Question ID: FIJ.050_01.000
Instrument Variable Name: IPDATEM
Question Text: 1 of 3
* Please hand the calendar card to the respondent.
{if only 1 injury/poisoning episode for the person}
When did [fill1: your/ALIAS's] [fill2: injury/poisoning] happen for which a medical professional was consulted?
{first of multiple injury/poisoning episodes for the person}
Now I'm going to ask a few questions about the [fill3: ^MTFINJ3M/^MTFPOI3M] times [fill4: you were/ALIAS was]
[fill5: injured/poisoned] for which a medical professional was consulted. Starting with the most recent time, when did this
[fill2: injury/poisoning] happen?
{second plus of multiple injury/poisoning episodes for the person}
You just told me about [fill1: your/ALIAS's] [fill6: (month, day of previous event)] [fill7:most recent/second most
recent/third most recent/fourth most recent][fill2: injury/poisoning]. What was the date of the [fill2: injury/poisoning]
before that for which a medical professional was consulted?
* Enter month.
01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
97 Refused
99 Don't know
Universe Text: All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:
(1-12) [goto IPDATED]
(R) [goto IPHOW]
(D) [goto IPDATENO]
Question ID: FIJ.050_02.000
Instrument Variable Name: IPDATED
Question Text: 2 of 3
* Enter day.
01-31 1-31
97 Refused
99 Don't know
Universe Text: All injury/poisoning episodes where a valid month of episode was entered
Skip Instructions:
(1-31) [goto IPDATEY]
(R) [goto IPHOW]
(D) [goto IPDATEMT]
Hard Edit: ERR_IPDATED
[fill1: IPDATED] is not a valid day for [fill2: IPDATEM ].
(Close) [reset IPDATED for new entry]
(Goto) [reset IPDATED for new entry]
Question ID: FIJ.050_03.000
Instrument Variable Name: IPDATEY
Question Text: 3 of 3
* Enter year.
Year Year
9997 Refused
9999 Don't know
Universe Text: All injury/poisoning episodes where a valid day of episode was entered
Skip Instructions:
if IPDATEM, IPDATED and IPDATEY result in a future date; goto ERR_IPDATEY; else, if IPDATEM, IPDATED and IPDATEY result in a date prior to the start date of the 91 day reference period, goto
ERR1_IPDATEY; else, goto IPHOW
Hard Edit: ERR_IPDATEY
* Future date invalid.
* Please correct.
(Close) [reset IPDATED for new entry]
(Goto) [reset IPDATED for new entry]
Soft Edit: ERR1_IPDATEY
* The reported date, [^IPDATEM(text)^IPDATED(numeric)^IPDATEY(4-digit year)], falls outside the reference period beginning [fill date used in FIJ.010].
*Please verify the date and make any corrections.
ERR2_IPDATEY
*The reported date, [^IPDATEM(text)^IPDATED(numeric)^IPDATEY(4-digit year)], falls outside the reference period beginning [fill date used in FIJ.010]. NOTE: The start of the reference period falls in the [beginning/middle/end] of [month used in FIJ.010].
*Please verify the date and make any corrections.
ERR3_IPDATEY
* The reported date, [^IPDATEM(text)^IPDATEY(4-digit year)], falls outside the reference period beginning [fill date used in FIJ.010].
*Please verify the date and make any corrections.