ID

17272

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

September 3, 2016

DOI

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License

Creative Commons BY-NC 3.0

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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
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? A. High blood pressure
Description

high blood pressure

Data type

integer

Alias
UMLS CUI [1]
C0020538
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? B. Diabetes
Description

diabetes

Data type

integer

Alias
UMLS CUI [1]
C0011849
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? C. Atrial Fibrillation
Description

atrial fibrillation

Data type

integer

Alias
UMLS CUI [1]
C0004238
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? D. Deep vein thrombosis (or blood clots in your legs)
Description

deep vein thrombosis

Data type

integer

Alias
UMLS CUI [1]
C0149871
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? E. Rheumatic fever or heart valve problems
Description

rheumatic fever

Data type

integer

Alias
UMLS CUI [1]
C3536892
15 Has a doctor ever told you that you had other heart or circulatory problems since we saw you last year?
Description

heart or circulatory problems

Data type

integer

Alias
UMLS CUI [1]
C0007222
Specify:
Description

other heart problem

Data type

text

Alias
UMLS CUI [1,1]
C0795691
UMLS CUI [1,2]
C0205394
16 Are you currently taking medication prescribed by a doctor for any of the following conditions? A. High blood pressure
Description

high blood pressure medication

Data type

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
16 Are you currently taking medication prescribed by a doctor for any of the following conditions? B. Diabetes
Description

diabetes medication

Data type

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0011849
16 Are you currently taking medication prescribed by a doctor for any of the following conditions? C. Atrial Fibrillation
Description

atrial fibrillation medication

Data type

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0004238
16 Are you currently taking medication prescribed by a doctor for any of the following conditions? D. Deep vein thrombosis (or blood clots in your legs)
Description

deep vein thrombosis medication

Data type

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0149871
17 Have you had coronary angiography or heart catheterization as an out patient procedure since we saw you last year?
Description

coronary angiography or heart catheterization

Data type

integer

Alias
UMLS CUI [1]
C0085532
UMLS CUI [2]
C0018795
18 Have you ever had any pain or discomfort in your chest?
Description

pain in chest

Data type

boolean

Alias
UMLS CUI [1]
C0008031
A. Do you feel pain when you walk uphill or hurry?
Description

chest pain walking uphill

Data type

integer

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C3842654
B. Do you feel the pain when you walk at an ordinary pace or level?
Description

chest pain walking

Data type

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0080331
C. What do you do if you feel it while you are walking?
Description

chest pain consequence

Data type

integer

Alias
UMLS CUI [1]
C0008031
D. If you stand still, what happens to the pain?
Description

chest pain resting

Data type

integer

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0035253
E. Where do you get this pain or discomfort?
Description

chest pain localization

Data type

text

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0475264
Other, specify:
Description

chest pain localization other

Data type

text

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0475264
F. Have you had this pain in the past two weeks?
Description

chest pain past two weeks

Data type

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0332185
If yes, how many times in the past two weeks have you had this pain?
Description

chest pain frequency

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0332185
UMLS CUI [1,3]
C0439603
times
G. Has there been an increase in the frequency or severity in the past two weeks?
Description

worsening chest pain

Data type

boolean

Alias
UMLS CUI [1,1]
C0332271
UMLS CUI [1,2]
C0008031
UMLS CUI [1,3]
C0332185
H. Have you seen a doctor about this pain?
Description

chest pain seen by doctor

Data type

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0583527
I. Have you ever had a severe pain accross the front of your chest lasting for half an hour or more?
Description

severe chest pain

Data type

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0205082
J. Did you see a doctor because of this pain?
Description

severe chest pain seen by doctor

Data type

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0205082
UMLS CUI [1,3]
C0583527
K. If you saw a doctor, what did your doctor say it was?
Description

diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0011900
K. If you saw a doctor, what did your doctor say it was?
Description

other diagnosis

Data type

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0205394
19 Have you had to sleep on 2 or more pillows to help you breathe since we saw you last year?
Description

sleep on pillows

Data type

integer

Alias
UMLS CUI [1,1]
C0182291
UMLS CUI [1,2]
C0443302
20 Have you been awakened at night by trouble breathing since we saw you last year?
Description

awakened by trouble breathing

Data type

integer

Alias
UMLS CUI [1,1]
C3641913
UMLS CUI [1,2]
C0240526
21 Do you get short of breath... A. While resting in a chair?
Description

short of breath resting in chair

Data type

integer

Alias
UMLS CUI [1,1]
C0013404
UMLS CUI [1,2]
C0035253
UMLS CUI [1,3]
C0179847
21 Do you get short of breath... B. When walking on level ground?
Description

short of breath walking

Data type

integer

Alias
UMLS CUI [1,1]
C0013404
UMLS CUI [1,2]
C0080331
21 Do you get short of breath... C. When walking quickly or uphill?
Description

short of breath walking uphill

Data type

integer

Alias
UMLS CUI [1,1]
C0013404
UMLS CUI [1,2]
C3842654
21 Do you get short of breath... D. With light physical activity, such as walking down a flight of stairs, dressing or showering without stopping, cleaning windows, stripping and making the bed, mopping floors, hanging washed clothes, pushing a power lawn mower, bowling, or playing golf (walk and carry clubs)
Description

short of breath light physical activity

Data type

integer

Alias
UMLS CUI [1,1]
C0013404
UMLS CUI [1,2]
C1517883
21 Do you get short of breath... E. With moderate physical activity, such as carrying anything up a flight of stairs without stopping, dancing a foxtrot, gardening, raking, weeding, having sexual intercourse, or walking 4 miles an hour over level ground?
Description

short of breath moderate physical activity

Data type

integer

Alias
UMLS CUI [1,1]
C0013404
UMLS CUI [1,2]
C0026606
UMLS CUI [1,3]
C0205081
21 Do you get short of breath... F. With strenuous physical activity, such as doing outdoor work (shoveling snow, spading soil), playing squash or handball, jogging or walking 5 miles an hour, or carrying objects that weigh at least 80 pounds?
Description

short of breath strenuous physical activity

Data type

integer

Alias
UMLS CUI [1,1]
C0013404
UMLS CUI [1,2]
C1514989
22 Have you had swelling of your feet or ankles since we saw you last year?
Description

swelling of your feet or ankles

Data type

integer

Alias
UMLS CUI [1]
C0574002
UMLS CUI [2]
C0235439
A. Did it tend to come on during the day and do down overnight?
Description

swelling during the day

Data type

integer

Alias
UMLS CUI [1,1]
C0574002
UMLS CUI [1,2]
C0585022
UMLS CUI [2,1]
C0235439
UMLS CUI [2,2]
C0585022
23 Do you get pain in either leg when walking?
Description

leg pain walking

Data type

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0080331
A. Does this pain ever begin when you are standing still or standing?
Description

leg pain standing still

Data type

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0231472
B. Do you feel this pain in your calf or calves?
Description

pain in calf

Data type

integer

Alias
UMLS CUI [1]
C0236040
C. Do you feel it when you walk uphill or hurry?
Description

leg pain walking uphill

Data type

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C3842654
D. Do you feel it when you walk at an ordinary pace on the level?
Description

leg pain walking ordinary pace

Data type

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0080331
E. Does this pain ever disappear while you are walking?
Description

leg pain disappears walking

Data type

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0080331
UMLS CUI [1,3]
C2746065
F. What do you do if you feel it while you are walking?
Description

action leg pain walking

Data type

text

Alias
UMLS CUI [1,1]
C3266814
UMLS CUI [1,2]
C0023222
UMLS CUI [1,3]
C0080331
G. What happens to the pain if you stand still?
Description

leg pain standing still

Data type

text

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0231472
24 Have you been told by a doctor that you currently have any of the following? A. Arthritis of hands
Description

arthritis of hands

Data type

integer

Alias
UMLS CUI [1]
C0409208
24 Have you been told by a doctor that you currently have any of the following? B. Arthritis of shoulder
Description

arthritis of shoulder

Data type

integer

Alias
UMLS CUI [1]
C1298682
24 Have you been told by a doctor that you currently have any of the following? C. Arthritis of hips or knees
Description

arthritis of hips or knees

Data type

integer

Alias
UMLS CUI [1]
C0263776
UMLS CUI [2]
C0240111
24 Have you been told by a doctor that you currently have any of the following? D. Osteoporosis
Description

osteoporosis

Data type

integer

Alias
UMLS CUI [1]
C0029456
24 Have you been told by a doctor that you currently have any of the following? E. Liver disease, cirrhosis or hepatitis
Description

liver disease cirrhosis or hepatitis

Data type

integer

Alias
UMLS CUI [1]
C0023895
UMLS CUI [2]
C0023890
UMLS CUI [3]
C0019158
24 Have you been told by a doctor that you currently have any of the following? F. Kidney (renal) disease or failure
Description

kidney disease or failure

Data type

integer

Alias
UMLS CUI [1]
C0022658
UMLS CUI [2]
C0035078
25 During the last year, have you had pain in any bones or joints for at least half the days of a month?
Description

pain in bones or joints

Data type

integer

Alias
UMLS CUI [1]
C0151825
UMLS CUI [2]
C0003862
Please indicate where you had this pain: A. Hands
Description

pain in hand

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0018563
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0018563
Please indicate where you had this pain: B. Feet
Description

pain in feet

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0016504
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0016504
Please indicate where you had this pain: C. Knees
Description

pain in knees

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0022742
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0022742
Please indicate where you had this pain: D. Hips
Description

pain in hips

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0019552
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0019552
Please indicate where you had this pain: E. Neck
Description

pain in neck

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0027530
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0027530
Please indicate where you had this pain: F. Back
Description

pain in back

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0004600
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0004600
Please indicate where you had this pain: G. Shoulders
Description

pain in shoulders

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0037004
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0037004
Please indicate where you had this pain: H. Other
Description

other pain

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0205394
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0205394
Please indicate where you had this pain: H. Other, specify:
Description

other pain specify

Data type

text

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0205394
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0205394
26 Have you been told by a doctor that you currently have cancer?
Description

cancer diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0006826
If you answered YES, please specify the kind of cancer(s): A. Breast cancer
Description

breast cancer

Data type

integer

Alias
UMLS CUI [1]
C0678222
If you answered YES, please specify the kind of cancer(s): B. Blood cancer, leukemia or lymphoma
Description

blood cancer

Data type

integer

Alias
UMLS CUI [1]
C0023418
UMLS CUI [2]
C0024299
If you answered YES, please specify the kind of cancer(s): C. Colon (bowel) or rectum cancer
Description

colon or rectal cancer

Data type

integer

Alias
UMLS CUI [1]
C0007102
UMLS CUI [2]
C0007113
If you answered YES, please specify the kind of cancer(s): D. Lung cancer
Description

lung cancer

Data type

integer

Alias
UMLS CUI [1]
C0242379
If you answered YES, please specify the kind of cancer(s): E. Malignant melanoma
Description

malignant melanoma

Data type

integer

Alias
UMLS CUI [1]
C0025202
If you answered YES, please specify the kind of cancer(s): F. Other skin cancer
Description

other skin cancer

Data type

integer

Alias
UMLS CUI [1]
C0007114
If you answered YES, please specify the kind of cancer(s): G. Prostate cancer
Description

prostate cancer

Data type

integer

Alias
UMLS CUI [1]
C0600139
If you answered YES, please specify the kind of cancer(s): H. Pancreatic cancer
Description

pancreatic cancer

Data type

integer

Alias
UMLS CUI [1]
C0235974
If you answered YES, please specify the kind of cancer(s): I. Esophageal cancer
Description

esophageal cancer

Data type

integer

Alias
UMLS CUI [1]
C0014859
If you answered YES, please specify the kind of cancer(s): J. Other cancer
Description

other cancer

Data type

integer

Alias
UMLS CUI [1]
C1707251
If you answered YES, please specify the kind of cancer(s): J. Other cancer, specify:
Description

other cancer specify

Data type

text

Alias
UMLS CUI [1]
C1707251
27 Have you been treated by a doctor for any of the following since we saw you last year? A. Broken hip (fracture)
Description

broken hip

Data type

integer

Alias
UMLS CUI [1]
C0019557
B. Broken lower leg (fracture)
Description

broken lower leg

Data type

integer

Alias
UMLS CUI [1]
C1542178
C. Broken arm, wrist or shoulder (fracture)
Description

broken arm

Data type

integer

Alias
UMLS CUI [1]
C0178316
UMLS CUI [2]
C0435630
UMLS CUI [3]
C0037006
D. Spine (vertebral) compression fracture
Description

spine compression fracture

Data type

integer

Alias
UMLS CUI [1]
C0262431
E. Other injury
Description

other injury

Data type

integer

Specify
Description

other injury specify

Data type

text

F. Did you have arthritis that was treated with medication?
Description

arthritis treated with medication

Data type

integer

Alias
UMLS CUI [1,1]
C0003864
UMLS CUI [1,2]
C0013227
28 During the last year, have you had any sudden spells of dizziness, loss of balance, or sensation of spinning?
Description

dizziness or loss of balance

Data type

integer

Alias
UMLS CUI [1]
C0012833
UMLS CUI [2]
C0241981
UMLS CUI [3]
C0042571
29 Have you ever accidentally lost control of your urine (wet yourself) more than one time in a month?
Description

wet yourself

Data type

integer

Alias
UMLS CUI [1]
C0042024
30 Do you wake up to urinate more than three nights per week?
Description

urinate at night

Data type

integer

Alias
UMLS CUI [1,1]
C0085606
UMLS CUI [1,2]
C0240526
31 During the last year, have you had a fall? )Do not include falls during skiing, skating or other activities that may affect balance.)
Description

fall

Data type

integer

Alias
UMLS CUI [1]
C0085639
A. How many times have you fallen during the last year?
Description

times fallen

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0085639
UMLS CUI [1,2]
C0439603
times
32 During the last year, have you gained or lost more than 10 pounds?
Description

weight gain or weight loss

Data type

integer

Alias
UMLS CUI [1]
C0005911
A. Was diet for the purpose of losing or gaining weight a major factor in your weight change?
Description

purpose of weight change

Data type

integer

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0005911
B. Was surgery, illness or medication a major factor in your weight change?
Description

weight change because of illness

Data type

integer

Alias
UMLS CUI [1,1]
C0221423
UMLS CUI [1,2]
C0005911
C. Was exercise a major factor in your weight change?
Description

weight change because of exercise

Data type

integer

Alias
UMLS CUI [1,1]
C0015259
UMLS CUI [1,2]
C0005911
33 How would you compare your TOTAL average daily intake of food this year to your intake when we saw you last year?
Description

daily intake of food

Data type

integer

Alias
UMLS CUI [1,1]
C2164132
UMLS CUI [1,2]
C1707455
A. If you answered EAT A LOT MORE or EAT A LITTLE MORE, the main reason is:
Description

main reason change intake

Data type

text

Alias
UMLS CUI [1,1]
C0458244
UMLS CUI [1,2]
C0442805
UMLS CUI [1,3]
C0392360
Other:
Description

other reason change intake

Data type

text

Alias
UMLS CUI [1,1]
C0458244
UMLS CUI [1,2]
C0442805
UMLS CUI [1,3]
C0392360
B. If you answered EAT A LOT LESS or EAT A LITTLE LESS, the main reason is:
Description

main reason change intake less

Data type

text

Alias
UMLS CUI [1,1]
C0458244
UMLS CUI [1,2]
C0547047
UMLS CUI [1,3]
C0392360
Other:
Description

other reason intake less

Data type

text

Alias
UMLS CUI [1,1]
C0458244
UMLS CUI [1,2]
C0547047
UMLS CUI [1,3]
C0392360
34 Are you following a special diet?
Description

special diet

Data type

integer

Alias
UMLS CUI [1]
C3164710
A. What is the purpose of the diet? To lose weight
Description

diet to lose weight

Data type

integer

Alias
UMLS CUI [1]
C0012167
A. What is the purpose of the diet? To gain weight
Description

diet to gain weight

Data type

integer

Alias
UMLS CUI [1,1]
C0043094
UMLS CUI [1,2]
C3164710
A. What is the purpose of the diet? For diabetes
Description

diet for diabetes

Data type

integer

Alias
UMLS CUI [1,1]
C0011849
UMLS CUI [1,2]
C3164710
A. What is the purpose of the diet? For kidney failure
Description

diet for kidney failure

Data type

integer

Alias
UMLS CUI [1,1]
C0035078
UMLS CUI [1,2]
C3164710
A. What is the purpose of the diet? For ulcers
Description

diet for ulcers

Data type

integer

Alias
UMLS CUI [1,1]
C0041582
UMLS CUI [1,2]
C3164710
A. What is the purpose of the diet? For diverticulitits
Description

diet for diverticulitis

Data type

integer

Alias
UMLS CUI [1,1]
C0156163
UMLS CUI [1,2]
C3164710
A. What is the purpose of the diet? For allergies
Description

diet for allergies

Data type

integer

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C3164710
A. What is the purpose of the diet? For heart trouble
Description

diet for heart trouble

Data type

integer

Alias
UMLS CUI [1,1]
C0018799
UMLS CUI [1,2]
C3164710
A. What is the purpose of the diet? For high blood pressure
Description

diet for high blood pressure

Data type

integer

Alias
UMLS CUI [1,1]
C0020538
UMLS CUI [1,2]
C3164710
A. What is the purpose of the diet? For other reason
Description

diet for other reasons

Data type

integer

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C3164710
Other:
Description

diet for other reasons

Data type

text

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C3164710
B. What kind of diet is it? Low calorie
Description

low calorie diet

Data type

integer

Alias
UMLS CUI [1]
C2930544
B. What kind of diet is it? High calorie
Description

high calorie diet

Data type

integer

Alias
UMLS CUI [1]
C0301590
B. What kind of diet is it? High protein
Description

high protein diet

Data type

integer

Alias
UMLS CUI [1]
C0425403
B. What kind of diet is it? Low fat
Description

low fat diet

Data type

integer

Alias
UMLS CUI [1]
C0242970
B. What kind of diet is it? High fat
Description

high fat diet

Data type

integer

Alias
UMLS CUI [1]
C0521974
B. What kind of diet is it? Low carbohydrate
Description

low carbohydrate diet

Data type

integer

Alias
UMLS CUI [1]
C0259836
B. What kind of diet is it? High carbohydrate
Description

high carbohydrate diet

Data type

integer

Alias
UMLS CUI [1]
C0259835
B. What kind of diet is it? Low sugar
Description

low sugar diet

Data type

integer

Alias
UMLS CUI [1]
C0452316
B. What kind of diet is it? Low salt
Description

low salt diet

Data type

integer

Alias
UMLS CUI [1]
C0012169
B. What kind of diet is it? Low cholesterol
Description

low cholesterol diet

Data type

integer

Alias
UMLS CUI [1]
C2243019
B. What kind of diet is it? Low fiber
Description

low fiber diet

Data type

integer

Alias
UMLS CUI [1]
C0344356
B. What kind of diet is it? High fiber
Description

high fiber diet

Data type

integer

Alias
UMLS CUI [1]
C0301568
B. What kind of diet is it? Bland diet
Description

bland diet

Data type

integer

Alias
UMLS CUI [1]
C0301572
B. What kind of diet is it? Other diet
Description

other diet

Data type

integer

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0205394
Other:
Description

other diet specify

Data type

text

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0205394
C. About how long have you been following this diet? YEARS
Description

diet duration

Data type

integer

Measurement units
  • Years
Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0449238
Years
C. About how long have you been following this diet? MONTHS
Description

diet duration

Data type

integer

Measurement units
  • Months
Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0449238
Months
D. Was this diet recommended by your physician?
Description

diet recommended by physician

Data type

integer

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0583555
35 Have you gone off a special diet since we saw you last year?
Description

gone off special diet

Data type

integer

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C2746065
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 of 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
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? A. High blood pressure
integer
C0020538 (UMLS CUI [1])
Code List
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? A. High blood pressure
CL Item
Never told (1)
CL Item
First told during the past year (2)
CL Item
First told more than one year ago (3)
Item
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? B. Diabetes
integer
C0011849 (UMLS CUI [1])
Code List
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? B. Diabetes
CL Item
Never told (1)
CL Item
First told during the past year (2)
CL Item
First told more than one year ago (3)
Item
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? C. Atrial Fibrillation
integer
C0004238 (UMLS CUI [1])
Code List
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? C. Atrial Fibrillation
CL Item
Never told (1)
CL Item
First told during the past year (2)
CL Item
First told more than one year ago (3)
Item
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? D. Deep vein thrombosis (or blood clots in your legs)
integer
C0149871 (UMLS CUI [1])
Code List
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? D. Deep vein thrombosis (or blood clots in your legs)
CL Item
Never told (1)
CL Item
First told during the past year (2)
CL Item
First told more than one year ago (3)
Item
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? E. Rheumatic fever or heart valve problems
integer
C3536892 (UMLS CUI [1])
Code List
14 Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRST told that you had the condition? E. Rheumatic fever or heart valve problems
CL Item
Never told (1)
CL Item
First told during the past year (2)
CL Item
First told more than one year ago (3)
Item
15 Has a doctor ever told you that you had other heart or circulatory problems since we saw you last year?
integer
C0007222 (UMLS CUI [1])
Code List
15 Has a doctor ever told you that you had other heart or circulatory problems since we saw you last year?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
other heart problem
Item
Specify:
text
C0795691 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
16 Are you currently taking medication prescribed by a doctor for any of the following conditions? A. High blood pressure
integer
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
Code List
16 Are you currently taking medication prescribed by a doctor for any of the following conditions? A. High blood pressure
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
16 Are you currently taking medication prescribed by a doctor for any of the following conditions? B. Diabetes
integer
C0013227 (UMLS CUI [1,1])
C0011849 (UMLS CUI [1,2])
Code List
16 Are you currently taking medication prescribed by a doctor for any of the following conditions? B. Diabetes
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
16 Are you currently taking medication prescribed by a doctor for any of the following conditions? C. Atrial Fibrillation
integer
C0013227 (UMLS CUI [1,1])
C0004238 (UMLS CUI [1,2])
Code List
16 Are you currently taking medication prescribed by a doctor for any of the following conditions? C. Atrial Fibrillation
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
16 Are you currently taking medication prescribed by a doctor for any of the following conditions? D. Deep vein thrombosis (or blood clots in your legs)
integer
C0013227 (UMLS CUI [1,1])
C0149871 (UMLS CUI [1,2])
Code List
16 Are you currently taking medication prescribed by a doctor for any of the following conditions? D. Deep vein thrombosis (or blood clots in your legs)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
17 Have you had coronary angiography or heart catheterization as an out patient procedure since we saw you last year?
integer
C0085532 (UMLS CUI [1])
C0018795 (UMLS CUI [2])
Code List
17 Have you had coronary angiography or heart catheterization as an out patient procedure since we saw you last year?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
pain in chest
Item
18 Have you ever had any pain or discomfort in your chest?
boolean
C0008031 (UMLS CUI [1])
Item
A. Do you feel pain when you walk uphill or hurry?
integer
C0008031 (UMLS CUI [1,1])
C3842654 (UMLS CUI [1,2])
Code List
A. Do you feel pain when you walk uphill or hurry?
CL Item
yes (1)
CL Item
no (0)
CL Item
never walk uphill or hurry (9)
chest pain walking
Item
B. Do you feel the pain when you walk at an ordinary pace or level?
boolean
C0008031 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
Item
C. What do you do if you feel it while you are walking?
integer
C0008031 (UMLS CUI [1])
Code List
C. What do you do if you feel it while you are walking?
CL Item
stop or slow down, or continue at same pace after taking nitroglycerine (1)
CL Item
continue at same pace (2)
Item
D. If you stand still, what happens to the pain?
integer
C0008031 (UMLS CUI [1,1])
C0035253 (UMLS CUI [1,2])
Code List
D. If you stand still, what happens to the pain?
CL Item
relieved in 10 minutes or less (1)
CL Item
takes longer than 10 minutes to be relieved (2)
CL Item
not relieved (3)
CL Item
don't know (9)
Item
E. Where do you get this pain or discomfort?
text
C0008031 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
Code List
E. Where do you get this pain or discomfort?
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
chest pain localization other
Item
Other, specify:
text
C0008031 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
chest pain past two weeks
Item
F. Have you had this pain in the past two weeks?
boolean
C0008031 (UMLS CUI [1,1])
C0332185 (UMLS CUI [1,2])
chest pain frequency
Item
If yes, how many times in the past two weeks have you had this pain?
integer
C0008031 (UMLS CUI [1,1])
C0332185 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
worsening chest pain
Item
G. Has there been an increase in the frequency or severity in the past two weeks?
boolean
C0332271 (UMLS CUI [1,1])
C0008031 (UMLS CUI [1,2])
C0332185 (UMLS CUI [1,3])
chest pain seen by doctor
Item
H. Have you seen a doctor about this pain?
boolean
C0008031 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
severe chest pain
Item
I. Have you ever had a severe pain accross the front of your chest lasting for half an hour or more?
boolean
C0008031 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
severe chest pain seen by doctor
Item
J. Did you see a doctor because of this pain?
boolean
C0008031 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
C0583527 (UMLS CUI [1,3])
Item
K. If you saw a doctor, what did your doctor say it was?
integer
C0011900 (UMLS CUI [1])
Code List
K. If you saw a doctor, what did your doctor say it was?
CL Item
Angina (1)
CL Item
Heart attack (2)
CL Item
Other (3)
other diagnosis
Item
K. If you saw a doctor, what did your doctor say it was?
text
C0011900 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
19 Have you had to sleep on 2 or more pillows to help you breathe since we saw you last year?
integer
C0182291 (UMLS CUI [1,1])
C0443302 (UMLS CUI [1,2])
Code List
19 Have you had to sleep on 2 or more pillows to help you breathe since we saw you last year?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
20 Have you been awakened at night by trouble breathing since we saw you last year?
integer
C3641913 (UMLS CUI [1,1])
C0240526 (UMLS CUI [1,2])
Code List
20 Have you been awakened at night by trouble breathing since we saw you last year?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
21 Do you get short of breath... A. While resting in a chair?
integer
C0013404 (UMLS CUI [1,1])
C0035253 (UMLS CUI [1,2])
C0179847 (UMLS CUI [1,3])
Code List
21 Do you get short of breath... A. While resting in a chair?
CL Item
yes (1)
CL Item
no (0)
CL Item
never do this activity (2)
CL Item
don't know (9)
Item
21 Do you get short of breath... B. When walking on level ground?
integer
C0013404 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
Code List
21 Do you get short of breath... B. When walking on level ground?
CL Item
yes (1)
CL Item
no (0)
CL Item
never do this activity (2)
CL Item
don't know (9)
Item
21 Do you get short of breath... C. When walking quickly or uphill?
integer
C0013404 (UMLS CUI [1,1])
C3842654 (UMLS CUI [1,2])
Code List
21 Do you get short of breath... C. When walking quickly or uphill?
CL Item
yes (1)
CL Item
no (0)
CL Item
never do this activity (2)
CL Item
don't know (9)
Item
21 Do you get short of breath... D. With light physical activity, such as walking down a flight of stairs, dressing or showering without stopping, cleaning windows, stripping and making the bed, mopping floors, hanging washed clothes, pushing a power lawn mower, bowling, or playing golf (walk and carry clubs)
integer
C0013404 (UMLS CUI [1,1])
C1517883 (UMLS CUI [1,2])
Code List
21 Do you get short of breath... D. With light physical activity, such as walking down a flight of stairs, dressing or showering without stopping, cleaning windows, stripping and making the bed, mopping floors, hanging washed clothes, pushing a power lawn mower, bowling, or playing golf (walk and carry clubs)
CL Item
yes (1)
CL Item
no (0)
CL Item
never do this activity (2)
CL Item
don't know (9)
Item
21 Do you get short of breath... E. With moderate physical activity, such as carrying anything up a flight of stairs without stopping, dancing a foxtrot, gardening, raking, weeding, having sexual intercourse, or walking 4 miles an hour over level ground?
integer
C0013404 (UMLS CUI [1,1])
C0026606 (UMLS CUI [1,2])
C0205081 (UMLS CUI [1,3])
Code List
21 Do you get short of breath... E. With moderate physical activity, such as carrying anything up a flight of stairs without stopping, dancing a foxtrot, gardening, raking, weeding, having sexual intercourse, or walking 4 miles an hour over level ground?
CL Item
yes (1)
CL Item
no (0)
CL Item
never do this activity (2)
CL Item
don't know (9)
Item
21 Do you get short of breath... F. With strenuous physical activity, such as doing outdoor work (shoveling snow, spading soil), playing squash or handball, jogging or walking 5 miles an hour, or carrying objects that weigh at least 80 pounds?
integer
C0013404 (UMLS CUI [1,1])
C1514989 (UMLS CUI [1,2])
Code List
21 Do you get short of breath... F. With strenuous physical activity, such as doing outdoor work (shoveling snow, spading soil), playing squash or handball, jogging or walking 5 miles an hour, or carrying objects that weigh at least 80 pounds?
CL Item
yes (1)
CL Item
no (0)
CL Item
never do this activity (2)
CL Item
don't know (9)
Item
22 Have you had swelling of your feet or ankles since we saw you last year?
integer
C0574002 (UMLS CUI [1])
C0235439 (UMLS CUI [2])
Code List
22 Have you had swelling of your feet or ankles since we saw you last year?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. Did it tend to come on during the day and do down overnight?
integer
C0574002 (UMLS CUI [1,1])
C0585022 (UMLS CUI [1,2])
C0235439 (UMLS CUI [2,1])
C0585022 (UMLS CUI [2,2])
Code List
A. Did it tend to come on during the day and do down overnight?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
23 Do you get pain in either leg when walking?
integer
C0023222 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
Code List
23 Do you get pain in either leg when walking?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. Does this pain ever begin when you are standing still or standing?
integer
C0023222 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
Code List
A. Does this pain ever begin when you are standing still or standing?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. Do you feel this pain in your calf or calves?
integer
C0236040 (UMLS CUI [1])
Code List
B. Do you feel this pain in your calf or calves?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
C. Do you feel it when you walk uphill or hurry?
integer
C0023222 (UMLS CUI [1,1])
C3842654 (UMLS CUI [1,2])
Code List
C. Do you feel it when you walk uphill or hurry?
CL Item
yes (1)
CL Item
no (0)
CL Item
never walk uphill or hurry (9)
Item
D. Do you feel it when you walk at an ordinary pace on the level?
integer
C0023222 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
Code List
D. Do you feel it when you walk at an ordinary pace on the level?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
E. Does this pain ever disappear while you are walking?
integer
C0023222 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
C2746065 (UMLS CUI [1,3])
Code List
E. Does this pain ever disappear while you are walking?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
F. What do you do if you feel it while you are walking?
text
C3266814 (UMLS CUI [1,1])
C0023222 (UMLS CUI [1,2])
C0080331 (UMLS CUI [1,3])
Code List
F. What do you do if you feel it while you are walking?
CL Item
stop or slow down (stop or slow down)
CL Item
continue at same pace (continue at same pace)
Item
G. What happens to the pain if you stand still?
text
C0023222 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
Code List
G. What happens to the pain if you stand still?
CL Item
relieved in 10 minutes or less (relieved in 10 minutes or less)
CL Item
takes longer than 10 minutes to be relieved (takes longer than 10 minutes to be relieved)
CL Item
not relieved (not relieved)
CL Item
don't know (don't know)
Item
24 Have you been told by a doctor that you currently have any of the following? A. Arthritis of hands
integer
C0409208 (UMLS CUI [1])
Code List
24 Have you been told by a doctor that you currently have any of the following? A. Arthritis of hands
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
24 Have you been told by a doctor that you currently have any of the following? B. Arthritis of shoulder
integer
C1298682 (UMLS CUI [1])
Code List
24 Have you been told by a doctor that you currently have any of the following? B. Arthritis of shoulder
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
24 Have you been told by a doctor that you currently have any of the following? C. Arthritis of hips or knees
integer
C0263776 (UMLS CUI [1])
C0240111 (UMLS CUI [2])
Code List
24 Have you been told by a doctor that you currently have any of the following? C. Arthritis of hips or knees
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
24 Have you been told by a doctor that you currently have any of the following? D. Osteoporosis
integer
C0029456 (UMLS CUI [1])
Code List
24 Have you been told by a doctor that you currently have any of the following? D. Osteoporosis
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
24 Have you been told by a doctor that you currently have any of the following? E. Liver disease, cirrhosis or hepatitis
integer
C0023895 (UMLS CUI [1])
C0023890 (UMLS CUI [2])
C0019158 (UMLS CUI [3])
Code List
24 Have you been told by a doctor that you currently have any of the following? E. Liver disease, cirrhosis or hepatitis
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
24 Have you been told by a doctor that you currently have any of the following? F. Kidney (renal) disease or failure
integer
C0022658 (UMLS CUI [1])
C0035078 (UMLS CUI [2])
Code List
24 Have you been told by a doctor that you currently have any of the following? F. Kidney (renal) disease or failure
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
25 During the last year, have you had pain in any bones or joints for at least half the days of a month?
integer
C0151825 (UMLS CUI [1])
C0003862 (UMLS CUI [2])
Code List
25 During the last year, have you had pain in any bones or joints for at least half the days of a month?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
Please indicate where you had this pain: A. Hands
integer
C0151825 (UMLS CUI [1,1])
C0018563 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0018563 (UMLS CUI [2,2])
Code List
Please indicate where you had this pain: A. Hands
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
Please indicate where you had this pain: B. Feet
integer
C0151825 (UMLS CUI [1,1])
C0016504 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0016504 (UMLS CUI [2,2])
Code List
Please indicate where you had this pain: B. Feet
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
Please indicate where you had this pain: C. Knees
integer
C0151825 (UMLS CUI [1,1])
C0022742 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0022742 (UMLS CUI [2,2])
Code List
Please indicate where you had this pain: C. Knees
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
Please indicate where you had this pain: D. Hips
integer
C0151825 (UMLS CUI [1,1])
C0019552 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0019552 (UMLS CUI [2,2])
Code List
Please indicate where you had this pain: D. Hips
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
Please indicate where you had this pain: E. Neck
integer
C0151825 (UMLS CUI [1,1])
C0027530 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0027530 (UMLS CUI [2,2])
Code List
Please indicate where you had this pain: E. Neck
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
Please indicate where you had this pain: F. Back
integer
C0151825 (UMLS CUI [1,1])
C0004600 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0004600 (UMLS CUI [2,2])
Code List
Please indicate where you had this pain: F. Back
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
Please indicate where you had this pain: G. Shoulders
integer
C0151825 (UMLS CUI [1,1])
C0037004 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0037004 (UMLS CUI [2,2])
Code List
Please indicate where you had this pain: G. Shoulders
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
Please indicate where you had this pain: H. Other
integer
C0151825 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
Code List
Please indicate where you had this pain: H. Other
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
other pain specify
Item
Please indicate where you had this pain: H. Other, specify:
text
C0151825 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
cancer diagnosis
Item
26 Have you been told by a doctor that you currently have cancer?
integer
C0006826 (UMLS CUI [1])
Item
If you answered YES, please specify the kind of cancer(s): A. Breast cancer
integer
C0678222 (UMLS CUI [1])
Code List
If you answered YES, please specify the kind of cancer(s): A. Breast cancer
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
blood cancer
Item
If you answered YES, please specify the kind of cancer(s): B. Blood cancer, leukemia or lymphoma
integer
C0023418 (UMLS CUI [1])
C0024299 (UMLS CUI [2])
Item
If you answered YES, please specify the kind of cancer(s): C. Colon (bowel) or rectum cancer
integer
C0007102 (UMLS CUI [1])
C0007113 (UMLS CUI [2])
Code List
If you answered YES, please specify the kind of cancer(s): C. Colon (bowel) or rectum cancer
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
If you answered YES, please specify the kind of cancer(s): D. Lung cancer
integer
C0242379 (UMLS CUI [1])
Code List
If you answered YES, please specify the kind of cancer(s): D. Lung cancer
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
If you answered YES, please specify the kind of cancer(s): E. Malignant melanoma
integer
C0025202 (UMLS CUI [1])
Code List
If you answered YES, please specify the kind of cancer(s): E. Malignant melanoma
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
If you answered YES, please specify the kind of cancer(s): F. Other skin cancer
integer
C0007114 (UMLS CUI [1])
Code List
If you answered YES, please specify the kind of cancer(s): F. Other skin cancer
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
If you answered YES, please specify the kind of cancer(s): G. Prostate cancer
integer
C0600139 (UMLS CUI [1])
Code List
If you answered YES, please specify the kind of cancer(s): G. Prostate cancer
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
If you answered YES, please specify the kind of cancer(s): H. Pancreatic cancer
integer
C0235974 (UMLS CUI [1])
Code List
If you answered YES, please specify the kind of cancer(s): H. Pancreatic cancer
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
If you answered YES, please specify the kind of cancer(s): I. Esophageal cancer
integer
C0014859 (UMLS CUI [1])
Code List
If you answered YES, please specify the kind of cancer(s): I. Esophageal cancer
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
If you answered YES, please specify the kind of cancer(s): J. Other cancer
integer
C1707251 (UMLS CUI [1])
Code List
If you answered YES, please specify the kind of cancer(s): J. Other cancer
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
other cancer specify
Item
If you answered YES, please specify the kind of cancer(s): J. Other cancer, specify:
text
C1707251 (UMLS CUI [1])
Item
27 Have you been treated by a doctor for any of the following since we saw you last year? A. Broken hip (fracture)
integer
C0019557 (UMLS CUI [1])
Code List
27 Have you been treated by a doctor for any of the following since we saw you last year? A. Broken hip (fracture)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. Broken lower leg (fracture)
integer
C1542178 (UMLS CUI [1])
Code List
B. Broken lower leg (fracture)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
C. Broken arm, wrist or shoulder (fracture)
integer
C0178316 (UMLS CUI [1])
C0435630 (UMLS CUI [2])
C0037006 (UMLS CUI [3])
Code List
C. Broken arm, wrist or shoulder (fracture)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
D. Spine (vertebral) compression fracture
integer
C0262431 (UMLS CUI [1])
Code List
D. Spine (vertebral) compression fracture
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
E. Other injury
integer
Code List
E. Other injury
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
other injury specify
Item
Specify
text
Item
F. Did you have arthritis that was treated with medication?
integer
C0003864 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Code List
F. Did you have arthritis that was treated with medication?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
28 During the last year, have you had any sudden spells of dizziness, loss of balance, or sensation of spinning?
integer
C0012833 (UMLS CUI [1])
C0241981 (UMLS CUI [2])
C0042571 (UMLS CUI [3])
Code List
28 During the last year, have you had any sudden spells of dizziness, loss of balance, or sensation of spinning?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
29 Have you ever accidentally lost control of your urine (wet yourself) more than one time in a month?
integer
C0042024 (UMLS CUI [1])
Code List
29 Have you ever accidentally lost control of your urine (wet yourself) more than one time in a month?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
30 Do you wake up to urinate more than three nights per week?
integer
C0085606 (UMLS CUI [1,1])
C0240526 (UMLS CUI [1,2])
Code List
30 Do you wake up to urinate more than three nights per week?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
31 During the last year, have you had a fall? )Do not include falls during skiing, skating or other activities that may affect balance.)
integer
C0085639 (UMLS CUI [1])
Code List
31 During the last year, have you had a fall? )Do not include falls during skiing, skating or other activities that may affect balance.)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
times fallen
Item
A. How many times have you fallen during the last year?
integer
C0085639 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Item
32 During the last year, have you gained or lost more than 10 pounds?
integer
C0005911 (UMLS CUI [1])
Code List
32 During the last year, have you gained or lost more than 10 pounds?
CL Item
lost more than 10 pounds (1)
CL Item
gained more than 10 pounds (2)
CL Item
both lost and gained more than 10 pounds (3)
CL Item
no change (4)
CL Item
don't know (9)
Item
A. Was diet for the purpose of losing or gaining weight a major factor in your weight change?
integer
C0012155 (UMLS CUI [1,1])
C0005911 (UMLS CUI [1,2])
Code List
A. Was diet for the purpose of losing or gaining weight a major factor in your weight change?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. Was surgery, illness or medication a major factor in your weight change?
integer
C0221423 (UMLS CUI [1,1])
C0005911 (UMLS CUI [1,2])
Code List
B. Was surgery, illness or medication a major factor in your weight change?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
C. Was exercise a major factor in your weight change?
integer
C0015259 (UMLS CUI [1,1])
C0005911 (UMLS CUI [1,2])
Code List
C. Was exercise a major factor in your weight change?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
33 How would you compare your TOTAL average daily intake of food this year to your intake when we saw you last year?
integer
C2164132 (UMLS CUI [1,1])
C1707455 (UMLS CUI [1,2])
Code List
33 How would you compare your TOTAL average daily intake of food this year to your intake when we saw you last year?
CL Item
eat a lot more (1)
CL Item
eat a little more (2)
CL Item
eat about the same (3)
CL Item
eat a little less (4)
CL Item
eat a lot less (5)
Item
A. If you answered EAT A LOT MORE or EAT A LITTLE MORE, the main reason is:
text
C0458244 (UMLS CUI [1,1])
C0442805 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
A. If you answered EAT A LOT MORE or EAT A LITTLE MORE, the main reason is:
CL Item
a doctor recommended that I eat more (a doctor recommended that I eat more)
CL Item
I am taking medicine that increases my appetite (I am taking medicine that increases my appetite)
CL Item
my physical activity has increased (my physical activity has increased)
CL Item
I am more able to shop or prepare food than before (I am more able to shop or prepare food than before)
CL Item
a medical or dental problem has been resolved (a medical or dental problem has been resolved)
CL Item
my appetite has increased for other reasons (my appetite has increased for other reasons)
other reason change intake
Item
Other:
text
C0458244 (UMLS CUI [1,1])
C0442805 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
B. If you answered EAT A LOT LESS or EAT A LITTLE LESS, the main reason is:
text
C0458244 (UMLS CUI [1,1])
C0547047 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
B. If you answered EAT A LOT LESS or EAT A LITTLE LESS, the main reason is:
CL Item
a doctor recommended that I eat less (a doctor recommended that I eat less)
CL Item
I am taking medicine that decreases my appetite (I am taking medicine that decreases my appetite)
CL Item
my physical activity has decrease (my physical activity has decrease)
CL Item
I am less able to shop or prepare food than before (I am less able to shop or prepare food than before)
CL Item
a medical or dental problem interferes with eating (a medical or dental problem interferes with eating)
CL Item
my appetite has decreased for other reasons (my appetite has decreased for other reasons)
other reason intake less
Item
Other:
text
C0458244 (UMLS CUI [1,1])
C0547047 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
34 Are you following a special diet?
integer
C3164710 (UMLS CUI [1])
Code List
34 Are you following a special diet?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. What is the purpose of the diet? To lose weight
integer
C0012167 (UMLS CUI [1])
Code List
A. What is the purpose of the diet? To lose weight
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. What is the purpose of the diet? To gain weight
integer
C0043094 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What is the purpose of the diet? To gain weight
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. What is the purpose of the diet? For diabetes
integer
C0011849 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What is the purpose of the diet? For diabetes
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. What is the purpose of the diet? For kidney failure
integer
C0035078 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What is the purpose of the diet? For kidney failure
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. What is the purpose of the diet? For ulcers
integer
C0041582 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What is the purpose of the diet? For ulcers
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. What is the purpose of the diet? For diverticulitits
integer
C0156163 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What is the purpose of the diet? For diverticulitits
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. What is the purpose of the diet? For allergies
integer
C0020517 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What is the purpose of the diet? For allergies
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. What is the purpose of the diet? For heart trouble
integer
C0018799 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What is the purpose of the diet? For heart trouble
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. What is the purpose of the diet? For high blood pressure
integer
C0020538 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What is the purpose of the diet? For high blood pressure
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. What is the purpose of the diet? For other reason
integer
C3840932 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What is the purpose of the diet? For other reason
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
diet for other reasons
Item
Other:
text
C3840932 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Item
B. What kind of diet is it? Low calorie
integer
C2930544 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low calorie
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. What kind of diet is it? High calorie
integer
C0301590 (UMLS CUI [1])
Code List
B. What kind of diet is it? High calorie
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. What kind of diet is it? High protein
integer
C0425403 (UMLS CUI [1])
Code List
B. What kind of diet is it? High protein
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. What kind of diet is it? Low fat
integer
C0242970 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low fat
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. What kind of diet is it? High fat
integer
C0521974 (UMLS CUI [1])
Code List
B. What kind of diet is it? High fat
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. What kind of diet is it? Low carbohydrate
integer
C0259836 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low carbohydrate
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. What kind of diet is it? High carbohydrate
integer
C0259835 (UMLS CUI [1])
Code List
B. What kind of diet is it? High carbohydrate
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. What kind of diet is it? Low sugar
integer
C0452316 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low sugar
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. What kind of diet is it? Low salt
integer
C0012169 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low salt
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. What kind of diet is it? Low cholesterol
integer
C2243019 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low cholesterol
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. What kind of diet is it? Low fiber
integer
C0344356 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low fiber
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. What kind of diet is it? High fiber
integer
C0301568 (UMLS CUI [1])
Code List
B. What kind of diet is it? High fiber
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. What kind of diet is it? Bland diet
integer
C0301572 (UMLS CUI [1])
Code List
B. What kind of diet is it? Bland diet
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. What kind of diet is it? Other diet
integer
C0012155 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Code List
B. What kind of diet is it? Other diet
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
other diet specify
Item
Other:
text
C0012155 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
diet duration
Item
C. About how long have you been following this diet? YEARS
integer
C0012155 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
diet duration
Item
C. About how long have you been following this diet? MONTHS
integer
C0012155 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
D. Was this diet recommended by your physician?
integer
C0012155 (UMLS CUI [1,1])
C0583555 (UMLS CUI [1,2])
Code List
D. Was this diet recommended by your physician?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
35 Have you gone off a special diet since we saw you last year?
integer
C0012155 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
Code List
35 Have you gone off a special diet since we saw you last year?
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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