ID

17115

Beschrijving

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/

Trefwoorden

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  5. 24-08-16 24-08-16 -
  6. 25-08-16 25-08-16 -
  7. 03-09-16 03-09-16 -
  8. 03-09-16 03-09-16 -
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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
Beschrijving

Medical History

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

general health

Datatype

integer

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

health compared to age group

Datatype

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?
Beschrijving

days in bed because of injury

Datatype

integer

Maateenheden
  • 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?
Beschrijving

stay in nursing home

Datatype

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:
Beschrijving

reason for admission nursing home

Datatype

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:
Beschrijving

hospital name

Datatype

text

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

city

Datatype

text

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

date of hospitalization

Datatype

date

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

Length of stay:

Datatype

text

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

currently in nursing home

Datatype

integer

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

pneumonia

Datatype

integer

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

bronchitis

Datatype

integer

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

bronchitis confirmed by doctor

Datatype

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
Beschrijving

high blood pressure

Datatype

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
Beschrijving

diabetes

Datatype

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
Beschrijving

atrial fibrillation

Datatype

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)
Beschrijving

deep vein thrombosis

Datatype

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
Beschrijving

rheumatic fever

Datatype

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?
Beschrijving

heart or circulatory problems

Datatype

integer

Alias
UMLS CUI [1]
C0007222
Specify:
Beschrijving

other heart problem

Datatype

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
Beschrijving

high blood pressure medication

Datatype

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
Beschrijving

diabetes medication

Datatype

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
Beschrijving

atrial fibrillation medication

Datatype

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)
Beschrijving

deep vein thrombosis medication

Datatype

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?
Beschrijving

coronary angiography or heart catheterization

Datatype

integer

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

pain in chest

Datatype

boolean

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

chest pain walking uphill

Datatype

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?
Beschrijving

chest pain walking

Datatype

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?
Beschrijving

chest pain consequence

Datatype

integer

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

chest pain resting

Datatype

integer

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

chest pain localization

Datatype

text

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

chest pain localization other

Datatype

text

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

chest pain past two weeks

Datatype

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?
Beschrijving

chest pain frequency

Datatype

text

Maateenheden
  • 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?
Beschrijving

worsening chest pain

Datatype

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?
Beschrijving

chest pain seen by doctor

Datatype

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?
Beschrijving

severe chest pain

Datatype

boolean

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

severe chest pain seen by doctor

Datatype

text

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?
Beschrijving

diagnosis

Datatype

integer

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

other diagnosis

Datatype

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?
Beschrijving

sleep on pillows

Datatype

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?
Beschrijving

awakened by trouble breathing

Datatype

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?
Beschrijving

short of breath resting in chair

Datatype

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?
Beschrijving

short of breath walking

Datatype

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?
Beschrijving

short of breath walking uphill

Datatype

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)
Beschrijving

short of breath light physical activity

Datatype

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?
Beschrijving

short of breath moderate physical activity

Datatype

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?
Beschrijving

short of breath strenuous physical activity

Datatype

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?
Beschrijving

swelling of your feet or ankles

Datatype

integer

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

swelling during the day

Datatype

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?
Beschrijving

leg pain walking

Datatype

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?
Beschrijving

leg pain standing still

Datatype

integer

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

pain in calf

Datatype

integer

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

leg pain walking uphill

Datatype

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?
Beschrijving

leg pain walking ordinary pace

Datatype

integer

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

leg pain disappears walking

Datatype

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?
Beschrijving

action leg pain walking

Datatype

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?
Beschrijving

leg pain standing still

Datatype

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
Beschrijving

arthritis of hands

Datatype

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
Beschrijving

arthritis of shoulder

Datatype

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
Beschrijving

arthritis of hips or knees

Datatype

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
Beschrijving

osteoporosis

Datatype

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
Beschrijving

liver disease cirrhosis or hepatitis

Datatype

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
Beschrijving

kidney disease or failure

Datatype

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?
Beschrijving

pain in bones or joints

Datatype

integer

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

pain in hand

Datatype

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
Beschrijving

pain in feet

Datatype

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
Beschrijving

pain in knees

Datatype

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
Beschrijving

pain in hips

Datatype

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
Beschrijving

pain in neck

Datatype

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
Beschrijving

pain in back

Datatype

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
Beschrijving

pain in shoulders

Datatype

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
Beschrijving

other pain

Datatype

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:
Beschrijving

other pain specify

Datatype

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?
Beschrijving

cancer diagnosis

Datatype

integer

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

breast cancer

Datatype

integer

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

blood cancer

Datatype

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
Beschrijving

colon or rectal cancer

Datatype

integer

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

lung cancer

Datatype

integer

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

malignant melanoma

Datatype

integer

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

other skin cancer

Datatype

integer

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

prostate cancer

Datatype

integer

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

pancreatic cancer

Datatype

integer

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

esophageal cancer

Datatype

integer

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

other cancer

Datatype

integer

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

other cancer specify

Datatype

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)
Beschrijving

broken hip

Datatype

integer

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

broken lower leg

Datatype

integer

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

broken arm

Datatype

integer

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

spine compression fracture

Datatype

integer

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

other injury

Datatype

integer

Specify
Beschrijving

other injury specify

Datatype

text

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

arthritis treated with medication

Datatype

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?
Beschrijving

dizziness or loss of balance

Datatype

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?
Beschrijving

wet yourself

Datatype

integer

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

urinate at night

Datatype

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.)
Beschrijving

fall

Datatype

integer

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

times fallen

Datatype

integer

Maateenheden
  • 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?
Beschrijving

weight gain or weight loss

Datatype

integer

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

purpose of weight change

Datatype

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?
Beschrijving

weight change because of illness

Datatype

integer

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

weight change because of exercise

Datatype

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?
Beschrijving

daily intake of food

Datatype

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:
Beschrijving

main reason change intake

Datatype

text

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

other reason change intake

Datatype

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:
Beschrijving

main reason change intake less

Datatype

text

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

other reason intake less

Datatype

text

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

special diet

Datatype

integer

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

diet to lose weight

Datatype

integer

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

diet to gain weight

Datatype

integer

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

diet for diabetes

Datatype

integer

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

diet for kidney failure

Datatype

integer

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

diet for ulcers

Datatype

integer

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

diet for diverticulitis

Datatype

integer

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

diet for allergies

Datatype

integer

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

diet for heart trouble

Datatype

integer

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

diet for high blood pressure

Datatype

integer

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

diet for other reasons

Datatype

integer

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

diet for other reasons

Datatype

text

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

low calorie diet

Datatype

integer

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

high calorie diet

Datatype

integer

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

high protein diet

Datatype

integer

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

low fat diet

Datatype

integer

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

high fat diet

Datatype

integer

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

low carbohydrate diet

Datatype

integer

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

high carbohydrate diet

Datatype

integer

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

low sugar diet

Datatype

integer

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

low salt diet

Datatype

integer

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

low cholesterol diet

Datatype

integer

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

low fiber diet

Datatype

integer

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

high fiber diet

Datatype

integer

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

bland diet

Datatype

integer

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

other diet

Datatype

integer

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

other diet specify

Datatype

text

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

diet duration

Datatype

integer

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

diet duration

Datatype

integer

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

diet recommended by physician

Datatype

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?
Beschrijving

gone off special diet

Datatype

integer

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C2746065
A. What is the purpose of the diet? To lose weight
Beschrijving

diet to lose weight

Datatype

integer

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

diet to gain weight

Datatype

integer

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

diet for diabetes

Datatype

integer

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

diet for kidney failure

Datatype

integer

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

diet for ulcers

Datatype

integer

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

diet for diverticulitis

Datatype

integer

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

diet for allergies

Datatype

integer

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

diet for heart trouble

Datatype

integer

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

diet for high blood pressure

Datatype

integer

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

diet for other reasons

Datatype

integer

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

diet for other reasons specify

Datatype

text

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

low calorie diet

Datatype

integer

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

high calorie diet

Datatype

integer

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

high protein diet

Datatype

integer

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

low fat diet

Datatype

integer

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

high fat diet

Datatype

integer

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

low carbohydrate diet

Datatype

integer

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

high carbohydrate diet

Datatype

integer

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

low sugar diet

Datatype

integer

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

low salt diet

Datatype

integer

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

low cholesterol diet

Datatype

integer

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

low fiber diet

Datatype

integer

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

high fiber diet

Datatype

integer

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

bland diet

Datatype

integer

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

other diet

Datatype

integer

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

other diet specify

Datatype

text

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

diet duration

Datatype

integer

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

diet duration

Datatype

integer

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

diet recommended by physician

Datatype

integer

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0583555
36 During the past two weeks, have you taken a multiple vitamin or any other vitamin supplements?
Beschrijving

vitamin supplements

Datatype

integer

Alias
UMLS CUI [1]
C0724359
A. Multiple vitamin
Beschrijving

multiple vitamin

Datatype

integer

Alias
UMLS CUI [1]
C0301532
If you answered YES, how many days during the past two weeks did you take a multiple vitamin?
Beschrijving

multiple vitamin days

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0301532
UMLS CUI [1,2]
C0449238
days
B. Vitamin A or beta-carotene
Beschrijving

vitamin A or beta-carotene

Datatype

integer

Alias
UMLS CUI [1]
C0042839
UMLS CUI [2]
C0053396
If you answered YES, how many days during the past two weeks did you take a vitamin A or beta-carotene?
Beschrijving

vitamin A or beta-carotene duration

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0042839
UMLS CUI [1,2]
C0449238
UMLS CUI [2,1]
C0053396
UMLS CUI [2,2]
C0449238
days
C. Vitamin C
Beschrijving

vitamin C

Datatype

integer

Alias
UMLS CUI [1]
C0003968
If you answered YES, how many days during the past two weeks did you take a vitamin C?
Beschrijving

vitamin C duration

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0003968
UMLS CUI [1,2]
C0449238
days
D. Vitamin E?
Beschrijving

vitamin E

Datatype

integer

Alias
UMLS CUI [1]
C0042874
If you answered YES, how many days during the past two weeks did you take a vitamin E?
Beschrijving

vitamin E duration

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0042874
UMLS CUI [1,2]
C0449238
days
37 Are you usually sleepy in the daytime? (Do not include taking a regular daily nap as "feeling sleepy".)
Beschrijving

sleepy in the daytime

Datatype

integer

Alias
UMLS CUI [1]
C0013144
38 Do you feel groggy and unrefreshed for more than a half hour after waking up in the morning?
Beschrijving

feeling groogy

Datatype

integer

Alias
UMLS CUI [1]
C0541994
39 Has your spouse or roommate complained about your loud snoring?
Beschrijving

loud snoring

Datatype

integer

Alias
UMLS CUI [1]
C4054846
40 Has anyone observed you while sleeping to have episodes where you stop breathing for a while and then snore or snort loudly?
Beschrijving

stop breathing in sleep

Datatype

integer

Alias
UMLS CUI [1]
C0037315
41 Do you usually have trouble falling asleep?
Beschrijving

trouble falling asleep

Datatype

integer

Alias
UMLS CUI [1]
C0150079
42 Do you usually wake up sevaral times at night?
Beschrijving

wake up at night

Datatype

integer

Alias
UMLS CUI [1]
C1170730
43 Do you usually wake up far too early?
Beschrijving

wake up early in the morning

Datatype

integer

Alias
UMLS CUI [1]
C0541798
44 Can you see well enough to drive, with or without glasses?
Beschrijving

see well enough to drive

Datatype

text

Alias
UMLS CUI [1,1]
C0042789
UMLS CUI [1,2]
C4050139
45 Can you see well enough to watch TV, with or without glasses?
Beschrijving

vision watch TV

Datatype

integer

Alias
UMLS CUI [1,1]
C0042789
UMLS CUI [1,2]
C0039461
46 Can you see well enough to recognize someone across the room, with or without glasses?
Beschrijving

recognize someone across the room

Datatype

integer

47 Can you see well enough to read the newspaper, with or without glasses?
Beschrijving

see well enough to read

Datatype

integer

Alias
UMLS CUI [1,1]
C0042789
UMLS CUI [1,2]
C0027989
48 Can you hear well enough to use the telephone, with or without a hearing aid?
Beschrijving

hear well enough to use telephone

Datatype

integer

Alias
UMLS CUI [1,1]
C0018767
UMLS CUI [1,2]
C0577446
49 Can you hear well enough to listen to a radio, with or without hearing aid?
Beschrijving

hearing well enough to listen to radio

Datatype

integer

Alias
UMLS CUI [1]
C0018767
50 Can you hear well enough to carry on a conversation in a crowded room, with or without a hearing aid?
Beschrijving

able to carry on conversation

Datatype

integer

Alias
UMLS CUI [1]
C3260789
51 Have you smoked cigarettes during the last 30 days?
Beschrijving

smoking

Datatype

integer

Alias
UMLS CUI [1]
C0543414
A. On average, how many cigarettes do you usually smoke per day?
Beschrijving

average cigarettes per day

Datatype

integer

Maateenheden
  • cigarettes
Alias
UMLS CUI [1]
C3694146
cigarettes
52 Which of the following best describes your current smoking status?
Beschrijving

smoking status

Datatype

text

Alias
UMLS CUI [1]
C1519386
53 Does anyone living with you smoke cigarettes regularly? (This includes any other member of your household.)
Beschrijving

smoking member of household

Datatype

integer

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0682276
54 Do you ever use snuff or smokeless tobacco?
Beschrijving

smokeless tobacco

Datatype

integer

Alias
UMLS CUI [1]
C0040338
55 Do you ever drink beer?
Beschrijving

drink beer

Datatype

integer

Alias
UMLS CUI [1]
C0559430
A. About how often do you drink beer?
Beschrijving

drinking beer frequency

Datatype

text

Alias
UMLS CUI [1,1]
C0559430
UMLS CUI [1,2]
C0439603
B. How many 12-ounce cans or bottles of beer do you usually drink on one occassion?
Beschrijving

bottles of beer

Datatype

integer

Alias
UMLS CUI [1,1]
C0559430
UMLS CUI [1,2]
C0179376
56 Do you ever drink wine?
Beschrijving

drink wine

Datatype

integer

Alias
UMLS CUI [1]
C0043188
A. About how often do you drink wine?
Beschrijving

wine frequency

Datatype

text

Alias
UMLS CUI [1,1]
C0043188
UMLS CUI [1,2]
C0439603
B. How many medium, six-ounce glasses of wine do you usually drink on one occassion?
Beschrijving

servings of wine

Datatype

integer

Maateenheden
  • servings
Alias
UMLS CUI [1,1]
C0043188
UMLS CUI [1,2]
C0681585
servings
56 Do you ever drink liquor?
Beschrijving

drink liquor

Datatype

integer

Alias
UMLS CUI [1]
C0301611
A. About how often do you drink liquor?
Beschrijving

liquor frequency

Datatype

text

Alias
UMLS CUI [1,1]
C0301611
UMLS CUI [1,2]
C0439603
B. How many drinks, equal to one shot of liquor, do you usually drink on one occassion?
Beschrijving

servings of liquor

Datatype

integer

Maateenheden
  • servings
Alias
UMLS CUI [1,1]
C0301611
UMLS CUI [1,2]
C0681585
servings
58 Are you currently involved in any medical studies other than CDS?
Beschrijving

participation in another trial

Datatype

integer

Alias
UMLS CUI [1]
C2348568
58 Are you currently involved in any medical studies other than CDS?
Beschrijving

participation in another trial specify

Datatype

text

Alias
UMLS CUI [1]
C2348560
Medical History: Women only
Beschrijving

Medical History: Women only

59 Are you currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen?
Beschrijving

taking estrogen

Datatype

integer

Alias
UMLS CUI [1]
C0014939
A. How many days per month do you take estrogen?
Beschrijving

estrogen days

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C0556971
days
B. For how long have you been taking estrogen?
Beschrijving

estrogen intake duration

Datatype

integer

Maateenheden
  • years
Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C0449238
years
B. For how long have you been taking estrogen?
Beschrijving

estrogen intake duration months

Datatype

integer

Maateenheden
  • Months
Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C0449238
Months
C. Why are you taking estrogen? TO PREVENT HOT FLASHES
Beschrijving

estrogen intake reason hot flashes

Datatype

integer

Alias
UMLS CUI [1,1]
C0600142
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
C. Why are you taking estrogen? TO PREVENT OTHER POST-MENOPAUSAL SYMPTOMS
Beschrijving

estrogen intake reason post-menopausal symptoms

Datatype

integer

Alias
UMLS CUI [1,1]
C0206159
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
C. Why are you taking estrogen? TO PREVENT OSTEOPOROSIS OR BONE LOSS
Beschrijving

estrogen intake reason osteoporosis

Datatype

integer

Alias
UMLS CUI [1,1]
C0029456
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
C. Why are you taking estrogen? TO PREVENT HEART DISEASE
Beschrijving

estrogen intake reason heart disease

Datatype

integer

Alias
UMLS CUI [1,1]
C0018799
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
C. Why are you taking estrogen? FOR OTHER REASONS
Beschrijving

estrogen intake reason other reason

Datatype

integer

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
Other:
Beschrijving

estrogen intake reason other reason specify

Datatype

text

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
60 If you are NOT currently taking estrogens such as Premain, Estrace, Ogen or any other estrogen, have you taken estrogen in the past?
Beschrijving

estrogen intake in past

Datatype

integer

Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C0332119
A. How many days per month did you take estrogen?
Beschrijving

estrogen days

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C0556971
days
B. When did you stop?
Beschrijving

(State year OR age when stopped)

Datatype

text

Maateenheden
  • year
Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C2746065
UMLS CUI [1,3]
C0439234
year
B. When did you stop?
Beschrijving

(State year OR age when stopped)

Datatype

integer

Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C2746065
UMLS CUI [1,3]
C0001779
C. For how long have you been taking estrogen?
Beschrijving

estrogen intake duration

Datatype

integer

Maateenheden
  • years
Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C0449238
years
C. For how long have you been taking estrogen?
Beschrijving

estrogen intake duration months

Datatype

integer

Maateenheden
  • Months
Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C0449238
Months
D. Why did you take estrogen? TO PREVENT HOT FLASHES
Beschrijving

estrogen intake reason hot flashes

Datatype

integer

Alias
UMLS CUI [1,1]
C0600142
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
D. Why did you take estrogen? TO PREVENT OTHER POST-MENOPAUSAL SYMPTOMS
Beschrijving

estrogen intake reason post-menopausal symptoms

Datatype

integer

Alias
UMLS CUI [1,1]
C0206159
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
D. Why did you take estrogen? TO PREVENT OSTEOPOROSIS OR BONE LOSS
Beschrijving

estrogen intake reason osteoporosis

Datatype

integer

Alias
UMLS CUI [1,1]
C0029456
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
D. Why did you take estrogen? TO PREVENT HEART DISEASE
Beschrijving

estrogen intake reason heart disease

Datatype

integer

Alias
UMLS CUI [1,1]
C0018799
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
D. Why did you take estrogen? FOR OTHER REASONS
Beschrijving

estrogen intake reason other reason

Datatype

integer

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
Other:
Beschrijving

estrogen intake reason other reason specify

Datatype

text

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
61 Are you currently taking progestins such as Provera or Norlutate?
Beschrijving

progestins

Datatype

integer

Alias
UMLS CUI [1]
C0033306
A. How many days per month do you take progestin?
Beschrijving

progestin days

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C0556971
days
B. For how long have you been taking progestin?
Beschrijving

progestin intake duration

Datatype

integer

Maateenheden
  • years
Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C0449238
years
B. For how long have you been taking progestin?
Beschrijving

progestin intake duration months

Datatype

integer

Maateenheden
  • Months
Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C0449238
Months
62 If you are NOT currently taking progestin such as Provera or Norlutate, have you taken progestin in the past?
Beschrijving

progestin intake in past

Datatype

integer

Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C0332119
A. How many days per month did you take progestin?
Beschrijving

progestin days

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C0556971
days
B. When did you stop?
Beschrijving

(State year OR age when stopped)

Datatype

text

Maateenheden
  • year
Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C2746065
UMLS CUI [1,3]
C0439234
year
B. When did you stop?
Beschrijving

(State year OR age when stopped)

Datatype

integer

Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C2746065
UMLS CUI [1,3]
C0001779
C. For how long have you been taking progestin?
Beschrijving

progestin intake duration

Datatype

integer

Maateenheden
  • years
Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C0449238
years
C. For how long have you been taking progestin?
Beschrijving

progestin intake duration months

Datatype

integer

Maateenheden
  • Months
Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C0449238
Months
Medical History: Myocardical Infarction
Beschrijving

Medical History: Myocardical Infarction

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

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.

Datatype

integer

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

name doctor

Datatype

text

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

doctor address

Datatype

text

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

doctor city

Datatype

text

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

doctor state

Datatype

text

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

date of diagnosis myocardial infarction

Datatype

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?
Beschrijving

see doctor myocardial infarction

Datatype

text

Maateenheden
  • 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?
Beschrijving

hospitalized myocardial infarction

Datatype

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?
Beschrijving

hospitalization myocardial infarction

Datatype

integer

Maateenheden
  • 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:
Beschrijving

date of hospitalization

Datatype

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
Beschrijving

hospital name

Datatype

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
Beschrijving

hospital city

Datatype

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
Beschrijving

hospital state

Datatype

text

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

days altogether hospitalized

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0027051
UMLS CUI [1,3]
C0439228
days
Medical History: Angina
Beschrijving

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?
Beschrijving

angina

Datatype

integer

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

name doctor

Datatype

text

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

doctor address

Datatype

text

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

doctor city

Datatype

text

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

doctor state

Datatype

text

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

date of diagnosis angina

Datatype

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?
Beschrijving

see doctor angina

Datatype

text

Maateenheden
  • 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?
Beschrijving

hospitalized angina

Datatype

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?
Beschrijving

hospitalization angina

Datatype

integer

Maateenheden
  • 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:
Beschrijving

date of hospitalization

Datatype

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
Beschrijving

hospital name

Datatype

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
Beschrijving

hospital city

Datatype

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
Beschrijving

hospital state

Datatype

text

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

days altogether hospitalized angina

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0002962
UMLS CUI [1,3]
C0439228
days
Medical History: Congestive heart failure
Beschrijving

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?
Beschrijving

heart failure or congestive heart failure

Datatype

integer

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

name doctor

Datatype

text

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

doctor address

Datatype

text

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

doctor city

Datatype

text

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

doctor state

Datatype

text

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

date of diagnosis congestive heart failure

Datatype

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?
Beschrijving

see doctor congestive heart failure

Datatype

text

Maateenheden
  • 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?
Beschrijving

hospitalized congestive heart failure

Datatype

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?
Beschrijving

hospitalization congestive heart failure

Datatype

integer

Maateenheden
  • 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:
Beschrijving

date of hospitalization

Datatype

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
Beschrijving

hospital name

Datatype

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
Beschrijving

hospital city

Datatype

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
Beschrijving

hospital state

Datatype

text

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

days altogether hospitalized congestive heart failure

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0018802
UMLS CUI [1,3]
C0439228
days
Medical History: Intermittent claudication
Beschrijving

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?
Beschrijving

intermittent claudication

Datatype

integer

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

name doctor

Datatype

text

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

doctor address

Datatype

text

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

doctor city

Datatype

text

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

doctor state

Datatype

text

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

date of diagnosis intermittent claudication

Datatype

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?
Beschrijving

see doctor intermittent claudication

Datatype

text

Maateenheden
  • 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?
Beschrijving

hospitalized intermittent claudication

Datatype

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?
Beschrijving

hospitalization intermittent claudication

Datatype

integer

Maateenheden
  • 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:
Beschrijving

date of hospitalization

Datatype

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
Beschrijving

hospital name

Datatype

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
Beschrijving

hospital city

Datatype

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
Beschrijving

hospital state

Datatype

text

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

days altogether hospitalized intermittent claudication

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0021775
UMLS CUI [1,3]
C0439228
days
Medical History: Cerebrovascular accident
Beschrijving

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?
Beschrijving

cerebrovascular accident

Datatype

integer

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

name doctor

Datatype

text

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

doctor address

Datatype

text

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

doctor city

Datatype

text

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

doctor state

Datatype

text

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

date of diagnosis cerebrovascular accident

Datatype

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?
Beschrijving

see doctor cerebrovascular accident

Datatype

text

Maateenheden
  • 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?
Beschrijving

hospitalized cerebrovascular accident

Datatype

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?
Beschrijving

hospitalization cerebrovascular accident

Datatype

integer

Maateenheden
  • 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:
Beschrijving

date of hospitalization

Datatype

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
Beschrijving

hospital name

Datatype

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
Beschrijving

hospital city

Datatype

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
Beschrijving

hospital state

Datatype

text

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

days altogether hospitalized cerebrovascular accident

Datatype

integer

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

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?
Beschrijving

TIA

Datatype

integer

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

name doctor

Datatype

text

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

doctor address

Datatype

text

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

doctor city

Datatype

text

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

doctor state

Datatype

text

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

date of diagnosis TIA

Datatype

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?
Beschrijving

see doctor TIA

Datatype

text

Maateenheden
  • 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?
Beschrijving

hospitalized TIA

Datatype

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?
Beschrijving

hospitalization TIA

Datatype

integer

Maateenheden
  • 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:
Beschrijving

date of hospitalization

Datatype

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
Beschrijving

hospital name

Datatype

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
Beschrijving

hospital city

Datatype

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
Beschrijving

hospital state

Datatype

text

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

days altogether hospitalized TIA

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0007787
UMLS CUI [1,3]
C0439228
days
Medical History: Other conditions
Beschrijving

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?
Beschrijving

reason for admission

Datatype

integer

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

hospital name

Datatype

text

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

city

Datatype

text

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

date of hospitalization

Datatype

date

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

Length of stay:

Datatype

text

Maateenheden
  • days
Alias
UMLS CUI [1]
C0023303
days
Date of interview
Beschrijving

Date of interview

Interviewer or Reviewer
Beschrijving

interviewer

Datatype

text

Alias
UMLS CUI [1]
C1550483
Interview:
Beschrijving

date of interview

Datatype

date

Alias
UMLS CUI [1]
C0011008
For CHS field center use only:
Beschrijving

interview mode

Datatype

text

Alias
UMLS CUI [1,1]
C0021822
UMLS CUI [1,2]
C1547617

Similar models

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

Name
Type
Description | Question | Decode (Coded Value)
Datatype
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
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])
Code List
2 Would you say your health compares to other persons your age?
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])
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
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])
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
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])
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
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])
Code List
D. If you stand still, what happens to the pain?
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])
Code List
E. Where do you get this pain or discomfort?
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])
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?
text
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?
text
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
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])
Code List
K. If you saw a doctor, what did your doctor say it was?
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])
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
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])
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)
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)
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)
Item
Specify
text
Code List
Specify
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
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
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])
Code List
A. What is the purpose of the diet? For ulcers
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])
Code List
A. What is the purpose of the diet? For diverticulitits
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])
Code List
A. What is the purpose of the diet? For allergies
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])
Code List
A. What is the purpose of the diet? For heart trouble
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])
Code List
A. What is the purpose of the diet? For high blood pressure
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])
Code List
A. What is the purpose of the diet? For other reason
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])
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
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)
Item
A. Multiple vitamin
integer
C0301532 (UMLS CUI [1])
Code List
A. Multiple vitamin
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])
Item
B. Vitamin A or beta-carotene
integer
C0042839 (UMLS CUI [1])
C0053396 (UMLS CUI [2])
Code List
B. Vitamin A or beta-carotene
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])
Item
C. Vitamin C
integer
C0003968 (UMLS CUI [1])
Code List
C. Vitamin C
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])
Item
D. Vitamin E?
integer
C0042874 (UMLS CUI [1])
Code List
D. Vitamin E?
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])
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])
Code List
39 Has your spouse or roommate complained about your loud snoring?
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])
Code List
41 Do you usually have trouble falling asleep?
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])
Code List
42 Do you usually wake up sevaral times at night?
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])
Code List
43 Do you usually wake up far too early?
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])
Code List
44 Can you see well enough to drive, with or without glasses?
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])
Code List
45 Can you see well enough to watch TV, with or without glasses?
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])
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])
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)
Item
51 Have you smoked cigarettes during the last 30 days?
integer
C0543414 (UMLS CUI [1])
Code List
51 Have you smoked cigarettes during the last 30 days?
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])
Code List
52 Which of the following best describes your current smoking status?
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])
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])
Code List
54 Do you ever use snuff or smokeless tobacco?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
55 Do you ever drink beer?
integer
C0559430 (UMLS CUI [1])
Code List
55 Do you ever drink beer?
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])
Code List
A. About how often do you drink beer?
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])
Item
56 Do you ever drink wine?
integer
C0043188 (UMLS CUI [1])
Code List
56 Do you ever drink wine?
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])
Code List
A. About how often do you drink wine?
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])
Item
56 Do you ever drink liquor?
integer
C0301611 (UMLS CUI [1])
Code List
56 Do you ever drink liquor?
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])
Code List
A. About how often do you drink liquor?
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])
Item
58 Are you currently involved in any medical studies other than CDS?
integer
C2348568 (UMLS CUI [1])
Code List
58 Are you currently involved in any medical studies other than CDS?
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 Group
Medical History: Women only
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])
estrogen intake duration
Item
B. For how long have you been taking estrogen?
integer
C0014939 (UMLS CUI [1,1])
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])
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])
Code List
C. Why are you taking estrogen? TO PREVENT HOT FLASHES
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])
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])
Code List
C. Why are you taking estrogen? TO PREVENT OSTEOPOROSIS OR BONE LOSS
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])
Code List
C. Why are you taking estrogen? TO PREVENT HEART DISEASE
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])
Code List
C. Why are you taking estrogen? FOR OTHER REASONS
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])
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])
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])
estrogen stopped
Item
B. When did you stop?
text
C0014939 (UMLS CUI [1,1])
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])
estrogen intake duration
Item
C. For how long have you been taking estrogen?
integer
C0014939 (UMLS CUI [1,1])
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])
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])
Code List
D. Why did you take estrogen? TO PREVENT HOT FLASHES
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])
Code List
D. Why did you take estrogen? TO PREVENT OTHER POST-MENOPAUSAL SYMPTOMS
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])
Code List
D. Why did you take estrogen? TO PREVENT OSTEOPOROSIS OR BONE LOSS
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])
Code List
D. Why did you take estrogen? TO PREVENT HEART DISEASE
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])
Code List
D. Why did you take estrogen? FOR OTHER REASONS
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])
Item
61 Are you currently taking progestins such as Provera or Norlutate?
integer
C0033306 (UMLS CUI [1])
Code List
61 Are you currently taking progestins such as Provera or Norlutate?
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])
progestin intake duration
Item
B. For how long have you been taking progestin?
integer
C0033306 (UMLS CUI [1,1])
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])
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])
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])
progestin stopped
Item
B. When did you stop?
text
C0033306 (UMLS CUI [1,1])
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])
progestin intake duration
Item
C. For how long have you been taking progestin?
integer
C0033306 (UMLS CUI [1,1])
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])
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
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?
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?
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?
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
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])
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
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])
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
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])
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])
Item Group
Date of interview
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])
Code List
For CHS field center use only:
CL Item
self-administered (self-administered)
CL Item
interviewer-administered (interviewer-administered)

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