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ID
16858
Description
Provided by Prof. Keil Source: Kotseva K, Wood D, De Backer G, De Bacquer D, Pyörälä K, Keil U; EUROASPIRE Study Group. Cardiovascular prevention guidelines in daily practice: a comparison of EUROASPIRE I, II, and III surveys in eight European countries. Lancet. 2009 Mar 14;373(9667):929-40. doi: 10.1016/S0140-6736(09)60330-5. PubMed PMID: 19286092
Keywords
Versions (2)
- 8/11/16 8/11/16 -
- 8/11/16 8/11/16 -
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August 11, 2016
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Creative Commons BY-NC 3.0
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EUROASPIRE III - Peripheral arterial occlusive disease Patient Interview Questionnaire
Peripheral arterial occlusive disease Patient Interview Questionnaire
Similar models
Peripheral arterial occlusive disease Patient Interview Questionnaire
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Patient ID
Item
Patient ID
text
C1269815 (UMLS CUI [1])
Date of interview
Item
Date of interview
date
C0683518 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Educational status
Item
How many years have you spent in full-time education? (99 = insufficient data)
integer
C0013658 (UMLS CUI [1])
Item
What is the highest level of education you have completed?
integer
C0013658 (UMLS CUI [1])
CL Item
No formal schooling (1)
CL Item
Less than primary school (2)
CL Item
Primary school completed (3)
CL Item
Secondary school completed (4)
CL Item
High school completed (5)
CL Item
Collage/ University completed (6)
CL Item
Post graduate degree (7)
CL Item
Insufficient data (unknown) (8)
Item
Prior to the diagnosis of peripheral artery occlusive disease were you:
integer
C0242271 (UMLS CUI [1])
CL Item
Full time employed (1)
CL Item
Part time employed (2)
CL Item
Self employed (3)
CL Item
Unemployed (4)
CL Item
House person (5)
CL Item
Full time education (6)
CL Item
Retired (7)
CL Item
Insufficient data (unknown) (8)
CL Item
Age related (1)
CL Item
Heart disease related (2)
CL Item
Other illness (3)
CL Item
Personal choice (4)
CL Item
Insufficient data (unknown) (5)
Item
Now at least 6 months after the diagnosis of peripheral artery occlusive disease, are you:
integer
C0242271 (UMLS CUI [1])
Code List
Now at least 6 months after the diagnosis of peripheral artery occlusive disease, are you:
CL Item
Full time employed (1)
CL Item
Part time employed (2)
CL Item
Self employed (3)
CL Item
Unemployed (4)
CL Item
House person (5)
CL Item
Full time education (6)
CL Item
Retired (7)
CL Item
Insufficient data (unknown) (8)
CL Item
Age related (1)
CL Item
Heart disease related (2)
CL Item
Other illness (3)
CL Item
Personal choice (4)
CL Item
Insufficient data (unknown) (5)
Substance use
Item
Have you ever smoked?
boolean
C0038586 (UMLS CUI [1])
Substance use disorder, duration
Item
For how many years in total have you smoked?
integer
C0038586 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
Substance use disorder
Item
Were you smoking in the month prior to the diagnosis of your peripheral artery occlusive disease?
boolean
C0038586 (UMLS CUI [1])
Substance use disorder
Item
Do you smoke now?
boolean
C0038586 (UMLS CUI [1])
Item
If smoking now, what type of tobacco-product?
integer
C0038586 (UMLS CUI [1])
CL Item
Cigarettes (1)
CL Item
Pipe (2)
CL Item
Cigars (3)
Substance use disorder, quantity
Item
How many cigarettes per day?
integer
C0038586 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,2])
Substance use disorder, quantity
Item
How much pipe tobacco in g/week?
integer
C0038586 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,2])
Substance use disorder, quantity
Item
How many cigars per day?
integer
C0038586 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,2])
Substance Use Disorders, Former smoker
Item
If not smoking now, did you quit within the last 6 months
boolean
C0038586 (UMLS CUI [1,1])
C0337671 (UMLS CUI [1,2])
C0337671 (UMLS CUI [1,2])
Substance Use Disorders, Former smoker
Item
If not smoking now, did you quit more than 6 months ago?
boolean
C0038586 (UMLS CUI [1,1])
C0337671 (UMLS CUI [1,2])
C0337671 (UMLS CUI [1,2])
Substance Use Disorders, Former smoker
Item
If not smoking now, at what age did you stop? (99 = unknown)
integer
C0038586 (UMLS CUI [1,1])
C0337671 (UMLS CUI [1,2])
C0337671 (UMLS CUI [1,2])
Substance use disorder
Item
If smoking now In the last year, how many times have you quit smoking for at least 24 hours?
integer
C0038586 (UMLS CUI [1])
Item
If smoking now: Are you seriously thinking of quitting smoking?
integer
C0038586 (UMLS CUI [1])
CL Item
Yes, within the next 30 days (1)
CL Item
Yes, within the next 6 months (2)
CL Item
No, not thinking of quitting (3)
CL Item
Don’t know/ Unsure (4)
Item
Was your blood pressure measured since discharge from hospital or since last contact with our outpatient clinic?
integer
C0850624 (UMLS CUI [1,1])
C0150369 (UMLS CUI [1,2])
C0150369 (UMLS CUI [1,2])
Code List
Was your blood pressure measured since discharge from hospital or since last contact with our outpatient clinic?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Item
Was your total cholesterol measured since discharge from hospital or since last contact with our outpatient clinic?
integer
C0850624 (UMLS CUI [1,1])
C0150369 (UMLS CUI [1,2])
C0150369 (UMLS CUI [1,2])
Code List
Was your total cholesterol measured since discharge from hospital or since last contact with our outpatient clinic?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Item
Was your blood glucose measured since discharge from hospital or since last contact with our outpatient clinic?
integer
C0850624 (UMLS CUI [1,1])
C0150369 (UMLS CUI [1,2])
C0150369 (UMLS CUI [1,2])
Code List
Was your blood glucose measured since discharge from hospital or since last contact with our outpatient clinic?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Item
Was your HbA1c (in diabetics) measured since discharge from hospital or since last contact with our outpatient clinic?
integer
C0850624 (UMLS CUI [1,1])
C0150369 (UMLS CUI [1,2])
C0150369 (UMLS CUI [1,2])
Code List
Was your HbA1c (in diabetics) measured since discharge from hospital or since last contact with our outpatient clinic?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Item
Are you aware of your latest weight?
integer
C0850624 (UMLS CUI [1,1])
C0004448 (UMLS CUI [1,2])
C0004448 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Body weight
Item
Current Body weight
float
C0005910 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Target weight
Item
What is your target weight?
float
C1272247 (UMLS CUI [1])
Item
Are you aware of your blood pressure level?
integer
C0850624 (UMLS CUI [1,1])
C0004448 (UMLS CUI [1,2])
C0004448 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Blood pressure
Item
Current blood pressure
integer
C0005823 (UMLS CUI [1])
Item
Are you aware of your blood pressure target?
integer
C0005823 (UMLS CUI [1,1])
C1521840 (UMLS CUI [1,2])
C1521840 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Blood pressure target
Item
What is your blood pressure target?
integer
C0005823 (UMLS CUI [1,1])
C1521840 (UMLS CUI [1,2])
C1521840 (UMLS CUI [1,2])
Item
Are you aware of your total cholesterol level?
integer
C0850624 (UMLS CUI [1,1])
C0004448 (UMLS CUI [1,2])
C0004448 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Total cholesterol measurement
Item
Total cholesterol measurement
float
C1445957 (UMLS CUI [1])
Item
Are you aware of your total cholesterol target?
integer
C1445957 (UMLS CUI [1,1])
C1521840 (UMLS CUI [1,2])
C1521840 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Total cholesterol target
Item
What is your total cholesterol target?
float
C1445957 (UMLS CUI [1,1])
C1521840 (UMLS CUI [1,2])
C1521840 (UMLS CUI [1,2])
Item
Are you aware of your latest blood glucose level?
integer
C0850624 (UMLS CUI [1,1])
C0004448 (UMLS CUI [1,2])
C0004448 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Blood glucose measurement
Item
Blood glucose measurement
integer
C0392201 (UMLS CUI [1])
Item
Are you aware of your blood glucose target?
integer
C0392201 (UMLS CUI [1,1])
C1521840 (UMLS CUI [1,2])
C1521840 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Blood glucose target
Item
What is your blood glucose target?
integer
C0392201 (UMLS CUI [1,1])
C1521840 (UMLS CUI [1,2])
C1521840 (UMLS CUI [1,2])
Item
Are you aware of your latest HbA1c level?
integer
C0850624 (UMLS CUI [1,1])
C0004448 (UMLS CUI [1,2])
C0004448 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
HbA1c measurement
Item
HbA1c measurement
integer
C0373638 (UMLS CUI [1])
Item
Are you aware of your HbA1c target?
integer
C0373638 (UMLS CUI [1,1])
C1521840 (UMLS CUI [1,2])
C1521840 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
HbA1c target
Item
What is your HbA1c target?
integer
C0373638 (UMLS CUI [1,1])
C1521840 (UMLS CUI [1,2])
C1521840 (UMLS CUI [1,2])
Item
Since before or after your diagnosis of peripheral artery occlusive disease, were you offered any personal advice by a doctor or other health professional on stopping smoking?
integer
C0870811 (UMLS CUI [1,1])
C0453996 (UMLS CUI [1,2])
C0453996 (UMLS CUI [1,2])
Code List
Since before or after your diagnosis of peripheral artery occlusive disease, were you offered any personal advice by a doctor or other health professional on stopping smoking?
CL Item
Yes since the index event or procedure (1)
CL Item
Yes since before the index event or procedure (2)
CL Item
No (3)
CL Item
Unsure/ Don’t know (4)
Item
What type of advice did you receive for stopping smoking?
integer
C0870811 (UMLS CUI [1,1])
C0453996 (UMLS CUI [1,2])
C0453996 (UMLS CUI [1,2])
CL Item
verbal (1)
CL Item
written materials (2)
CL Item
referral to smoking cessation clinic/ course (3)
CL Item
Nicotine replacement therapy (4)
CL Item
Bupropion (5)
CL Item
other (6)
Item
Since before or after your diagnosis of peripheral artery occlusive disease, were you offered any personal advice by a doctor or other health professional on a healthy diet?
integer
C0870811 (UMLS CUI [1,1])
C0811813 (UMLS CUI [1,2])
C0811813 (UMLS CUI [1,2])
Code List
Since before or after your diagnosis of peripheral artery occlusive disease, were you offered any personal advice by a doctor or other health professional on a healthy diet?
CL Item
Yes since the index event or procedure (1)
CL Item
Yes since before the index event or procedure (2)
CL Item
No (3)
CL Item
Unsure/ Don’t know (4)
Item
What type of advice did you receive concerning a healthy diet?
integer
C0870811 (UMLS CUI [1,1])
C0811813 (UMLS CUI [1,2])
C0811813 (UMLS CUI [1,2])
CL Item
reduction of salt intake (1)
CL Item
reduction of fat intake (2)
CL Item
changing type of fat intake (3)
CL Item
reduction of calorie intake (4)
CL Item
eating more fruits and vegetables (5)
CL Item
eating more fish (6)
CL Item
eating more oily fish (7)
CL Item
reducing sugar (8)
CL Item
reducing excessive alcohol intake (9)
Item
Since before or after your diagnosis of peripheral artery occlusive disease, were you offered any personal advice by a doctor or other health professional on weight loss?
integer
C0870811 (UMLS CUI [1,1])
C0555962 (UMLS CUI [1,2])
C0555962 (UMLS CUI [1,2])
Code List
Since before or after your diagnosis of peripheral artery occlusive disease, were you offered any personal advice by a doctor or other health professional on weight loss?
CL Item
Yes since the index event or procedure (1)
CL Item
Yes since before the index event or procedure (2)
CL Item
No (3)
CL Item
Unsure/ Don’t know (4)
Item
What type of advice did you receive concerning weight loss?
integer
C0870811 (UMLS CUI [1,1])
C0555962 (UMLS CUI [1,2])
C0555962 (UMLS CUI [1,2])
CL Item
following dietary recommendations (1)
CL Item
participating in regular physical activity (2)
CL Item
weight reducing drugs (3)
CL Item
other (please specify) (4)
Item
What type of advice did you receive concerning weight loss?
integer
C0870811 (UMLS CUI [1,1])
C0555962 (UMLS CUI [1,2])
C0555962 (UMLS CUI [1,2])
CL Item
following dietary recommendations (1)
CL Item
participating in regular physical activity (2)
CL Item
weight reducing drugs (3)
CL Item
other (please specify) (4)
Lifestyle changes Weight loss
Item
Please specify other type of advice you received concerning weight loss?
text
C0870811 (UMLS CUI [1,1])
C0555962 (UMLS CUI [1,2])
C0555962 (UMLS CUI [1,2])
Item
Since before or after your diagnosis of peripheral artery occlusive disease, were you offered any personal advice by a doctor or other health professional on increase of physical activity?
integer
C0870811 (UMLS CUI [1,1])
C0511855 (UMLS CUI [1,2])
C0511855 (UMLS CUI [1,2])
Code List
Since before or after your diagnosis of peripheral artery occlusive disease, were you offered any personal advice by a doctor or other health professional on increase of physical activity?
CL Item
Yes since the index event or procedure (1)
CL Item
Yes since before the index event or procedure (2)
CL Item
No (3)
CL Item
Unsure/ Don’t know (4)
Item
What type of advice did you receive concerning increase of physical activity?
integer
C0870811 (UMLS CUI [1,1])
C0511855 (UMLS CUI [1,2])
C0511855 (UMLS CUI [1,2])
Code List
What type of advice did you receive concerning increase of physical activity?
CL Item
following specific exercise advice from a health or exercise professional (1)
CL Item
attending a fitness club or leisure centre (2)
CL Item
trying to do more general everyday physical activities (3)
CL Item
joining a community walking group (4)
CL Item
other (5)
Item
History of cardiovascular disease of brother
integer
C0455539 (UMLS CUI [1,1])
C0337527 (UMLS CUI [1,2])
C0337527 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Age of brother at diagnosis
Item
Age of brother at diagnosis of cardiovascular disease
integer
C1828181 (UMLS CUI [1,1])
C0337527 (UMLS CUI [1,2])
C0337527 (UMLS CUI [1,2])
Age of brother at diagnosis
Item
Age of brother at diagnosis of cardiovascular disease unknown
boolean
C1828181 (UMLS CUI [1,1])
C0337527 (UMLS CUI [1,2])
C0337527 (UMLS CUI [1,2])
Item
Brother died of cardiovascular disease (if applicable)
integer
C0007465 (UMLS CUI [1,1])
C0337527 (UMLS CUI [1,2])
C0337527 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Age at Death brother
Item
Age at death from cardiovascular disease of brother (if applicable)
integer
C1546180 (UMLS CUI [1,1])
C0337527 (UMLS CUI [1,2])
C0337527 (UMLS CUI [1,2])
Age at Death brother
Item
Age at death from cardiovascular disease of brother unknown (if applicable)
boolean
C1546180 (UMLS CUI [1,1])
C0337527 (UMLS CUI [1,2])
C0337527 (UMLS CUI [1,2])
Item
History of cardiovascular disease of sister
integer
C0455539 (UMLS CUI [1,1])
C0337514 (UMLS CUI [1,2])
C0337514 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Age of sister at diagnosis
Item
Age of sister at diagnosis of cardiovascular disease
integer
C1828181 (UMLS CUI [1,1])
C0337514 (UMLS CUI [1,2])
C0337514 (UMLS CUI [1,2])
Age of sister at diagnosis unknown
Item
Age of sister at diagnosis of cardiovascular disease unknown
boolean
C1828181 (UMLS CUI [1,1])
C0337514 (UMLS CUI [1,2])
C0337514 (UMLS CUI [1,2])
Item
Sister died of cardiovascular disease (if applicable)
integer
C0007465 (UMLS CUI [1,1])
C0337514 (UMLS CUI [1,2])
C0337514 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/ Unsure (3)
Age at Death sister
Item
Age at death from cardiovascular disease of sister (if applicable)
integer
C1546180 (UMLS CUI [1,1])
C0337514 (UMLS CUI [1,2])
C0337514 (UMLS CUI [1,2])
Age at Death sister
Item
Age at death from cardiovascular disease of sister unknown
boolean
C1546180 (UMLS CUI [1,1])
C0337514 (UMLS CUI [1,2])
C0337514 (UMLS CUI [1,2])
SF-12 physical health
Item
SF-12 Physical health summary measure
integer
C1519135 (UMLS CUI [1])
SF-12 mental health
Item
SF-12 Mental health summary measure
integer
C1519135 (UMLS CUI [1])