STCMSID - State CMS ID
STATENAME - State Name
DISTCMSID - District CMS ID
DISTWT - Analysis Weight for District
SAMPSTRA - Stratum Variable
HSDPAP- Web - Paper Complete Module
RTITLE - RESPONDENT TITLE
HSD1a - Student record - Phys hlth hist
HSD1b - Student record - Emot/MH hist
HSD1c - Student record - TB screening
HSD1d - Student record - Other screening records
HSD1e - Student record - Meds needs
HSD1f - Student record - Dietary needs/restrictions
HSD1g - Student record - Severe food/other allergies
HSD1h - Student record - PA restriction
HSD1i - Student record - Asthma action plans
HSD1j - Student record - Emergency contact info
HSD1k - Student record - Authorization for emergency tx
HSD1l - Student record - Ins coverage info
HSD1m - Student record - Weight status
HSD1n - Student record - Reason for absence
HSD2a - K/first grade - Hearing screening
HSD2b - K/first grade - Vision screening
HSD2c - K/first grade - Oral hlth exam
HSD2d - K/first grade - Phys exam
HSD2d - K/first grade - Dev exam
HSD3 - Student annual flu vaccine
HSD4a - K/first grade vaccine - Second measles
HSD4b - K/first grade vaccine - Polio
HSD4c - K/first grade vaccine - Pertussis
HSD4d - K/first grade vaccine - Tetanus
HSD4e - K/first grade vaccine - Hepatitis A
HSD4f - K/first grade vaccine - Hepatitis B
HSD4g - K/first grade vaccine - Chicken pox
HSD5 - K/first grade student excl w/o req immun
HSD6a - MS vaccine - Second measles
HSD6b - MS vaccine - Hepatitis A
HSD6c - MS vaccine - Hepatitis B
HSD6d - MS vaccine - Chicken pox
HSD6e - MS vaccine - Tdap
HSD6f - MS vaccine - Meningococcal conjugate
HSD6g - MS vaccine - HPV
HSD7 - MS student excl w/o req immun
HSD8a - HS vaccine - Second measles
HSD8b - HS vaccine - Hepatitis A
HSD8c - HS vaccine - Hepatitis B
HSD8d - HS vaccine - Chicken pox
HSD8e - HS vaccine - Tdap
HSD8f - HS vaccine - Meningococcal conjugate
HSD8g - HS vaccine - HPV
HSD9 - HS student excl w/o req immun
HSD10a - Immun exempt - Medical
HSD10b - Immun exempt - Religious
HSD10c - Immun exempt - Personal belief
HSD11 - TB screening - Prior to K/first grade
HSD12 - TB testing - Prior to K/first grade
HSD13 - TB testing - After school entry
HSD14_1 - Evidence of no TB - PPD skin test
HSD14_2 - Evidence of no TB - Neg skin test
HSD14_3 - Evidence of no TB - Neg chest x-ray
HSD14_4 - Evidence of no TB - Neg blood test
HSD14_5 - Evidence of no TB - Physician letter
HSD15a - Standing order for admin - Rx quick - relief inhaler
HSD15b - Standing order for admin - EpiPen
HSD15c - Standing order for admin - Insulin/injected med
HSD16a - Carry/self admin - Rx quick - relief inhaler
HSD16b - Carry/self admin - EpiPen
HSD16c - Carry/self admin - Insulin/injected med
HSD16d - Carry/self admin - Other prescribed med
HSD16e - Carry/self admin - OTC med
HSD17a - Who may admin Rx meds to student
HSD17b - Who may admin OTC meds to student
HSD18a - Not lic hlthcare prof - Rx meds - Must be lic/cert to admin
HSD18b - Not lic hlthcare prof - Rx meds - Must be train to admin
HSD19a - Not lic hlthcare prof - OTC - Must be lic/cert to admin
HSD19b - Not lic hlthcare prof - OTC - Must be train to admin
HSD20 - Written instr from physician/prescriber before admin rx meds
HSD21 - Written instr from physician/prescriber before admin OTC meds
HSD22 - Written req from parent/guardian before admin rx meds
HSD23 - Written req from parent/guardian before admin OTC meds
HSD24 - Written info on side effects before admin rx meds
HSD25 - Written info on side effects before admin OTC meds
HSD26a - Medicaid reimbursement - Students with IEP/504 plans
HSD26b - Medicaid reimbursement - Other eligible students
HSD27a - Dist HSV staff w HE staff
HSD27b - Dist HSV staff w PE staff
HSD27c - Dist HSV staff w nutr staff
HSD27d - Dist HSV staff w counsel/psych/SS staff
HSD27e - Dist HSV staff w SBHC staff
HSD28a - Dist counsel/psych/SS staff w HE staff
HSD28b - Dist counsel/psych/SS staff w PE staff
HSD28c - Dist counsel/psych/SS staff w nutr staff
HSD28d - Dist counsel/psych/SS staff w HSV staff
HSD28e - Dist counsel/psych/SS staff w SBHC staff
HSD29a - Dist HSV staff w hlth org
HSD29b - Dist HSV staff w st hlth dept
HSD29c - Dist HSV staff w local hlth dept
HSD29d - Dist HSV staff w local MH/SS agency
HSD29e - Dist HSV staff w local juv jus dept
HSD29f - Dist HSV staff w local college/university
HSD29g - Dist HSV staff w local business
HSD29h - Dist HSV staff w local child welfare agency
HSD29i - Dist HSV staff w local hosp
HSD29j - Dist HSV staff w local service club
HSD29k - Dist HSV staff w cmty org for sexual HSV
HSD29l - Dist HSV staff w cmty hlthcare provider
HSD30a - Dist counsel/psych/SS staff w hlth org
HSD30b - Dist counsel/psych/SS staff w st hlth dept
HSD30c - Dist counsel/psych/SS staff w local hlth dept
HSD30d - Dist counsel/psych/SS staff w local MH/SS agency
HSD30e - Dist counsel/psych/SS staff w local juv jus dept
HSD30f - Dist counsel/psych/SS staff w local college/university
HSD30g - Dist counsel/psych/SS staff w local business
HSD30h - Dist counsel/psych/SS staff w local child welfare agency
HSD30i - Dist counsel/psych/SS staff w local hosp
HSD30j - Dist counsel/psych/SS staff w local law enforcement
HSD30k - Dist counsel/psych/SS staff w local service club
HSD30l - Dist counsel/psych/SS staff w dropout prev org
HSD31 - School HSV pol reviewed or updated
HSD32 - Student use HSV measured
HSD33 - Student/family satisfaction w HSV measured
HSD34 - Prof dev/in-service HSV staff eval
HSD35 - School counsel/psych/SS pol reviewed or updated
HSD36 - Student use counsel/psych/SS measured
HSD37 - Student/family satisfaction w counsel/psych/SS measured
HSD38 - Prof dev/in-service counsel/psych/SS staff eval
HSD39 - Submit injury report data
HSD40 - School report serious illness
HSD41 - Submit weight status data
HSD42 - Dist has real - time attendance info
HSD43 - Submit reasons for absence
HSD44 - Rec specific electronic system
HSD45 - Req to close/dismiss when abs reach specified level
HSD46a - Supplies - Classroom
HSD46b - Supplies - Gym/playground/playing field
HSD46c - Supplies - Cafeteria
HSD46d - Supplies - School buses
HSD47 - Hearing screening
HSD48 - Parent notified when hearing prob
HSD49 - Teacher notified when hearing prob
HSD50 - Ref prov when hearing prob
HSD51 - Vision screening
HSD52 - Parents notified when vision prob
HSD53 - Teacher notified when vision prob
HSD54 - Ref prov when vision prob
HSD55 - Oral hlth screening
HSD56 - Parents notified when oral hlth prob
HSD57 - Teacher notified when oral hlth prob
HSD58 - Ref prov when oral hlth prob
HSD59 - Weight status/BMI screening
HSD60 - Parents notified when weight status prob
HSD61 - Ref prov when weight status prob
HSD62 - MH screening
HSD63 - Parent notified when MH prob
HSD64 - Teacher notified when MH prob
HSD65 - Ref prov when MH prob
HSD66a - Services - First aid
HSD66b - Services - CPR
HSD66c - Services - Admin of meds
HSD66d - Services - Seasonal influenza vaccine
HSD66e - Services - HPV vaccine
HSD66f - Services - Other immun
HSD66g - Services - ID/School based mgmt of acute illnesses
HSD66h - Services - ID/School based mgmt of chronic hlth conditions
HSD66i - Services - Instr self mgmt of chronic hlth conditions
HSD66j - Services - Tracking chronic hlth conditions
HSD66k - Services - Case mgmt chronic hlth conditions
HSD66l - Services - Case mgmt disabilities
HSD66m - Services - Sports physicals
HSD66n - Services - Oral hlth prob
HSD66o - Services - Topical fluorides
HSD66p - Services - Dental sealants
HSD66q - Services - Tobacco use cessation
HSD66r - Services - Alcohol/drug use Tx
HSD66s - Services - Counseling after natural disaster
HSD66t - Services - Crisis intervention for personal prob
HSD66u - Services - ID emot/behav disorders
HSD66v - Services - Counseling emot/behav disorders
HSD66w - Services - Stress mgmt
HSD66x - Services - Weight mgmt
HSD66y - Services - ID eating disorder
HSD66z - Services - ID phys/sexual/emot abuse
HSD66aa - Services - ID family prob
HSD66bb - Services - WIC/SNAP enrollment/food stamps/banks
HSD66cc - Services - Temporary/permanent housing
HSD66dd - Services - Medicaid/SCHIP
HSD66ee - Services - Accessing benefits students w/ disab
HSD66ff - Services - Job readiness skills prog
HSD66gg - Services - HIV testing
HSD66hh - Services - STD testing
HSD66ii - Services - STD tx
HSD66jj - Services - Preg testing
HSD66kk - Services - Prov of condom lubricant
HSD66ll - Services - Prov of contraceptives
HSD67 - MS makes condoms avail to students
HSD68 - HS makes condoms avail to students
HSD69a - Ref - Seasonal influenza vaccine
HSD69b - Ref - HPV vaccine
HSD69c - Ref - Other immun
HSD69d - Ref - Acute illnesses
HSD69e - Ref - Chronic hlth conditions
HSD69f - Ref - Sports physicals
HSD69g - Ref - Oral hlth care
HSD69h - Ref - Topical fluorides
HSD69i - Ref - Dental sealants
HSD69j - Ref - Tobacco use cessation
HSD69k - Ref - Alcohol/drug use Tx
HSD69l - Ref - Counseling after natural disaster
HSD69m - Ref - Crisis intervention for personal prob
HSD69n - Ref - Emot/behav disorders
HSD69o - Ref - Stress mgmt
HSD69p - Ref - Weight mgmt
HSD69q - Ref - Eating disorder
HSD69r - Ref - Phys/sexual/emot abuse
HSD69s - Ref - Family prob
HSD69t - Ref - WIC/SNAP enrollment/food stamps/banks
HSD69u - Ref - Temporary/permanent housing
HSD69v - Ref - Medicaid/SCHIP
HSD69w - Ref - Accessing benefits students w/ disab
HSD69x - Ref - Aft sch prog for students
HSD69y - Ref - Job readiness skills prog
HSD69z - Ref - HIV testing
HSD69aa - Ref - HIV tx
HSD69bb - Ref - STD testing
HSD69cc - Ref - STD tx
HSD69dd - Ref - Preg testing
HSD69ee - Ref - Condoms
HSD69ff - Ref - Condom lubricant
HSD69gg - Ref - Prenatal care
HSD69hh - Ref - Contraceptives
HSD69ii - Ref - Child care for teen parents
HSD69jj - Ref - nPEP
HSD70a - Services - Nutr/dietary behav counseling
HSD70b - Services - PA/fitness counseling
HSD70c - Services - Preg prev
HSD70d - Services - HIV prev
HSD70e - Services - STD prev
HSD70f - Services - Suicide prev
HSD70g - Services - Tobacco use prev
HSD70h - Services - Alcohol/drug use prev
HSD70i - Services - Violence prev
HSD70j - Services - Injury prev/safety counseling
HSD71 - Student assistance prog offered
HSD72 - Student support teams maintained
HSD73 - Nurses will develop IEP
HSD74 - Counsel/psych/SS staff will develop IEP
HSD75 - Nurses will develop 504 plans
HSD76 - Counsel/psych/SS staff will develop 504 plans
HSD77 - Counsel/psych/SS staff will develop IHP
HSD78 - HSV staff will follow DNR orders
HSD79 - Min ed req for newly hired school nurse
HSD79SPEC - Min ed req - Other (Specify)
HSD80a - New hire nurse will have LPN lic
HSD80b - New hire nurse will have RN lic
HSD81a - New hire nurse will have NBCSN cert
HSD81b - New hire nurse will have st school nurse cert
HSD82 - Min ed req for newly hired counselor
HSD82SPEC - Min ed req - Other (Specify)
HSD83 - New hire counselor will be st lic/cert/credentialed
HSD84 - Min ed req for newly hired psych
HSD84SPEC - Min ed req - Other (Specify)
HSD85 - New hired school psych will be st lic/cert/credentialed
HSD86 - Min ed req for newly hired soc worker
HSD86SPEC - Min ed req - Other (Specify)
HSD87 - New hire soc worker will be st lic/cert/credentialed
HSD88 - Counsel/psych/SS staff req to earn cont ed credits
HSD89 - Maximum student to nurse ratio
HSD90 - Each school has specified nurse ratio
HSD91 - Each school has HSV coord
HSD92 - Each school has full-time nurse
HSD93 - Each school has part-time nurse
HSD94 - School employ/contract w physician/nurse prac
HSD95 - ES has specified counselor-student ratio
HSD96 - MS has specified counselor-student ratio
HSD97 - HS has specified counselor-student ratio
HSD98 - Each school has counsel/psych/SS coord
HSD99a - Prof dev - First aid
HSD99b - Prof dev - CPR
HSD99c - Prof dev - Admin of meds
HSD99d - Prof dev - Seasonal influenza vaccine
HSD99e - Prof dev - HPV vaccine
HSD99f - Prof dev - Other immun
HSD99g - Prof dev - ID/School based mgmt of acute illnesses
HSD99h - Prof dev - ID/School based mgmt of chronic hlth conditions
HSD99i - Prof dev - Teach self mgmt of chronic hlth conditions
HSD99j - Prof dev - Tracking chronic hlth conditions
HSD99k - Prof dev - Case mgmt chronic hlth conditions
HSD99l - Prof dev - Case mgmt disabilities
HSD99m - Prof dev - Sports physicals
HSD99n - Prof dev - Oral hlth services
HSD99o - Prof dev - Topical fluorides
HSD99p - Prof dev - Dental sealants
HSD99q - Prof dev - Tobacco use cessation
HSD99r - Prof dev - Alcohol/drug use tx
HSD99s - Prof dev - Counseling after natural disaster
HSD99t - Prof dev - Crisis intervention for personal prob
HSD99u - Prof dev - Emergency preparedness
HSD99v - Prof dev - ID emot/behav disorders
HSD99w - Prof dev - Counseling emot/behav disorders
HSD99x - Prof dev - Stress mgmt
HSD99y - Prof dev - Weight mgmt
HSD99z - Prof dev - Eating disorder
HSD99aa - Prof dev - Phys/sexual/emot abuse
HSD99bb - Prof dev - Family prob ID
HSD99cc - Prof dev - After-school prog for students
HSD99dd - Prof dev - Child care options for teen parents
HSD99ee - Prof dev - WIC/SNAP enrollment/food stamps/banks
HSD99ff - Prof dev - Temporary/permanent housing
HSD99gg - Prof dev - Medicaid/SCHIP
HSD99hh - Prof dev - Accessing benefits students w/ disab
HSD99ii - Prof dev - Job readiness skills prog
HSD99jj - Prof dev - Infectious disease prev
HSD99kk - Prof dev - Infectious disease outbreak detection/response
HSD99ll - Prof dev - Federal laws protecting privacy
HSD99mm - Prof dev - Measuring student height/weight
HSD99nn - Prof dev - Calculating student weight status using BMI
HSD99oo - Prof dev - LGBT services
HSD99pp - Prof dev - ID of teen friendly HSV provider
HSD99qq - Prof dev - HIV testing
HSD99rr - Prof dev - HIV tx
HSD99ss - Prof dev - STD testing
HSD99tt - Prof dev - STD tx
HSD99uu - Prof dev - Preg testing
HSD99vv - Prof dev - Prenatal care
HSD99ww - Prof dev - Prov of condoms
HSD99xx - Prof dev - Prov of condom lubricant
HSD99yy - Prof dev - Prov of contraceptives
HSD99zz - Prof dev - nPEP
HSD99aaa - Prof dev - PrEP
HSD100a - Prof dev - Nutr/dietary behav counseling
HSD100b - Prof dev - PA/fitness counseling
HSD100c - Prof dev - Preg prev
HSD100d - Prof dev - HIV prev
HSD100e - Prof dev - STD prev
HSD100f - Prof dev - Suicide prev
HSD100g - Prof dev - Tobacco use prev
HSD100h - Prof dev - Alcohol/drug use prev
HSD100i - Prof dev - Violence prev
HSD100j - Prof dev - Injury prev/safety counseling
HSD101a - Prof dev - Case mgmt emot/behav disorders
HSD101b - Prof dev - Family counseling
HSD101c - Prof dev - Group counseling
HSD101d - Prof dev - Indiv counseling
HSD101e - Prof dev - Intake eval
HSD101f - Prof dev - Peer counseling
HSD101g - Prof dev - Support group
HSD101h - Prof dev - Student assistance prog
HSD101i - Prof dev - Student support teams
HSD102a - Nurse employ - School dist
HSD102b - Nurse employ - Schools
HSD102c - Nurse employ - Local hlth dept
HSD102d - Nurse employ - Other org
HSD103a - Counsel/psych/SS staff employ - School dist
HSD103b - Counsel/psych/SS staff employ - Schools
HSD103c - Counsel/psych/SS staff employ - Local MH/SS agency
HSD103d - Counsel/psych/SS staff employ - Other org
HSD104 - Hlth aides supervised by RN
HSD105a - Prof dev non-nurse/counsel/psych/SS staff - CPR or AED use
HSD105b - Prof dev non-nurse/counsel/psych/SS staff - HIV
HSD105c - Prof dev non-nurse/counsel/psych/SS staff - Severe food/other allergies
HSD105d - Prof dev non-nurse/counsel/psych/SS staff - Chronic hlth conditions
HSD105e - Prof dev non-nurse/counsel/psych/SS staff - Infectious disease prev
HSD105f - Prof dev non-nurse/counsel/psych/SS staff - HSV prov ref
HSD105g - Prof dev non-nurse/counsel/psych/SS staff - Phys/sexual/emot abuse ID
HSD105h - Prof dev non-nurse/counsel/psych/SS staff - Substance abuse ID
HSD105i - Prof dev non-nurse/counsel/psych/SS staff - Depression/suicide behav ID
HSD105j - Prof dev non-nurse/counsel/psych/SS staff - Bullying ID
HSD105k - Prof dev non-nurse/counsel/psych/SS staff - Dating violence ID
HSD105l - Prof dev non-nurse/counsel/psych/SS staff - counsel/psych/SW ref
HSD105m - Prof dev non-nurse/counsel/psych/SS staff - Mgmt students w emot/behav disorders
HSD106 - Number of SBHC off - Primary care
HSD107 - Number of SBHC off - Counsel/psych/SS
HSD108 - Number of SBHC off - Oral HSV
HSD109 - Dist has arrange to prov HSV/counsel/psych/SS at other sites
HSD110a - Arrange w - School-linked hlth center
HSD110b - Arrange w - Community hlth clinic/center
HSD110c - Arrange w - Local hlth dept
HSD110d - Arrange w - Local hosp
HSD110e - Arrange w - Local MH/SS agency
HSD110f - Arrange w - University/medical school/nursing school
HSD110g - Arrange w - Dental/dental hygiene school
HSD110h - Arrange w - Managed care org
HSD110i - Arrange w - Private physician
HSD110j - Arrange w - Private dentist
HSD110k - Arrange w - Private nurse prac
HSD110l - Arrange w - Private psych
HSD110m - Arrange w - Private psychiatrist
HSD110n - Arrange w - Private soc worker
HSD110o - Arrange w - Private counsel
HSD111a - Arrange other sites - Primary care
HSD111b - Arrange other sites - Rx meds
HSD111c - Arrange other sites - Seasonal influenza vaccine
HSD111d - Arrange other sites - HPV vaccine
HSD111e - Arrange other sites - Other immun
HSD111f - Arrange other sites - ID/school-based mgmt of acute illnesses
HSD111g - Arrange other sites - ID/school-based mgmt of chronic hlth conditions
HSD111h - Arrange other sites - Case mgmt chronic hlth conditions
HSD111i - Arrange other sites - Case mgmt disabilities
HSD111j - Arrange other sites - Sports physicals
HSD111k - Arrange other sites - Oral hlthcare
HSD111l - Arrange other sites - Topical fluorides
HSD111m - Arrange other sites - Dental sealants
HSD111n - Arrange other sites - Tobacco use cessation
HSD111o - Arrange other sites - Alcohol/drug tx
HSD111p - Arrange other sites - Counseling after natural disaster
HSD111q - Arrange other sites - Crisis intervention for personal prob
HSD111r - Arrange other sites - ID emot/behav disorders
HSD111s - Arrange other sites - Counseling emot/behav disorders
HSD111t - Arrange other sites - Stress mgmt
HSD111u - Arrange other sites - Weight mgmt
HSD111v - Arrange other sites - Eating disorder services
HSD111w - Arrange other sites - Phys/sexual/emot abuse services
HSD111x - Arrange other sites - Family problem services
HSD111y - Arrange other sites - After - school prog for students
HSD111z - Arrange other sites - Child care options for teen parents
HSD111aa - Arrange other sites -WIC/SNAP enrollment/food stamps/banks
HSD111bb - Arrange other sites - Temporary/permanent housing
HSD111cc - Arrange other sites - Medicaid/SCHIP
HSD111dd - Arrange other sites - Accessing benefits students w disab
HSD111ee - Arrange other sites - Job readiness skills prog
HSD111ff - Arrange other sites - HIV testing
HSD111gg - Arrange other sites - HIV tx
HSD111hh - Arrange other sites - nPEP
HSD111ii - Arrange other sites - STD testing
HSD111jj - Arrange other sites - STD tx
HSD111kk - Arrange other sites - Pregnancy testing
HSD111ll - Arrange other sites - Lab tests
HSD111mm - Arrange other sites - Prenatal care
HSD111nn - Arrange other sites - Prov of condoms
HSD111oo - Arrange other sites - Prov of condom lubricant
HSD111pp - Arrange other sites - Prov of contraceptives
HSD112a - Arrange other sites - Nutr/dietary behav counseling
HSD112b - Arrange other sites - PA/fitness counseling
HSD112c - Arrange other sites - Preg prev
HSD112d - Arrange other sites - HIV prev
HSD112e - Arrange other sites - STD prev
HSD112f - Arrange other sites - Suicide prev
HSD112g - Arrange other sites - Tobacco use prev
HSD112h - Arrange other sites - Alcohol/drug use prev
HSD112i - Arrange other sites - Violence prev
HSD112j - Arrange other sites - Injury prev/safety counseling
HSD113a - Arrange other sites - Case mgmt emot/behav disorders
HSD113b - Arrange other sites - Family counseling
HSD113c - Arrange other sites - Group counseling
HSD113d - Arrange other sites - Indiv counseling
HSD113e - Arrange other sites - Intake eval
HSD113f - Arrange other sites - Peer counseling
HSD113g - Arrange other sites - Support group
HSD114a - Employee wellness - BMI screening
HSD114b - Employee wellness - Cholesterol screening
HSD114c - Employee wellness - Blood pressure screening
HSD114d - Employee wellness - Diabetes screening
HSD114e - Employee wellness - Fitness assessment
HSD114f - Employee wellness - Immun
HSD115 - Dist person oversees/coordinate HSV
HSD116 - R is person
HSD117 - Dist person oversees/coordinate counsel/psych/SS
HSD118 - R is person
HSD119_1 - R degree - Nursing
HSD119_2 - R degree - Public Health
HSD119_3 - R degree - Biology
HSD119_4 - R degree - Hlthcare admin/business
HSD119_5 - R degree - Counseling
HSD119_6 - R degree - Psych
HSD119_7 - R degree - Social work
HSD119_8 - R degree - Other science
HSD119_9 - R degree - Ed