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ID
17115
Descripción
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
Palabras clave
Versiones (8)
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- 3/9/16 3/9/16 -
Subido en
25 de agosto de 2016
DOI
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Licencia
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)
Similar models
Year 5 Medical & Personal History Cardiovascular Health Study (CHS)
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
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)
Item
2 Would you say your health compares to other persons your age?
integer
C0018759 (UMLS CUI [1,1])
C0027362 (UMLS CUI [1,2])
C0027362 (UMLS CUI [1,2])
CL Item
yes (1)
CL Item
no (0)
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])
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])
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])
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])
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])
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])
C0521116 (UMLS CUI [1,2])
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])
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])
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])
C0583527 (UMLS CUI [1,2])
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
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)
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
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? 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
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? 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
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? 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
yes (1)
CL Item
no (0)
CL Item
don't know (9)
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])
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])
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])
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])
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])
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])
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])
C3842654 (UMLS CUI [1,2])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (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])
C0080331 (UMLS CUI [1,2])
Item
C. What do you do if you feel it while you are walking?
integer
C0008031 (UMLS CUI [1])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
D. If you stand still, what happens to the pain?
integer
C0008031 (UMLS CUI [1,1])
C0035253 (UMLS CUI [1,2])
C0035253 (UMLS CUI [1,2])
CL Item
yes (1)
CL Item
no (0)
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])
C0475264 (UMLS CUI [1,2])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
chest pain localization other
Item
Other, specify:
text
C0008031 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
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])
C0332185 (UMLS CUI [1,2])
chest pain frequency
Item
If yes, how many times in the past two weeks have you had this pain?
text
C0008031 (UMLS CUI [1,1])
C0332185 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
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])
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])
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])
C0205082 (UMLS CUI [1,2])
severe chest pain seen by doctor
Item
J. Did you see a doctor because of this pain?
text
C0008031 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
C0583527 (UMLS CUI [1,3])
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])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
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])
C0205394 (UMLS CUI [1,2])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
C0585022 (UMLS CUI [1,2])
C0235439 (UMLS CUI [2,1])
C0585022 (UMLS CUI [2,2])
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])
C0080331 (UMLS CUI [1,2])
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])
C0231472 (UMLS CUI [1,2])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
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])
C3842654 (UMLS CUI [1,2])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (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])
C0080331 (UMLS CUI [1,2])
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])
C0080331 (UMLS CUI [1,2])
C2746065 (UMLS CUI [1,3])
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])
C0023222 (UMLS CUI [1,2])
C0080331 (UMLS CUI [1,3])
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])
C0231472 (UMLS CUI [1,2])
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])
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])
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])
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])
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])
C0018563 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0018563 (UMLS CUI [2,2])
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])
C0016504 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0016504 (UMLS CUI [2,2])
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])
C0022742 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0022742 (UMLS CUI [2,2])
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])
C0019552 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0019552 (UMLS CUI [2,2])
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])
C0027530 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0027530 (UMLS CUI [2,2])
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])
C0004600 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0004600 (UMLS CUI [2,2])
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])
C0037004 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0037004 (UMLS CUI [2,2])
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])
C0205394 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
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])
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])
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])
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)
Item
If you answered YES, please specify the kind of cancer(s): J. Other cancer, specify:
text
C1707251 (UMLS CUI [1])
Code List
If you answered YES, please specify the kind of cancer(s): J. Other cancer, specify:
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)
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])
C0435630 (UMLS CUI [2])
C0037006 (UMLS CUI [3])
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])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
F. Did you have arthritis that was treated with medication?
integer
C0003864 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
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])
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])
C0240526 (UMLS CUI [1,2])
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])
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])
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])
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])
C0005911 (UMLS CUI [1,2])
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])
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])
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])
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])
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])
C0547047 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
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])
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])
C3164710 (UMLS CUI [1,2])
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])
C3164710 (UMLS CUI [1,2])
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])
C3164710 (UMLS CUI [1,2])
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])
C3164710 (UMLS CUI [1,2])
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])
C3164710 (UMLS CUI [1,2])
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])
C3164710 (UMLS CUI [1,2])
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])
C3164710 (UMLS CUI [1,2])
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])
C3164710 (UMLS CUI [1,2])
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])
C3164710 (UMLS CUI [1,2])
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])
C3164710 (UMLS CUI [1,2])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
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])
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])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
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])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
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])
C0205394 (UMLS CUI [1,2])
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])
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])
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])
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])
C0583555 (UMLS CUI [1,2])
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])
C2746065 (UMLS CUI [1,2])
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])
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])
C3164710 (UMLS CUI [1,2])
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])
C3164710 (UMLS CUI [1,2])
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])
C3164710 (UMLS CUI [1,2])
CL Item
no (0)
CL Item
yes (1)
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])
C3164710 (UMLS CUI [1,2])
CL Item
no (0)
CL Item
yes (1)
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])
C3164710 (UMLS CUI [1,2])
CL Item
no (0)
CL Item
yes (1)
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])
C3164710 (UMLS CUI [1,2])
CL Item
no (0)
CL Item
yes (1)
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])
C3164710 (UMLS CUI [1,2])
CL Item
no (0)
CL Item
yes (1)
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])
C3164710 (UMLS CUI [1,2])
CL Item
no (0)
CL Item
yes (1)
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])
C3164710 (UMLS CUI [1,2])
CL Item
no (0)
CL Item
yes (1)
CL Item
don´t know (9)
diet for other reasons specify
Item
Other:
text
C3840932 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
C3164710 (UMLS CUI [1,2])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
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])
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])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
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])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
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])
C0205394 (UMLS CUI [1,2])
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])
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])
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])
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])
C0583555 (UMLS CUI [1,2])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
36 During the past two weeks, have you taken a multiple vitamin or any other vitamin supplements?
integer
C0724359 (UMLS CUI [1])
Code List
36 During the past two weeks, have you taken a multiple vitamin or any other vitamin supplements?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
multiple vitamin days
Item
If you answered YES, how many days during the past two weeks did you take a multiple vitamin?
integer
C0301532 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
Item
B. Vitamin A or beta-carotene
integer
C0042839 (UMLS CUI [1])
C0053396 (UMLS CUI [2])
C0053396 (UMLS CUI [2])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
vitamin A or beta-carotene duration
Item
If you answered YES, how many days during the past two weeks did you take a vitamin A or beta-carotene?
integer
C0042839 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0053396 (UMLS CUI [2,1])
C0449238 (UMLS CUI [2,2])
C0449238 (UMLS CUI [1,2])
C0053396 (UMLS CUI [2,1])
C0449238 (UMLS CUI [2,2])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
vitamin C duration
Item
If you answered YES, how many days during the past two weeks did you take a vitamin C?
integer
C0003968 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
vitamin E duration
Item
If you answered YES, how many days during the past two weeks did you take a vitamin E?
integer
C0042874 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
Item
37 Are you usually sleepy in the daytime? (Do not include taking a regular daily nap as "feeling sleepy".)
integer
C0013144 (UMLS CUI [1])
Code List
37 Are you usually sleepy in the daytime? (Do not include taking a regular daily nap as "feeling sleepy".)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
38 Do you feel groggy and unrefreshed for more than a half hour after waking up in the morning?
integer
C0541994 (UMLS CUI [1])
Code List
38 Do you feel groggy and unrefreshed for more than a half hour after waking up in the morning?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
39 Has your spouse or roommate complained about your loud snoring?
integer
C4054846 (UMLS CUI [1])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
40 Has anyone observed you while sleeping to have episodes where you stop breathing for a while and then snore or snort loudly?
integer
C0037315 (UMLS CUI [1])
Code List
40 Has anyone observed you while sleeping to have episodes where you stop breathing for a while and then snore or snort loudly?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
41 Do you usually have trouble falling asleep?
integer
C0150079 (UMLS CUI [1])
CL Item
no (0)
CL Item
yes (1)
CL Item
don´t know (9)
Item
42 Do you usually wake up sevaral times at night?
integer
C1170730 (UMLS CUI [1])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
43 Do you usually wake up far too early?
integer
C0541798 (UMLS CUI [1])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
44 Can you see well enough to drive, with or without glasses?
text
C0042789 (UMLS CUI [1,1])
C4050139 (UMLS CUI [1,2])
C4050139 (UMLS CUI [1,2])
CL Item
yes (yes)
CL Item
no (no)
CL Item
don't drive (don't drive)
CL Item
don't know (don't know)
Item
45 Can you see well enough to watch TV, with or without glasses?
integer
C0042789 (UMLS CUI [1,1])
C0039461 (UMLS CUI [1,2])
C0039461 (UMLS CUI [1,2])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
46 Can you see well enough to recognize someone across the room, with or without glasses?
integer
Code List
46 Can you see well enough to recognize someone across the room, with or without glasses?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
47 Can you see well enough to read the newspaper, with or without glasses?
integer
C0042789 (UMLS CUI [1,1])
C0027989 (UMLS CUI [1,2])
C0027989 (UMLS CUI [1,2])
Code List
47 Can you see well enough to read the newspaper, with or without glasses?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
48 Can you hear well enough to use the telephone, with or without a hearing aid?
integer
C0018767 (UMLS CUI [1,1])
C0577446 (UMLS CUI [1,2])
C0577446 (UMLS CUI [1,2])
Code List
48 Can you hear well enough to use the telephone, with or without a hearing aid?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
49 Can you hear well enough to listen to a radio, with or without hearing aid?
integer
C0018767 (UMLS CUI [1])
Code List
49 Can you hear well enough to listen to a radio, with or without hearing aid?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
50 Can you hear well enough to carry on a conversation in a crowded room, with or without a hearing aid?
integer
C3260789 (UMLS CUI [1])
Code List
50 Can you hear well enough to carry on a conversation in a crowded room, with or without a hearing aid?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
average cigarettes per day
Item
A. On average, how many cigarettes do you usually smoke per day?
integer
C3694146 (UMLS CUI [1])
Item
52 Which of the following best describes your current smoking status?
text
C1519386 (UMLS CUI [1])
CL Item
never smoked (never smoked)
CL Item
former smoker, quit more than 1 year ago (former smoker, quit more than 1 year ago)
CL Item
former smoker, quit less than 1 year ago (former smoker, quit less than 1 year ago)
CL Item
current smoker (current smoker)
CL Item
don't know (don't know)
Item
53 Does anyone living with you smoke cigarettes regularly? (This includes any other member of your household.)
integer
C0543414 (UMLS CUI [1,1])
C0682276 (UMLS CUI [1,2])
C0682276 (UMLS CUI [1,2])
Code List
53 Does anyone living with you smoke cigarettes regularly? (This includes any other member of your household.)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
54 Do you ever use snuff or smokeless tobacco?
integer
C0040338 (UMLS CUI [1])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. About how often do you drink beer?
text
C0559430 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,2])
CL Item
daily (daily)
CL Item
weekly (weekly)
CL Item
monthly (monthly)
CL Item
yearly (yearly)
CL Item
rarely/never (rarely/never)
bottles of beer
Item
B. How many 12-ounce cans or bottles of beer do you usually drink on one occassion?
integer
C0559430 (UMLS CUI [1,1])
C0179376 (UMLS CUI [1,2])
C0179376 (UMLS CUI [1,2])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. About how often do you drink wine?
text
C0043188 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,2])
CL Item
daily (daily)
CL Item
weekly (weekly)
CL Item
monthly (monthly)
CL Item
yearly (yearly)
CL Item
rarely/never (rarely/never)
servings of wine
Item
B. How many medium, six-ounce glasses of wine do you usually drink on one occassion?
integer
C0043188 (UMLS CUI [1,1])
C0681585 (UMLS CUI [1,2])
C0681585 (UMLS CUI [1,2])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. About how often do you drink liquor?
text
C0301611 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,2])
CL Item
daily (daily)
CL Item
weekly (weekly)
CL Item
monthly (monthly)
CL Item
yearly (yearly)
CL Item
rarely/never (rarely/never)
servings of liquor
Item
B. How many drinks, equal to one shot of liquor, do you usually drink on one occassion?
integer
C0301611 (UMLS CUI [1,1])
C0681585 (UMLS CUI [1,2])
C0681585 (UMLS CUI [1,2])
Item
58 Are you currently involved in any medical studies other than CDS?
integer
C2348568 (UMLS CUI [1])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
participation in another trial specify
Item
58 Are you currently involved in any medical studies other than CDS?
text
C2348560 (UMLS CUI [1])
Item
59 Are you currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen?
integer
C0014939 (UMLS CUI [1])
Code List
59 Are you currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
estrogen days
Item
A. How many days per month do you take estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
C0556971 (UMLS CUI [1,2])
estrogen intake duration
Item
B. For how long have you been taking estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
estrogen intake duration months
Item
B. For how long have you been taking estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
Item
C. Why are you taking estrogen? TO PREVENT HOT FLASHES
integer
C0600142 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
C. Why are you taking estrogen? TO PREVENT OTHER POST-MENOPAUSAL SYMPTOMS
integer
C0206159 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
C. Why are you taking estrogen? TO PREVENT OTHER POST-MENOPAUSAL SYMPTOMS
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
C. Why are you taking estrogen? TO PREVENT OSTEOPOROSIS OR BONE LOSS
integer
C0029456 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
C. Why are you taking estrogen? TO PREVENT HEART DISEASE
integer
C0018799 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
C. Why are you taking estrogen? FOR OTHER REASONS
integer
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
estrogen intake reason other reason specify
Item
Other:
text
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
60 If you are NOT currently taking estrogens such as Premain, Estrace, Ogen or any other estrogen, have you taken estrogen in the past?
integer
C0014939 (UMLS CUI [1,1])
C0332119 (UMLS CUI [1,2])
C0332119 (UMLS CUI [1,2])
Code List
60 If you are NOT currently taking estrogens such as Premain, Estrace, Ogen or any other estrogen, have you taken estrogen in the past?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
estrogen days
Item
A. How many days per month did you take estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
C0556971 (UMLS CUI [1,2])
estrogen stopped
Item
B. When did you stop?
text
C0014939 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
C0439234 (UMLS CUI [1,3])
C2746065 (UMLS CUI [1,2])
C0439234 (UMLS CUI [1,3])
estrogen stopped age
Item
B. When did you stop?
integer
C0014939 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
C2746065 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
estrogen intake duration
Item
C. For how long have you been taking estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
estrogen intake duration months
Item
C. For how long have you been taking estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
Item
D. Why did you take estrogen? TO PREVENT HOT FLASHES
integer
C0600142 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
D. Why did you take estrogen? TO PREVENT OTHER POST-MENOPAUSAL SYMPTOMS
integer
C0206159 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
D. Why did you take estrogen? TO PREVENT OSTEOPOROSIS OR BONE LOSS
integer
C0029456 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
D. Why did you take estrogen? TO PREVENT HEART DISEASE
integer
C0018799 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
D. Why did you take estrogen? FOR OTHER REASONS
integer
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
estrogen intake reason other reason specify
Item
Other:
text
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
61 Are you currently taking progestins such as Provera or Norlutate?
integer
C0033306 (UMLS CUI [1])
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
progestin days
Item
A. How many days per month do you take progestin?
integer
C0033306 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
C0556971 (UMLS CUI [1,2])
progestin intake duration
Item
B. For how long have you been taking progestin?
integer
C0033306 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
progestin intake duration months
Item
B. For how long have you been taking progestin?
integer
C0033306 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
Item
62 If you are NOT currently taking progestin such as Provera or Norlutate, have you taken progestin in the past?
integer
C0033306 (UMLS CUI [1,1])
C0332119 (UMLS CUI [1,2])
C0332119 (UMLS CUI [1,2])
Code List
62 If you are NOT currently taking progestin such as Provera or Norlutate, have you taken progestin in the past?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
progestin days
Item
A. How many days per month did you take progestin?
integer
C0033306 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
C0556971 (UMLS CUI [1,2])
progestin stopped
Item
B. When did you stop?
text
C0033306 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
C0439234 (UMLS CUI [1,3])
C2746065 (UMLS CUI [1,2])
C0439234 (UMLS CUI [1,3])
progestin stopped age
Item
B. When did you stop?
integer
C0033306 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
C2746065 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
progestin intake duration
Item
C. For how long have you been taking progestin?
integer
C0033306 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
progestin intake duration months
Item
C. For how long have you been taking progestin?
integer
C0033306 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
C0027051 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
C0002962 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
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])
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?
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
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])
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])
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])
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])
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])
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])
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?
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])
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])
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])
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])
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])
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])
C0018802 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
C0021775 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
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?
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
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])
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])
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])
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])
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])
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])
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
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)
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])
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])
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])
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])
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])
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])
C0038454 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
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
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)
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
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])
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])
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])
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])
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])
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])
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
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)
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])
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])
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])
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])
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])
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])
C0007787 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
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])
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])
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])
C0011008 (UMLS CUI [1,2])
length of stay
Item
text
C0023303 (UMLS CUI [1])
interviewer
Item
Interviewer or Reviewer
text
C1550483 (UMLS CUI [1])
date of interview
Item
Interview:
date
C0011008 (UMLS CUI [1])
Item
For CHS field center use only:
text
C0021822 (UMLS CUI [1,1])
C1547617 (UMLS CUI [1,2])
C1547617 (UMLS CUI [1,2])
CL Item
self-administered (self-administered)
CL Item
interviewer-administered (interviewer-administered)