ID

17038

Description

Documentation part: Record 29 Year 5 Medical & Personal History The Cardiovascular Health Study (CHS) was initiated by the National Heart, Lung and Blood Institute (NHLBI) in 1987 to determine the risk factors for development and progression of cardiovascular disease (CVD) in older adults, with an emphasis on subclinical measures. The study recruited 5,888 adults aged 65 or older at entry in four U.S. communities and conducted extensive annual clinical exams between 1989-1999 along with semi-annual phone calls, events adjudication, and subsequent data analyses and publications. Additional data were collected by studies ancillary to CHS. With the exception of annual clinic visits, these activities are still ongoing. Data obtained from: https://chs-nhlbi.org/ Permission granted by: Erika Enright.

Link

https://chs-nhlbi.org/

Keywords

  1. 8/22/16 8/22/16 -
  2. 8/22/16 8/22/16 -
  3. 8/23/16 8/23/16 -
  4. 8/23/16 8/23/16 -
  5. 8/24/16 8/24/16 -
  6. 8/25/16 8/25/16 -
  7. 9/3/16 9/3/16 -
  8. 9/3/16 9/3/16 -
Uploaded on

August 22, 2016

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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Year 5 Medical & Personal History Cardiovascular Health Study (CHS)

Year 5 Medical & Personal History Cardiovascular Health Study (CHS)

Medical History
Description

Medical History

1 Would you say, in general, your health is:
Description

general health

Data type

integer

Alias
UMLS CUI [1]
C0516984
2 Would you say your health compares to other persons your age?
Description

health compared to age group

Data type

integer

Alias
UMLS CUI [1,1]
C0018759
UMLS CUI [1,2]
C0027362
3 During the past two weeks, how many days have you stayed in bed all or most of the day because of illness or injury?
Description

days in bed because of injury

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0221423
UMLS CUI [1,2]
C0004910
UMLS CUI [1,3]
C0439228
days
11 Have you stayed overnight as a patient in a nursing home or rehabilitation center since we spoke to you on the phone about six months ago?
Description

stay in nursing home

Data type

integer

Alias
UMLS CUI [1]
C0028688
UMLS CUI [2]
C0034993
A. If you answered YES, record the reason you were admitted, the name of the hospital, and the month and year you were a patient for EACH time you stayed overnight in a nursing home or rehabilitation center. (Use another sheet of paper to list additional admissions.) Reason for admission:
Description

reason for admission nursing home

Data type

text

Alias
UMLS CUI [1,1]
C0028688
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0809949
UMLS CUI [2,1]
C0034993
UMLS CUI [2,2]
C0392360
UMLS CUI [2,3]
C0809949
Hospital name:
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
City:
Description

city

Data type

text

Alias
UMLS CUI [1]
C0008848
Date of hospitalization:
Description

date of hospitalization

Data type

date

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0011008
length of stay
Description

Length of stay:

Data type

text

Measurement units
  • days
Alias
UMLS CUI [1]
C0023303
days
B. Are you currently staying in a nursing home?
Description

currently in nursing home

Data type

integer

Alias
UMLS CUI [1,1]
C0028688
UMLS CUI [1,2]
C0521116
12 Have you had pneumonia since we saw you last year?
Description

pneumonia

Data type

integer

Alias
UMLS CUI [1]
C0032285
13 Have you had an attack of bronchitis since we saw you last year?
Description

bronchitis

Data type

integer

Alias
UMLS CUI [1]
C0006277
A. Was it confirmed by a doctor?
Description

bronchitis confirmed by doctor

Data type

integer

Alias
UMLS CUI [1,1]
C0006277
UMLS CUI [1,2]
C0583527
Medical History: Myocardical Infarction
Description

Medical History: Myocardical Infarction

4 Has a doctor ever told you that you had a myocardial infarction or heart attack?
Description

The first 19 questions ask about diseases or procedures that you may have had in the past. If you do not understand some of the terms, please do not worry, just answer DON'T KNOW to the questions. We will obtain the information from medical records or by talking to your doctor, if necessary.

Data type

integer

Alias
UMLS CUI [1]
C0027051
A. What was the doctor's name and city? Name
Description

name doctor

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0027365
A. What was the doctor's name and city? Address
Description

doctor address

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C1442065
A. What was the doctor's name and city? City
Description

doctor city

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0008848
A. What was the doctor's name and city? State
Description

doctor state

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C1301808
B. Date of event or diagnosis:
Description

date of diagnosis myocardial infarction

Data type

date

Alias
UMLS CUI [1,1]
C0027051
UMLS CUI [1,2]
C0011008
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
Description

see doctor myocardial infarction

Data type

text

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0027051
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
D. Were you in the hospital at least one night for this condition since we last spoke to you?
Description

hospitalized myocardial infarction

Data type

integer

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0027051
E. How many different times were you in the hospital for this condition?
Description

hospitalization myocardial infarction

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0027051
UMLS CUI [1,3]
C0439603
times
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
Description

date of hospitalization

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0019994
UMLS CUI [1,3]
C0809949
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
Description

hospital city

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
Description

hospital state

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
G. How many days altogether were you hospitalized for this condition?
Description

days altogether hospitalized

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0027051
UMLS CUI [1,3]
C0439228
days
Medical History: Angina
Description

Medical History: Angina

5 Has a doctor ever told you that you had a new incident of angina pectoris or chest pain due to heart disease since we spoke with you on the phone about six month ago?
Description

angina

Data type

integer

Alias
UMLS CUI [1]
C0002962
A. What was the doctor's name and city? Name
Description

name doctor

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0027365
A. What was the doctor's name and city? Address
Description

doctor address

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C1442065
A. What was the doctor's name and city? City
Description

doctor city

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0008848
A. What was the doctor's name and city? State
Description

doctor state

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C1301808
B. Date of event or diagnosis:
Description

date of diagnosis angina

Data type

date

Alias
UMLS CUI [1,1]
C0002962
UMLS CUI [1,2]
C0011008
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
Description

see doctor angina

Data type

text

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0002962
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
D. Were you in the hospital at least one night for this condition since we last spoke to you?
Description

hospitalized angina

Data type

integer

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0002962
E. How many different times were you in the hospital for this condition?
Description

hospitalization angina

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0002962
UMLS CUI [1,3]
C0439603
times
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
Description

date of hospitalization

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0019994
UMLS CUI [1,3]
C0809949
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
Description

hospital city

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
Description

hospital state

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
G. How many days altogether were you hospitalized for this condition?
Description

days altogether hospitalized angina

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0002962
UMLS CUI [1,3]
C0439228
days
Date of interview
Description

Date of interview

Interviewer
Description

interviewer

Data type

text

Alias
UMLS CUI [1]
C1550483
Interview:
Description

date of interview

Data type

date

Alias
UMLS CUI [1]
C0011008
Medical History: Congestive heart failure
Description

Medical History: Congestive heart failure

6 Has a doctor ever told you that you had a new incident of heart failure or congestive heart failure since we spoke with you on the phone about six month ago?
Description

heart failure or congestive heart failure

Data type

integer

Alias
UMLS CUI [1]
C0018801
UMLS CUI [2]
C0018802
A. What was the doctor's name and city? Name
Description

name doctor

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0027365
A. What was the doctor's name and city? Address
Description

doctor address

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C1442065
A. What was the doctor's name and city? City
Description

doctor city

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0008848
A. What was the doctor's name and city? State
Description

doctor state

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C1301808
B. Date of event or diagnosis:
Description

date of diagnosis congestive heart failure

Data type

date

Alias
UMLS CUI [1,1]
C0018802
UMLS CUI [1,2]
C0011008
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
Description

see doctor congestive heart failure

Data type

text

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0018802
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
D. Were you in the hospital at least one night for this condition since we last spoke to you?
Description

hospitalized congestive heart failure

Data type

integer

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0018802
E. How many different times were you in the hospital for this condition?
Description

hospitalization congestive heart failure

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0018802
UMLS CUI [1,3]
C0439603
times
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
Description

date of hospitalization

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0019994
UMLS CUI [1,3]
C0809949
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
Description

hospital city

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
Description

hospital state

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
G. How many days altogether were you hospitalized for this condition?
Description

days altogether hospitalized congestive heart failure

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0018802
UMLS CUI [1,3]
C0439228
days
Medical History: Intermittent claudication
Description

Medical History: Intermittent claudication

7 Has a doctor ever told you that you had a new incident of intermittent claudication or pain in your legs from a blockage of the arteries since we spoke with you on the phone about six month ago?
Description

intermittent claudication

Data type

integer

Alias
UMLS CUI [1]
C0021775
A. What was the doctor's name and city? Name
Description

name doctor

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0027365
A. What was the doctor's name and city? Address
Description

doctor address

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C1442065
A. What was the doctor's name and city? City
Description

doctor city

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0008848
A. What was the doctor's name and city? State
Description

doctor state

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C1301808
B. Date of event or diagnosis:
Description

date of diagnosis intermittent claudication

Data type

date

Alias
UMLS CUI [1,1]
C0021775
UMLS CUI [1,2]
C0011008
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
Description

see doctor intermittent claudication

Data type

text

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0021775
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
D. Were you in the hospital at least one night for this condition since we last spoke to you?
Description

hospitalized intermittent claudication

Data type

integer

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0021775
E. How many different times were you in the hospital for this condition?
Description

hospitalization intermittent claudication

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0021775
UMLS CUI [1,3]
C0439603
times
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
Description

date of hospitalization

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0019994
UMLS CUI [1,3]
C0809949
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
Description

hospital city

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
Description

hospital state

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
G. How many days altogether were you hospitalized for this condition?
Description

days altogether hospitalized intermittent claudication

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0021775
UMLS CUI [1,3]
C0439228
days
Medical History: Cerebrovascular accident
Description

Medical History: Cerebrovascular accident

8 Has a doctor ever told you that you had a new stroke or cerebrovascular accident since we spoke with you on the phone about six month ago?
Description

cerebrovascular accident

Data type

integer

Alias
UMLS CUI [1]
C0038454
A. What was the doctor's name and city? Name
Description

name doctor

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0027365
A. What was the doctor's name and city? Address
Description

doctor address

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C1442065
A. What was the doctor's name and city? City
Description

doctor city

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0008848
A. What was the doctor's name and city? State
Description

doctor state

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C1301808
B. Date of event or diagnosis:
Description

date of diagnosis cerebrovascular accident

Data type

date

Alias
UMLS CUI [1,1]
C0038454
UMLS CUI [1,2]
C0011008
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
Description

see doctor cerebrovascular accident

Data type

text

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0038454
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
D. Were you in the hospital at least one night for this condition since we last spoke to you?
Description

hospitalized cerebrovascular accident

Data type

integer

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0038454
E. How many different times were you in the hospital for this condition?
Description

hospitalization cerebrovascular accident

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0038454
UMLS CUI [1,3]
C0439603
times
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
Description

date of hospitalization

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0019994
UMLS CUI [1,3]
C0809949
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
Description

hospital city

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
Description

hospital state

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
G. How many days altogether were you hospitalized for this condition?
Description

days altogether hospitalized cerebrovascular accident

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0038454
UMLS CUI [1,3]
C0439228
days
Medical History: Transient ischemic attack
Description

Medical History: Transient ischemic attack

9 Has a doctor ever told you that you had a new transient ischemic attack or TIA or silent stroke since we spoke with you on the phone about six month ago?
Description

TIA

Data type

integer

Alias
UMLS CUI [1]
C0007787
A. What was the doctor's name and city? Name
Description

name doctor

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0027365
A. What was the doctor's name and city? Address
Description

doctor address

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C1442065
A. What was the doctor's name and city? City
Description

doctor city

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0008848
A. What was the doctor's name and city? State
Description

doctor state

Data type

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C1301808
B. Date of event or diagnosis:
Description

date of diagnosis TIA

Data type

date

Alias
UMLS CUI [1,1]
C0007787
UMLS CUI [1,2]
C0011008
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
Description

see doctor TIA

Data type

text

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0007787
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
D. Were you in the hospital at least one night for this condition since we last spoke to you?
Description

hospitalized TIA

Data type

integer

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0007787
E. How many different times were you in the hospital for this condition?
Description

hospitalization TIA

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0007787
UMLS CUI [1,3]
C0439603
times
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
Description

date of hospitalization

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0019994
UMLS CUI [1,3]
C0809949
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
Description

hospital city

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
Description

hospital state

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
G. How many days altogether were you hospitalized for this condition?
Description

days altogether hospitalized TIA

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0007787
UMLS CUI [1,3]
C0439228
days
Medical History: Other conditions
Description

Medical History: Other conditions

10 Have you stayed overnight as a patient in a hospital for any other reason not reported in Questions 3 through 9 since we spoke to you on the phone about six months ago?
Description

reason for admission

Data type

integer

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0809949
Hospital name:
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
City:
Description

city

Data type

text

Alias
UMLS CUI [1]
C0008848
Date of hospitalization:
Description

date of hospitalization

Data type

date

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0011008
length of stay
Description

Length of stay:

Data type

text

Measurement units
  • days
Alias
UMLS CUI [1]
C0023303
days

Similar models

Year 5 Medical & Personal History Cardiovascular Health Study (CHS)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Medical History
Item
1 Would you say, in general, your health is:
integer
C0516984 (UMLS CUI [1])
Code List
1 Would you say, in general, your health is:
CL Item
excellent (1)
CL Item
very good (2)
CL Item
good (3)
CL Item
fair (4)
CL Item
poor (5)
Item
2 Would you say your health compares to other persons your age?
integer
C0018759 (UMLS CUI [1,1])
C0027362 (UMLS CUI [1,2])
Code List
2 Would you say your health compares to other persons your age?
CL Item
better than others your age (1)
CL Item
about the same as others your age (2)
CL Item
worse than others your age (3)
CL Item
don't know (9)
days in bed because of injury
Item
3 During the past two weeks, how many days have you stayed in bed all or most of the day because of illness or injury?
integer
C0221423 (UMLS CUI [1,1])
C0004910 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item
11 Have you stayed overnight as a patient in a nursing home or rehabilitation center since we spoke to you on the phone about six months ago?
integer
C0028688 (UMLS CUI [1])
C0034993 (UMLS CUI [2])
Code List
11 Have you stayed overnight as a patient in a nursing home or rehabilitation center since we spoke to you on the phone about six months ago?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
reason for admission nursing home
Item
A. If you answered YES, record the reason you were admitted, the name of the hospital, and the month and year you were a patient for EACH time you stayed overnight in a nursing home or rehabilitation center. (Use another sheet of paper to list additional admissions.) Reason for admission:
text
C0028688 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
C0034993 (UMLS CUI [2,1])
C0392360 (UMLS CUI [2,2])
C0809949 (UMLS CUI [2,3])
hospital name
Item
Hospital name:
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
city
Item
City:
text
C0008848 (UMLS CUI [1])
date of hospitalization
Item
Date of hospitalization:
date
C0019993 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
length of stay
Item
text
C0023303 (UMLS CUI [1])
Item
B. Are you currently staying in a nursing home?
integer
C0028688 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Code List
B. Are you currently staying in a nursing home?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
12 Have you had pneumonia since we saw you last year?
integer
C0032285 (UMLS CUI [1])
Code List
12 Have you had pneumonia since we saw you last year?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
13 Have you had an attack of bronchitis since we saw you last year?
integer
C0006277 (UMLS CUI [1])
Code List
13 Have you had an attack of bronchitis since we saw you last year?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. Was it confirmed by a doctor?
integer
C0006277 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
Code List
A. Was it confirmed by a doctor?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item Group
Medical History: Myocardical Infarction
Item
4 Has a doctor ever told you that you had a myocardial infarction or heart attack?
integer
C0027051 (UMLS CUI [1])
Code List
4 Has a doctor ever told you that you had a myocardial infarction or heart attack?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and city? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and city? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and city? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis myocardial infarction
Item
B. Date of event or diagnosis:
date
C0027051 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
see doctor myocardial infarction
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
text
C0027051 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0027051 (UMLS CUI [1,2])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
hospitalization myocardial infarction
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0027051 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
date of hospitalization
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
date
C0011008 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
days altogether hospitalized
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0027051 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item Group
Medical History: Angina
Item
5 Has a doctor ever told you that you had a new incident of angina pectoris or chest pain due to heart disease since we spoke with you on the phone about six month ago?
integer
C0002962 (UMLS CUI [1])
Code List
5 Has a doctor ever told you that you had a new incident of angina pectoris or chest pain due to heart disease since we spoke with you on the phone about six month ago?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and city? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and city? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and city? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis angina
Item
B. Date of event or diagnosis:
date
C0002962 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
see doctor angina
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
text
C0002962 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0002962 (UMLS CUI [1,2])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
hospitalization angina
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0002962 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
date of hospitalization
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
date
C0011008 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
days altogether hospitalized angina
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0002962 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item Group
Date of interview
interviewer
Item
Interviewer
text
C1550483 (UMLS CUI [1])
date of interview
Item
Interview:
date
C0011008 (UMLS CUI [1])
Item Group
Medical History: Congestive heart failure
Item
6 Has a doctor ever told you that you had a new incident of heart failure or congestive heart failure since we spoke with you on the phone about six month ago?
integer
C0018801 (UMLS CUI [1])
C0018802 (UMLS CUI [2])
Code List
6 Has a doctor ever told you that you had a new incident of heart failure or congestive heart failure since we spoke with you on the phone about six month ago?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and city? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and city? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and city? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis congestive heart failure
Item
B. Date of event or diagnosis:
date
C0018802 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
see doctor congestive heart failure
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
text
C0018802 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0018802 (UMLS CUI [1,2])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
hospitalization congestive heart failure
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0018802 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
date of hospitalization
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
date
C0011008 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
days altogether hospitalized congestive heart failure
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0018802 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item Group
Medical History: Intermittent claudication
Item
7 Has a doctor ever told you that you had a new incident of intermittent claudication or pain in your legs from a blockage of the arteries since we spoke with you on the phone about six month ago?
integer
C0021775 (UMLS CUI [1])
Code List
7 Has a doctor ever told you that you had a new incident of intermittent claudication or pain in your legs from a blockage of the arteries since we spoke with you on the phone about six month ago?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and city? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and city? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and city? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis intermittent claudication
Item
B. Date of event or diagnosis:
date
C0021775 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
see doctor intermittent claudication
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
text
C0021775 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0021775 (UMLS CUI [1,2])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
hospitalization intermittent claudication
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0021775 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
date of hospitalization
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
date
C0011008 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
days altogether hospitalized intermittent claudication
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0021775 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item Group
Medical History: Cerebrovascular accident
Item
8 Has a doctor ever told you that you had a new stroke or cerebrovascular accident since we spoke with you on the phone about six month ago?
integer
C0038454 (UMLS CUI [1])
Code List
8 Has a doctor ever told you that you had a new stroke or cerebrovascular accident since we spoke with you on the phone about six month ago?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and city? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and city? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and city? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis cerebrovascular accident
Item
B. Date of event or diagnosis:
date
C0038454 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
see doctor cerebrovascular accident
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
text
C0038454 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
hospitalization cerebrovascular accident
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
date of hospitalization
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
date
C0011008 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
days altogether hospitalized cerebrovascular accident
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item Group
Medical History: Transient ischemic attack
Item
9 Has a doctor ever told you that you had a new transient ischemic attack or TIA or silent stroke since we spoke with you on the phone about six month ago?
integer
C0007787 (UMLS CUI [1])
Code List
9 Has a doctor ever told you that you had a new transient ischemic attack or TIA or silent stroke since we spoke with you on the phone about six month ago?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and city? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and city? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and city? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis TIA
Item
B. Date of event or diagnosis:
date
C0007787 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
see doctor TIA
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
text
C0007787 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0007787 (UMLS CUI [1,2])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
hospitalization TIA
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0007787 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
date of hospitalization
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
date
C0011008 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
days altogether hospitalized TIA
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0007787 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item Group
Medical History: Other conditions
Item
10 Have you stayed overnight as a patient in a hospital for any other reason not reported in Questions 3 through 9 since we spoke to you on the phone about six months ago?
integer
C0392360 (UMLS CUI [1,1])
C0809949 (UMLS CUI [1,2])
Code List
10 Have you stayed overnight as a patient in a hospital for any other reason not reported in Questions 3 through 9 since we spoke to you on the phone about six months ago?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
hospital name
Item
Hospital name:
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
city
Item
City:
text
C0008848 (UMLS CUI [1])
date of hospitalization
Item
Date of hospitalization:
date
C0019993 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
length of stay
Item
text
C0023303 (UMLS CUI [1])

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