes
(2) No
(7) Refused
(9) Don't know

You may choose more than one.
1. Did not receive medical treatment or advice
2. Phone call to doctor or health care professional
3. Phone call to Poison Control Center
4. Visit to Doctor's Office
5. Visit to Clinic or Outpatient department
6. Visit to Emergency department
7. Hospitalized for at least one night

IJMED_2 (2) Phone call to doctor or health care professional
IJMED_3 (3) Phone call to Poison Control Center
IJMED_4 (4) Visit to Doctor's Office
IJMED_5 (5) Visit to Clinic or Outpatient department
IJMED_6 (6) Visit to Emergency department
IJMED_7 (7) Visit to Hospital (stayed at least one night) (FIJ.047)

[If IJMED_2 to IJMED_7 equal 2, skip to FIJ.046]

Where did (you/subject name) receive MEDICAL ADVICE OR TREATMENT for this injury/poisoning? Anywhere else?

FR: MARK ALL THAT APPLY. ENTER (N) FOR NO MORE.

(1) Did not receive medical treatment or advice (FIJ.046)
(2) Phone call to doctor or health care professional
(3) Phone call to Poison Control Center
(4) Visit to Doctor's Office
(5) Visit to Clinic or Outpatient department
(6) Visit to Emergency department
(7) Visit to Hospital (stayed at least one night) (FIJ.047)
(97) Refused
(99) Don't Know

[If IJMED not equal to 01 or 07, skip to FIJ.050]

Where did (you/subject name) receive MEDICAL ADVICE OR TREATMENT for this injury/poisoning? Anywhere else?

FR: MARK ALL THAT APPLY. ENTER (N) FOR NO MORE.

(1) Did not receive medical treatment or advice (FIJ.046)
(2) Phone call to doctor or health care professional
(3) Phone call to Poison Control Center
(4) Visit to Doctor's Office
(5) Visit to Clinic or Outpatient department
(6) Visit to Emergency department
(7) Visit to Hospital (stayed at least one night) (FIJ.047)
(97) Refused
(99) Don't Know

[If IJMED not equal to 01 or 07, skip to FIJ.050]

FR: PLEASE VERIFY:

(You/subject name) DID NOT receive any medical treatment or advice for this injury/poisoning - even a phone call to a doctor's office for advice. Is that correct?

(1) Make correction
(2) Proceed