used Evista or Nolvadex
Item
Have you used Evista® (raloxifene) or Nolvadex® (tamoxifen)?
boolean
C0720318 (UMLS CUI [1])
C0919390 (UMLS CUI [2])
Item
How many months have you used Evista®?
integer
C3174468 (UMLS CUI [1])
Code List
How many months have you used Evista®?
CL Item
Not used (1)
C0445107 (UMLS CUI-1)
CL Item
1-4 months (2)
C3843399 (UMLS CUI-1)
CL Item
5-9 (3)
C3840622 (UMLS CUI-1)
CL Item
10-14 (4)
C3840694 (UMLS CUI-1)
CL Item
15-19 (5)
C3843398 (UMLS CUI-1)
CL Item
20-24 (6)
C3843397 (UMLS CUI-1)
CL Item
Used only after 6/09 (7)
C3843396 (UMLS CUI-1)
Item
How many months have you used Nolvadex®?
integer
C3174470 (UMLS CUI [1])
Code List
How many months have you used Nolvadex®?
CL Item
Not used (1)
C0445107 (UMLS CUI-1)
CL Item
1-4 months (2)
C3843399 (UMLS CUI-1)
CL Item
5-9 (3)
C3840622 (UMLS CUI-1)
CL Item
10-14 (4)
C3840694 (UMLS CUI-1)
CL Item
15-19 (5)
C3843398 (UMLS CUI-1)
CL Item
20-24 (6)
C3843397 (UMLS CUI-1)
CL Item
Used only after 6/09 (7)
C3843396 (UMLS CUI-1)
Item
Are you currently using Evista® or Nolvadex®?
integer
C3174472 (UMLS CUI [1])
Code List
Are you currently using Evista® or Nolvadex®?
CL Item
No, not currently (1)
C3843395 (UMLS CUI-1)
CL Item
Yes, Evista® (2)
C3843394 (UMLS CUI-1)
CL Item
Yes, Nolvadex® (3)
C3843393 (UMLS CUI-1)
herb natural soy ERT current
Item
Are you currently using any over-the-counter (e.g., "herbal," "natural," or soy-based) preparations for hormone replacement or to treat post-menopausal symptoms?
boolean
C3174474 (UMLS CUI [1])
Item
What types?
integer
C3174476 (UMLS CUI [1])
CL Item
Soy estrogen products (1)
C3843392 (UMLS CUI-1)
CL Item
Natural progesterone cream or wild yam cream (2)
C3843391 (UMLS CUI-1)
CL Item
Dong Quai (e.g. Rejuvex) (3)
C3843390 (UMLS CUI-1)
CL Item
Black Cohosh (e.g. Remifemin®) (4)
C3843389 (UMLS CUI-1)
CL Item
Other (5)
C0205394 (UMLS CUI-1)
female hormone prescript used
Item
Have you used prescription female hormones?
boolean
C2054138 (UMLS CUI [1])
Item
How many months did you use hormones?
integer
C3174479 (UMLS CUI [1])
Code List
How many months did you use hormones?
CL Item
1-4 months (1)
C3843399 (UMLS CUI-1)
CL Item
5-9 (2)
C3840622 (UMLS CUI-1)
CL Item
10-14 (3)
C3840694 (UMLS CUI-1)
CL Item
15-19 (4)
C3843398 (UMLS CUI-1)
CL Item
20-25 (5)
C3843388 (UMLS CUI-1)
CL Item
26-30 (6)
C3843387 (UMLS CUI-1)
CL Item
31-35 (7)
C3843386 (UMLS CUI-1)
CL Item
36+ months (8)
C3843385 (UMLS CUI-1)
female hormone currently using
Item
Are you currently using them (within the last month)?
boolean
C3174481 (UMLS CUI [1])
Item
Mark the type(s) of hormones you are CURRENTLY using: Combined.
integer
C3174481 (UMLS CUI [1])
Code List
Mark the type(s) of hormones you are CURRENTLY using: Combined.
CL Item
Prempro® (Beige) (1)
C3843384 (UMLS CUI-1)
CL Item
Prempro® (Gold) (2)
C3843383 (UMLS CUI-1)
CL Item
Prempro® (Peach) (3)
C3843382 (UMLS CUI-1)
CL Item
Prempro® (Light Blue) (4)
C3843381 (UMLS CUI-1)
CL Item
Premphase (5)
C0722752 (UMLS CUI-1)
CL Item
Combipatch (6)
C0719447 (UMLS CUI-1)
CL Item
FemHRT (7)
C1328793 (UMLS CUI-1)
Item
Mark the type(s) of hormones you are CURRENTLY using: Estrogen.
integer
C3174485 (UMLS CUI [1])
Code List
Mark the type(s) of hormones you are CURRENTLY using: Estrogen.
CL Item
Oral Premarin® or conjugated estrogens (1)
C3843380 (UMLS CUI-1)
CL Item
Patch estrogen (2)
C3843379 (UMLS CUI-1)
CL Item
Vaginal estrogen (3)
C1875126 (UMLS CUI-1)
CL Item
Estrace® (4)
C0699352 (UMLS CUI-1)
CL Item
Estrogen gels, creams, or sprays on skin (5)
C3843378 (UMLS CUI-1)
CL Item
Estratest® (6)
C0720294 (UMLS CUI-1)
CL Item
Ogen® (7)
C0722236 (UMLS CUI-1)
CL Item
Other estrogen (8)
C3843377 (UMLS CUI-1)
current use estrogen other
Item
Please specify Other Estrogen you are CURRENTLY using.
text
C3174487 (UMLS CUI [1])
Item
Mark the type(s) of hormones you are CURRENTLY using: Progesterone/Progestin.
integer
C3174489 (UMLS CUI [1])
Code List
Mark the type(s) of hormones you are CURRENTLY using: Progesterone/Progestin.
CL Item
Provera®/Cycrin®/MPA (1)
C3843376 (UMLS CUI-1)
CL Item
Vaginal (2)
C1272941 (UMLS CUI-1)
CL Item
Micronized (e.g. Prometrium®) (3)
C3843375 (UMLS CUI-1)
CL Item
Other progresterone (4)
C3843374 (UMLS CUI-1)
current other progesteron
Item
Please specify Other progresterone you are CURRENTLY using
text
C3174491 (UMLS CUI [1])
current use hormones other
Item
Other hormones CURRENTLY used (e.g., Tri-est).
text
C3174493 (UMLS CUI [1])
Item
If you used oral conjugated estrogen (e.g., Premarin®), what dose did you usually take?
integer
C3174495 (UMLS CUI [1])
Code List
If you used oral conjugated estrogen (e.g., Premarin®), what dose did you usually take?
CL Item
0.30 mg/day or less (1)
C3840901 (UMLS CUI-1)
CL Item
0.45 mg/day or less (2)
C3843373 (UMLS CUI-1)
CL Item
0.625 mg/day or less (3)
C3843372 (UMLS CUI-1)
CL Item
0.9 mg/day or less (4)
C3843371 (UMLS CUI-1)
CL Item
1.25 mg/day or higher (5)
C3843370 (UMLS CUI-1)
CL Item
Unsure (6)
C0087130 (UMLS CUI-1)
CL Item
Did not take oral conjugated estrogen (7)
C3843369 (UMLS CUI-1)
Item
What was your pattern of hormone use (Days per Month)? Estrogen.
integer
C3174497 (UMLS CUI [1])
Code List
What was your pattern of hormone use (Days per Month)? Estrogen.
CL Item
Not used (1)
C0445107 (UMLS CUI-1)
CL Item
<1 day/mo. (2)
C3843368 (UMLS CUI-1)
CL Item
1-8 days (3)
C3843367 (UMLS CUI-1)
CL Item
9-18 (4)
C3843366 (UMLS CUI-1)
CL Item
19-26 (5)
C3843365 (UMLS CUI-1)
CL Item
27+ days/mo. (6)
C3843364 (UMLS CUI-1)
Item
What was your pattern of hormone use (Days per Month)? Progesterone.
integer
C3174498 (UMLS CUI [1])
Code List
What was your pattern of hormone use (Days per Month)? Progesterone.
CL Item
Not used (1)
C0445107 (UMLS CUI-1)
CL Item
<1 day/mo. (2)
C3843368 (UMLS CUI-1)
CL Item
1-8 days (3)
C3843367 (UMLS CUI-1)
CL Item
9-18 (4)
C3843366 (UMLS CUI-1)
CL Item
19-26 (5)
C3843365 (UMLS CUI-1)
CL Item
27+ days/mo. (6)
C3843364 (UMLS CUI-1)