ID

17204

Description

Documentation part: Record 32 Years 4-11 Phone Follow up The Cardiovascular Health Study (CHS) was initiated by the National Heart, Lung and Blood Institute (NHLBI) in 1987 to determine the risk factors for development and progression of cardiovascular disease (CVD) in older adults, with an emphasis on subclinical measures. The study recruited 5,888 adults aged 65 or older at entry in four U.S. communities and conducted extensive annual clinical exams between 1989-1999 along with semi-annual phone calls, events adjudication, and subsequent data analyses and publications. Additional data were collected by studies ancillary to CHS. With the exception of annual clinic visits, these activities are still ongoing. Data obtained from: https://chs-nhlbi.org/ Permission granted by: Erika Enright.

Link

https://chs-nhlbi.org/

Keywords

  1. 8/30/16 8/30/16 -
  2. 8/31/16 8/31/16 -
Uploaded on

August 31, 2016

DOI

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License

Creative Commons BY-NC 3.0

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Yrs 4-11 Phone Follow up Cardiovascular Health Study (CHS)

Yrs 4-11 Phone Follow up Cardiovascular Health Study (CHS)

Introduction
Description

Introduction

Did you receive our letter?
Description

participant received letter

Data type

boolean

Interview completed by:
Description

interview completed by

Data type

text

Alias
UMLS CUI [1,1]
C0021822
UMLS CUI [1,2]
C0805732
If by proxy, reason:
Description

interview completed by proxy reason

Data type

text

Alias
UMLS CUI [1,1]
C0021823
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0600420
Other, specify:
Description

interview completed by proxy reason other

Data type

text

Alias
UMLS CUI [1,1]
C0021823
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0600420
30 months follow-up telephone interview
Description

30 months follow-up telephone interview

1 Has the participant moved during the last six month?
Description

participant moved

Data type

integer

Alias
UMLS CUI [1,1]
C0679646
UMLS CUI [1,2]
C0560560
Did you move during the last month?
Description

participant moved last month

Data type

integer

2 What is your current marital status? Are you:
Description

marital status

Data type

text

Alias
UMLS CUI [1]
C0024819
Other, specify:
Description

marital status other

Data type

text

Alias
UMLS CUI [1,1]
C0024819
UMLS CUI [1,2]
C0205394
3 I would like to ask you some questions that we also asked you 6 months ago. The reason for asking them again is that we are interested in possible changes that might have occurred. Would you say, in general, your health is:
Description

general Health

Data type

text

Alias
UMLS CUI [1]
C0516984
4 How would you say your health compares to other persons of your age? Would you say your health is:
Description

health status compared

Data type

integer

Alias
UMLS CUI [1,1]
C0018759
UMLS CUI [1,2]
C0027362
5 How does your to when we saw you in [month]? Would you say your health is?
Description

health status previous visit

Data type

text

6 During the past two weeks, how many days have you stayed in bed all or most of the day because of illness or injury? Do not include past days in a hospital or nursing home?
Description

days in bed because of injury

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0221423
UMLS CUI [1,2]
C0004910
UMLS CUI [1,3]
C0439228
days
7 What illness caused you to stay in bed?
Description

illness caused staying in bed

Data type

text

Alias
UMLS CUI [1,1]
C0221423
UMLS CUI [1,2]
C0425251
8 Have you had coronary bypass surgery (CABG) since we saw you about six month ago?
Description

CABG

Data type

integer

Alias
UMLS CUI [1]
C0010055
9 Have you had a cardiac catheterization or coronary angiography since we saw you about six month ago?
Description

cardiac catheterization or coronary angiography

Data type

integer

Alias
UMLS CUI [1]
C0018795
UMLS CUI [2]
C0085532
10a. Has a doctor told you that you had a new myocardial infarction or heart attack since we saw you about six month ago?
Description

myocardial infarction

Data type

boolean

Alias
UMLS CUI [1]
C0027051
b. Date of event or diagnosis
Description

date myocardial infarction

Data type

date

Alias
UMLS CUI [1,1]
C0027051
UMLS CUI [1,2]
C0011008
c. How many times altogether did you see a doctor for this condition over the last six months, that is, since [month]?
Description

myocardial infarction seen doctor

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0027051
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
Physician:
Description

myocardial infarction physician name

Data type

text

Alias
UMLS CUI [1]
C2826892
Physician address
Description

myocardial infarction physician address

Data type

text

Alias
UMLS CUI [1,1]
C1442065
UMLS CUI [1,2]
C0031831
e. Were you in the hospital at least one night for this condition over the last six months?
Description

myocardial infarction hospitalization

Data type

text

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

myocardial infarction times hospitalized

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0027051
UMLS CUI [1,3]
C0439603
times
h. How many days altogether were you hospitalized for this condition?
Description

number of days hospitalized for MI

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0027051
UMLS CUI [1,3]
C0449238
days
11a. Has a doctor told you that you had a new episode of angina pectoris or chest pain due to heart disease since we saw you about six month ago?
Description

angina pectoris

Data type

boolean

Alias
UMLS CUI [1]
C0002962
b. Date of event or diagnosis
Description

date angina pectoris

Data type

date

Alias
UMLS CUI [1,1]
C0002962
UMLS CUI [1,2]
C0011008
c. How many times altogether did you see a doctor for this condition over the last six months, that is, since [month]?
Description

angina pectoris seen doctor

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0002962
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
Physician:
Description

angina pectoris physician name

Data type

text

Alias
UMLS CUI [1]
C2826892
Physician address
Description

angina pectoris physician address

Data type

text

Alias
UMLS CUI [1,1]
C1442065
UMLS CUI [1,2]
C0031831
e. Were you in the hospital at least one night for this condition over the last six months?
Description

angina pectoris hospitalization

Data type

text

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

angina pectoris times hospitalized

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0002962
UMLS CUI [1,3]
C0439603
times
h. How many days altogether were you hospitalized for this condition?
Description

number of days hospitalized for angina pectoris

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0002962
UMLS CUI [1,3]
C0449238
days
12a. Has a doctor told you that you had a new episode of heart failure or congestive heart failure since we saw you about six month ago?
Description

heart failure

Data type

boolean

Alias
UMLS CUI [1]
C0018801
b. Date of event or diagnosis
Description

date heart failure

Data type

date

Alias
UMLS CUI [1,1]
C0018801
UMLS CUI [1,2]
C0011008
c. How many times altogether did you see a doctor for this condition over the last six months, that is, since [month]?
Description

heart failure seen doctor

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0018801
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
Physician:
Description

heart failure physician name

Data type

text

Alias
UMLS CUI [1]
C2826892
Physician address
Description

heart failure physician address

Data type

text

Alias
UMLS CUI [1,1]
C1442065
UMLS CUI [1,2]
C0031831
e. Were you in the hospital at least one night for this condition over the last six months?
Description

heart failure hospitalization

Data type

text

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0018801
f. How many different times were you in the hospital for this condition?
Description

heart failure times hospitalized

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0018801
UMLS CUI [1,3]
C0439603
times
h. How many days altogether were you hospitalized for this condition?
Description

number of days hospitalized for heart failure

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0018801
UMLS CUI [1,3]
C0449238
days
13a. Has a doctor told you that you had a new episode of intermittent claudication or leg pain from artery blockage since we saw you about six month ago?
Description

intermittent claudication

Data type

boolean

Alias
UMLS CUI [1]
C0021775
b. Date of event or diagnosis
Description

date intermittent claudication

Data type

date

Alias
UMLS CUI [1,1]
C0021775
UMLS CUI [1,2]
C0011008
c. How many times altogether did you see a doctor for this condition over the last six months, that is, since [month]?
Description

intermittent claudication seen doctor

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0021775
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
Physician:
Description

intermittent claudication physician name

Data type

text

Alias
UMLS CUI [1]
C2826892
Physician address
Description

intermittent claudication physician address

Data type

text

Alias
UMLS CUI [1,1]
C1442065
UMLS CUI [1,2]
C0031831
e. Were you in the hospital at least one night for this condition over the last six months?
Description

intermittent claudication hospitalization

Data type

text

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

intermittent claudication times hospitalized

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0021775
UMLS CUI [1,3]
C0439603
times
h. How many days altogether were you hospitalized for this condition?
Description

number of days hospitalized for intermittent claudication

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0021775
UMLS CUI [1,3]
C0449238
days
14a. Has a doctor told you that you had a new stroke or cerebrovascular accident since we saw you about six month ago?
Description

stroke

Data type

boolean

Alias
UMLS CUI [1]
C0038454
b. Date of event or diagnosis
Description

date stroke

Data type

date

Alias
UMLS CUI [1,1]
C0038454
UMLS CUI [1,2]
C0011008
c. How many times altogether did you see a doctor for this condition over the last six months, that is, since [month]?
Description

stroke seen doctor

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0038454
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
Physician:
Description

stroke physician name

Data type

text

Alias
UMLS CUI [1]
C2826892
Physician address
Description

stroke physician address

Data type

text

Alias
UMLS CUI [1,1]
C1442065
UMLS CUI [1,2]
C0031831
e. Were you in the hospital at least one night for this condition over the last six months?
Description

stroke hospitalization

Data type

text

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

stroke times hospitalized

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0038454
UMLS CUI [1,3]
C0439603
times
h. How many days altogether were you hospitalized for this condition?
Description

number of days hospitalized for stroke

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0038454
UMLS CUI [1,3]
C0449238
days
15a. Has a doctor told you that you had a new transient ischemic attack or TIA or silent stroke since we saw you about six month ago?
Description

TIA

Data type

boolean

Alias
UMLS CUI [1]
C0007787
b. Date of event or diagnosis
Description

date TIA

Data type

date

Alias
UMLS CUI [1,1]
C0007787
UMLS CUI [1,2]
C0011008
c. How many times altogether did you see a doctor for this condition over the last six months, that is, since [month]?
Description

TIA seen doctor

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0007787
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
Physician:
Description

TIA physician name

Data type

text

Alias
UMLS CUI [1]
C2826892
Physician address
Description

TIA physician address

Data type

text

Alias
UMLS CUI [1,1]
C1442065
UMLS CUI [1,2]
C0031831
e. Were you in the hospital at least one night for this condition over the last six months?
Description

TIA hospitalization

Data type

text

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

TIA times hospitalized

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0007787
UMLS CUI [1,3]
C0439603
times
h. How many days altogether were you hospitalized for this condition?
Description

number of days hospitalized for TIA

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0007787
UMLS CUI [1,3]
C0449238
days
16 In addition to the visits to the doctor you have already told me about, how many times altogether have you seen a doctor because of your health since we saw you six month ago?
Description

times seen a doctor

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0583527
UMLS CUI [1,2]
C0439603
times
17 In addition to the visits to the hospital you have already told me about, how many times altogether have you stayed overnight in a hospital since we saw you six month ago?
Description

times seen a doctor

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0439603
times
19 Have you stayed overnight as a patient in a nursing home or rehabilitation center since [month]?
Description

stay in nursing home or rehab center

Data type

boolean

Alias
UMLS CUI [1]
C0019860
UMLS CUI [2]
C0034993
21 I am now going to ask you about a number of events that commonly happen in peoples's lives and tha can affect your health. In some cases, I will ask whether the event has happened to you or a member of your familiy during the past 6 months. In other cases, I will ask only whether it happened to you. When I ask a question about your spouse, I am referring to both married spouses and unmarried partners who live together. Please respond YES if the event happened and NO if it didn't. Have you retired or changed or lost your job since we saw you in [month]?
Description

retired or job loss

Data type

integer

Alias
UMLS CUI [1]
C0035345
UMLS CUI [2]
C0425083
When did this happen?
Description

when job loss

Data type

text

Was this job change, loss or retirement positive or negative?
Description

job loss or retirement effect

Data type

text

Alias
UMLS CUI [1,1]
C1280500
UMLS CUI [1,2]
C0035345
UMLS CUI [2,1]
C1280500
UMLS CUI [2,2]
C0425083
22 Have you had a grandchild born since we saw you in [month]?
Description

grandchild born

Data type

integer

Alias
UMLS CUI [1,1]
C0005615
UMLS CUI [1,2]
C0337548
23 Has caring for a sick or disabled relative become a significant problem for you since we saw you in [month]?
Description

caring for sick or disabled relative

Data type

integer

Alias
UMLS CUI [1]
C0850427
Has providing care become significantly harder than last month?
Description

providing care became harder

Data type

integer

Alias
UMLS CUI [1,1]
C0848945
UMLS CUI [1,2]
C1457868
24 Has there been a significant change in your personal finances since we saw you in [month]?
Description

change in personal finances

Data type

integer

Alias
UMLS CUI [1]
C0680123
When did this happen?
Description

time financial changes

Data type

text

Alias
UMLS CUI [1,1]
C0680123
UMLS CUI [1,2]
C0040223
Was this change positive or negative?
Description

financial change positive

Data type

integer

Alias
UMLS CUI [1,1]
C1280500
UMLS CUI [1,2]
C0680123
25 Did you or a very close friend or close family member have a serious accident or illness since we saw you in [month]?
Description

serious illness or accident of relative

Data type

integer

Alias
UMLS CUI [1]
C2169536
When did this accident or illness occur?
Description

illness of relative time

Data type

text

Alias
UMLS CUI [1,1]
C2169536
UMLS CUI [1,2]
C0040223
26 Have you, your spouse or partner, or a member of your immediate family been assaulted or robbed since we saw you in [month]?
Description

assault or robbery in family

Data type

integer

Alias
UMLS CUI [1,1]
C0004063
UMLS CUI [1,2]
C0086282
UMLS CUI [2,1]
C0680502
UMLS CUI [2,2]
C0086282
When did this assault or robbery happen?
Description

assault time

Data type

text

Alias
UMLS CUI [1,1]
C0004063
UMLS CUI [1,2]
C0040223
27 Have you had any important relationship, for example with your spouse or a good friend, become significantly worse since we saw you in [month]?
Description

change in important relationship

Data type

integer

Alias
UMLS CUI [1]
C2045651
When did this relationship worsen?
Description

change in relationship time

Data type

text

Alias
UMLS CUI [1,1]
C2045651
UMLS CUI [1,2]
C0040223
28 Did someone you were close to die since we saw you in [month]?
Description

death of close person

Data type

integer

Alias
UMLS CUI [1]
C0814602
When did this person die?
Description

death of close of person

Data type

integer

Alias
UMLS CUI [1,1]
C0814602
UMLS CUI [1,2]
C0040223
29 Have any other important things happened to you or your spouse or partner since [month] that made this period significantly different from the previous six months?
Description

significant event

Data type

integer

Alias
UMLS CUI [1]
C0023670
What happened?
Description

significant event specify

Data type

text

Alias
UMLS CUI [1]
C0023670
Was it positive or negative?
Description

significant event positive

Data type

text

Alias
UMLS CUI [1,1]
C1280500
UMLS CUI [1,2]
C0023670
30 In the last six months, have you had any change in your ability to walk a half-mile (about 5-6 blocks)?
Description

ability to walk

Data type

integer

Alias
UMLS CUI [1]
C0559964
In what way has your aility to walk changed?
Description

change in ability to walk

Data type

text

Alias
UMLS CUI [1,1]
C0559964
UMLS CUI [1,2]
C0443172
31 In the last six months, have you had any change in your ability to walk up 10 steps?
Description

walk up

Data type

integer

Alias
UMLS CUI [1]
C0560066
In what way has your ability to walk up 10 steps changed?
Description

walk up ability changed

Data type

text

Alias
UMLS CUI [1,1]
C0560066
UMLS CUI [1,2]
C0443172
32 In the last six months, have you had any change in your ability to do heavy housework (like scrubbing floors or washing windows) or yard work (like raking leaves or mowing)?
Description

ability to do heavy housework

Data type

integer

Alias
UMLS CUI [1]
C0563673
In what way has your ability to do heavy housework or yard work changed?
Description

change in ability to do heavy housework

Data type

text

Alias
UMLS CUI [1,1]
C0563673
UMLS CUI [1,2]
C0443172
33 In the last six month, have you had any change in your ability to take care of your personal care needs, such as eating, bathing, dressing or getting around the home?
Description

self-care ability

Data type

integer

Alias
UMLS CUI [1]
C0846604
In what way has your ability to handle your personal needs changed?
Description

change in self-care ability

Data type

text

Alias
UMLS CUI [1,1]
C0846604
UMLS CUI [1,2]
C0443172
34 In the last six months, have you had any change in your ability to do tasks with your arms and hands, such as reaching out, gripping, lifting or carrying something as heavy as ten pounds (a bag of groceries)?
Description

ability to perform task with arms and hands

Data type

integer

Alias
UMLS CUI [1]
C0565699
In what way has your ability to do tasks with your arms and hands changed?
Description

change in ability to perform task with arms and hands

Data type

text

Alias
UMLS CUI [1,1]
C0565699
UMLS CUI [1,2]
C0443172
35 In the last six months, have you had a fall?
Description

fall

Data type

integer

Alias
UMLS CUI [1]
C0085639
How many times have you fallen in the last six month?
Description

times fallen

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0085639
UMLS CUI [1,2]
C0439603
times
36 You previously provided us with information about someone who could provide information and answer questions for you in the event that you were unable to answer yourself. Please tell me if the information I have is still correct.
Description

information still correct

Data type

boolean

37 You previously provided us with information about friends or relatives who you are likely to keep in touch with, but who do not live with you, and who are not planning to move anytime soon. Please tell me if the information I have is still correct.
Description

information still correct

Data type

boolean

38 Do you plan to be out of the area 6 months from now?
Description

plan to go out of the area

Data type

boolean

Are you moving out of the area permanently or will you only be gone temporarily?
Description

move out of the area

Data type

text

Do you know what your new address and telephone number will be?
Description

new address known

Data type

boolean

Street:
Description

new address street

Data type

text

Alias
UMLS CUI [1]
C1301826
City
Description

new address city

Data type

text

Alias
UMLS CUI [1]
C0008848
State
Description

new address state

Data type

text

Alias
UMLS CUI [1]
C1442792
Telephone number
Description

new telephone number

Data type

text

Alias
UMLS CUI [1]
C1515258
Do you know which general area you will be moving to?
Description

general area

Data type

text

When will you return?
Description

time of return

Data type

text

Measurement units
  • mo/yr
Alias
UMLS CUI [1,1]
C0579192
UMLS CUI [1,2]
C0040223
mo/yr
Hospitalization Myocardial Infarction
Description

Hospitalization Myocardial Infarction

Date
Description

date hospitalization myocardial infarction

Data type

date

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0027051
UMLS CUI [1,3]
C0011008
Hospital name and city
Description

hospital myocardial infarction

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
UMLS CUI [1,4]
C0027051
Hospitalization Angina Pectoris
Description

Hospitalization Angina Pectoris

Date
Description

date hospitalization angina pectoris

Data type

date

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0002962
UMLS CUI [1,3]
C0011008
Hospital name and city
Description

hospital angina pectoris

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
UMLS CUI [1,4]
C0002962
Hospitalization Heart Failure
Description

Hospitalization Heart Failure

Date
Description

date hospitalization heart failure

Data type

date

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0018801
UMLS CUI [1,3]
C0011008
Hospital name and city
Description

hospital heart failure

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
UMLS CUI [1,4]
C0018801
Hospitalization Intermittent Claudication
Description

Hospitalization Intermittent Claudication

Date
Description

date hospitalization intermittent claudication

Data type

date

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0021775
UMLS CUI [1,3]
C0011008
Hospital name and city
Description

hospital intermittent claudication

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
UMLS CUI [1,4]
C0021775
Hospital name and city
Description

hospital stroke

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
UMLS CUI [1,4]
C0038454
Hospitalization Stroke
Description

Hospitalization Stroke

Date
Description

date hospitalization stroke

Data type

date

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0038454
UMLS CUI [1,3]
C0011008
Hospital name and city
Description

hospital stroke

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
UMLS CUI [1,4]
C0038454
Hospitalization TIA
Description

Hospitalization TIA

Date
Description

date hospitalization TIA

Data type

date

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0007787
UMLS CUI [1,3]
C0011008
Hospital name and city
Description

hospital TIA

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
UMLS CUI [1,4]
C0007787
Hospitalizatiuon
Description

Hospitalizatiuon

Name, city and state of the hospital
Description

hospital address

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
18 Please tell me the reason you were admitted, the name and location of the hospital, and the month and year you were a patient for each time you stayed overnight in a hospital for problems you have not already told me about.
Description

reason for hospitalization

Data type

text

Alias
UMLS CUI [1]
C1830395
Mo/Day/Yr
Description

date hospitalization

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0019993
Nursing home admission
Description

Nursing home admission

20 Please tell me the reason you were admitted, the name and location of the nursing home, and the month and year you were a patient for each time you stayed overnight in a nursing home or rehabilitation center. Reason for nursing home admission
Description

reason for nursing home admission

Data type

text

Alias
UMLS CUI [1]
C1830397
Name, city and state of nursing home
Description

address nursing home

Data type

text

Alias
UMLS CUI [1,1]
C0028688
UMLS CUI [1,2]
C1442065
Mo/Day/Yr
Description

date nursing home admission

Data type

date

Alias
UMLS CUI [1,1]
C0028688
UMLS CUI [1,2]
C0011008

Similar models

Yrs 4-11 Phone Follow up Cardiovascular Health Study (CHS)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Introduction
participant received letter
Item
Did you receive our letter?
boolean
Item
Interview completed by:
text
C0021822 (UMLS CUI [1,1])
C0805732 (UMLS CUI [1,2])
Code List
Interview completed by:
CL Item
participant (participant)
CL Item
proxy (proxy)
Item
If by proxy, reason:
text
C0021823 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0600420 (UMLS CUI [1,3])
Code List
If by proxy, reason:
CL Item
hearing (hearing)
CL Item
cognitive (cognitive)
CL Item
hospitalized (hospitalized)
CL Item
other illness (other illness)
CL Item
other (other)
interview completed by proxy reason other
Item
Other, specify:
text
C0021823 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0600420 (UMLS CUI [1,3])
Item Group
30 months follow-up telephone interview
Item
1 Has the participant moved during the last six month?
integer
C0679646 (UMLS CUI [1,1])
C0560560 (UMLS CUI [1,2])
Code List
1 Has the participant moved during the last six month?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
Did you move during the last month?
integer
Code List
Did you move during the last month?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
2 What is your current marital status? Are you:
text
C0024819 (UMLS CUI [1])
Code List
2 What is your current marital status? Are you:
CL Item
married (married)
CL Item
widowed (widowed)
CL Item
divorced (divorced)
CL Item
separated (separated)
CL Item
never marriedd (never marriedd)
CL Item
other (specify) (other (specify))
marital status other
Item
Other, specify:
text
C0024819 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
3 I would like to ask you some questions that we also asked you 6 months ago. The reason for asking them again is that we are interested in possible changes that might have occurred. Would you say, in general, your health is:
text
C0516984 (UMLS CUI [1])
Code List
3 I would like to ask you some questions that we also asked you 6 months ago. The reason for asking them again is that we are interested in possible changes that might have occurred. Would you say, in general, your health is:
CL Item
excellent? (excellent?)
CL Item
very good? (very good?)
CL Item
good? (good?)
CL Item
fair? (fair?)
CL Item
poor? (poor?)
CL Item
refused/don't know (refused/don't know)
Item
4 How would you say your health compares to other persons of your age? Would you say your health is:
integer
C0018759 (UMLS CUI [1,1])
C0027362 (UMLS CUI [1,2])
Code List
4 How would you say your health compares to other persons of your age? Would you say your health is:
CL Item
Better than others of your age? (1)
CL Item
About the same as others your age? (2)
CL Item
Worse than others your age? (3)
CL Item
Don´t know (9)
Item
5 How does your to when we saw you in [month]? Would you say your health is?
text
Code List
5 How does your to when we saw you in [month]? Would you say your health is?
CL Item
better (better)
CL Item
about the same (about the same)
CL Item
worse (worse)
CL Item
don't know (don't know)
days in bed because of injury
Item
6 During the past two weeks, how many days have you stayed in bed all or most of the day because of illness or injury? Do not include past days in a hospital or nursing home?
integer
C0221423 (UMLS CUI [1,1])
C0004910 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item
7 What illness caused you to stay in bed?
text
C0221423 (UMLS CUI [1,1])
C0425251 (UMLS CUI [1,2])
Code List
7 What illness caused you to stay in bed?
CL Item
heart attack/heart failure (heart attack/heart failure)
CL Item
diabetes (diabetes)
CL Item
arthritis (arthritis)
CL Item
stroke (stroke)
CL Item
mental illness (mental illness)
CL Item
cold or flu (cold or flu)
CL Item
cancer (cancer)
CL Item
injury (injury)
CL Item
general fatique or weakness (incl. old age) (general fatique or weakness (incl. old age))
CL Item
lung disease or emphysema, bronchitis (lung disease or emphysema, bronchitis)
CL Item
other (other)
CL Item
don't know (don't know)
Item
8 Have you had coronary bypass surgery (CABG) since we saw you about six month ago?
integer
C0010055 (UMLS CUI [1])
Code List
8 Have you had coronary bypass surgery (CABG) since we saw you about six month ago?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
9 Have you had a cardiac catheterization or coronary angiography since we saw you about six month ago?
integer
C0018795 (UMLS CUI [1])
C0085532 (UMLS CUI [2])
Code List
9 Have you had a cardiac catheterization or coronary angiography since we saw you about six month ago?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
myocardial infarction
Item
10a. Has a doctor told you that you had a new myocardial infarction or heart attack since we saw you about six month ago?
boolean
C0027051 (UMLS CUI [1])
date myocardial infarction
Item
b. Date of event or diagnosis
date
C0027051 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
myocardial infarction seen doctor
Item
c. How many times altogether did you see a doctor for this condition over the last six months, that is, since [month]?
integer
C0027051 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
myocardial infarction physician name
Item
Physician:
text
C2826892 (UMLS CUI [1])
myocardial infarction physician address
Item
Physician address
text
C1442065 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
myocardial infarction hospitalization
Item
e. Were you in the hospital at least one night for this condition over the last six months?
text
C0019993 (UMLS CUI [1,1])
C0027051 (UMLS CUI [1,2])
myocardial infarction times hospitalized
Item
f. 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])
number of days hospitalized for MI
Item
h. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0027051 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
angina pectoris
Item
11a. Has a doctor told you that you had a new episode of angina pectoris or chest pain due to heart disease since we saw you about six month ago?
boolean
C0002962 (UMLS CUI [1])
date angina pectoris
Item
b. Date of event or diagnosis
date
C0002962 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
angina pectoris seen doctor
Item
c. How many times altogether did you see a doctor for this condition over the last six months, that is, since [month]?
integer
C0002962 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
angina pectoris physician name
Item
Physician:
text
C2826892 (UMLS CUI [1])
angina pectoris physician address
Item
Physician address
text
C1442065 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
angina pectoris hospitalization
Item
e. Were you in the hospital at least one night for this condition over the last six months?
text
C0019993 (UMLS CUI [1,1])
C0002962 (UMLS CUI [1,2])
angina pectoris times hospitalized
Item
f. 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])
number of days hospitalized for angina pectoris
Item
h. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0002962 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
heart failure
Item
12a. Has a doctor told you that you had a new episode of heart failure or congestive heart failure since we saw you about six month ago?
boolean
C0018801 (UMLS CUI [1])
date heart failure
Item
b. Date of event or diagnosis
date
C0018801 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
heart failure seen doctor
Item
c. How many times altogether did you see a doctor for this condition over the last six months, that is, since [month]?
integer
C0018801 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
heart failure physician name
Item
Physician:
text
C2826892 (UMLS CUI [1])
heart failure physician address
Item
Physician address
text
C1442065 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
heart failure hospitalization
Item
e. Were you in the hospital at least one night for this condition over the last six months?
text
C0019993 (UMLS CUI [1,1])
C0018801 (UMLS CUI [1,2])
heart failure times hospitalized
Item
f. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0018801 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
number of days hospitalized for heart failure
Item
h. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0018801 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
intermittent claudication
Item
13a. Has a doctor told you that you had a new episode of intermittent claudication or leg pain from artery blockage since we saw you about six month ago?
boolean
C0021775 (UMLS CUI [1])
date intermittent claudication
Item
b. Date of event or diagnosis
date
C0021775 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
intermittent claudication seen doctor
Item
c. How many times altogether did you see a doctor for this condition over the last six months, that is, since [month]?
integer
C0021775 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
intermittent claudication physician name
Item
Physician:
text
C2826892 (UMLS CUI [1])
intermittent claudication physician address
Item
Physician address
text
C1442065 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
intermittent claudication hospitalization
Item
e. Were you in the hospital at least one night for this condition over the last six months?
text
C0019993 (UMLS CUI [1,1])
C0021775 (UMLS CUI [1,2])
intermittent claudication times hospitalized
Item
f. 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])
number of days hospitalized for intermittent claudication
Item
h. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0021775 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
stroke
Item
14a. Has a doctor told you that you had a new stroke or cerebrovascular accident since we saw you about six month ago?
boolean
C0038454 (UMLS CUI [1])
date stroke
Item
b. Date of event or diagnosis
date
C0038454 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
stroke seen doctor
Item
c. How many times altogether did you see a doctor for this condition over the last six months, that is, since [month]?
integer
C0038454 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
stroke physician name
Item
Physician:
text
C2826892 (UMLS CUI [1])
stroke physician address
Item
Physician address
text
C1442065 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
stroke hospitalization
Item
e. Were you in the hospital at least one night for this condition over the last six months?
text
C0019993 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
stroke times hospitalized
Item
f. 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])
number of days hospitalized for stroke
Item
h. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
TIA
Item
15a. Has a doctor told you that you had a new transient ischemic attack or TIA or silent stroke since we saw you about six month ago?
boolean
C0007787 (UMLS CUI [1])
date TIA
Item
b. Date of event or diagnosis
date
C0007787 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
TIA seen doctor
Item
c. How many times altogether did you see a doctor for this condition over the last six months, that is, since [month]?
integer
C0007787 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
TIA physician name
Item
Physician:
text
C2826892 (UMLS CUI [1])
TIA physician address
Item
Physician address
text
C1442065 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
TIA hospitalization
Item
e. Were you in the hospital at least one night for this condition over the last six months?
text
C0019993 (UMLS CUI [1,1])
C0007787 (UMLS CUI [1,2])
TIA times hospitalized
Item
f. 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])
number of days hospitalized for TIA
Item
h. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0007787 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
times seen a doctor
Item
16 In addition to the visits to the doctor you have already told me about, how many times altogether have you seen a doctor because of your health since we saw you six month ago?
integer
C0583527 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
times seen a doctor
Item
17 In addition to the visits to the hospital you have already told me about, how many times altogether have you stayed overnight in a hospital since we saw you six month ago?
integer
C0019993 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
stay in nursing home or rehab center
Item
19 Have you stayed overnight as a patient in a nursing home or rehabilitation center since [month]?
boolean
C0019860 (UMLS CUI [1])
C0034993 (UMLS CUI [2])
Item
21 I am now going to ask you about a number of events that commonly happen in peoples's lives and tha can affect your health. In some cases, I will ask whether the event has happened to you or a member of your familiy during the past 6 months. In other cases, I will ask only whether it happened to you. When I ask a question about your spouse, I am referring to both married spouses and unmarried partners who live together. Please respond YES if the event happened and NO if it didn't. Have you retired or changed or lost your job since we saw you in [month]?
integer
C0035345 (UMLS CUI [1])
C0425083 (UMLS CUI [2])
Code List
21 I am now going to ask you about a number of events that commonly happen in peoples's lives and tha can affect your health. In some cases, I will ask whether the event has happened to you or a member of your familiy during the past 6 months. In other cases, I will ask only whether it happened to you. When I ask a question about your spouse, I am referring to both married spouses and unmarried partners who live together. Please respond YES if the event happened and NO if it didn't. Have you retired or changed or lost your job since we saw you in [month]?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
When did this happen?
text
Code List
When did this happen?
CL Item
during last month (during last month)
CL Item
not during the last month (not during the last month)
CL Item
don't know (don't know)
Item
Was this job change, loss or retirement positive or negative?
text
C1280500 (UMLS CUI [1,1])
C0035345 (UMLS CUI [1,2])
C1280500 (UMLS CUI [2,1])
C0425083 (UMLS CUI [2,2])
Code List
Was this job change, loss or retirement positive or negative?
CL Item
pos (pos)
CL Item
neg (neg)
CL Item
don't know (don't know)
Item
22 Have you had a grandchild born since we saw you in [month]?
integer
C0005615 (UMLS CUI [1,1])
C0337548 (UMLS CUI [1,2])
Code List
22 Have you had a grandchild born since we saw you in [month]?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
23 Has caring for a sick or disabled relative become a significant problem for you since we saw you in [month]?
integer
C0850427 (UMLS CUI [1])
Code List
23 Has caring for a sick or disabled relative become a significant problem for you since we saw you in [month]?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
Has providing care become significantly harder than last month?
integer
C0848945 (UMLS CUI [1,1])
C1457868 (UMLS CUI [1,2])
Code List
Has providing care become significantly harder than last month?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
24 Has there been a significant change in your personal finances since we saw you in [month]?
integer
C0680123 (UMLS CUI [1])
Code List
24 Has there been a significant change in your personal finances since we saw you in [month]?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
When did this happen?
text
C0680123 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Code List
When did this happen?
CL Item
during last month (during last month)
CL Item
not during the last month (not during the last month)
CL Item
don't know (don't know)
Item
Was this change positive or negative?
integer
C1280500 (UMLS CUI [1,1])
C0680123 (UMLS CUI [1,2])
Code List
Was this change positive or negative?
CL Item
pos (pos)
CL Item
neg (neg)
CL Item
don't know (don't know)
Item
25 Did you or a very close friend or close family member have a serious accident or illness since we saw you in [month]?
integer
C2169536 (UMLS CUI [1])
Code List
25 Did you or a very close friend or close family member have a serious accident or illness since we saw you in [month]?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
When did this accident or illness occur?
text
C2169536 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Code List
When did this accident or illness occur?
CL Item
during last month (during last month)
CL Item
not during the last month (not during the last month)
CL Item
don't know (don't know)
Item
26 Have you, your spouse or partner, or a member of your immediate family been assaulted or robbed since we saw you in [month]?
integer
C0004063 (UMLS CUI [1,1])
C0086282 (UMLS CUI [1,2])
C0680502 (UMLS CUI [2,1])
C0086282 (UMLS CUI [2,2])
Code List
26 Have you, your spouse or partner, or a member of your immediate family been assaulted or robbed since we saw you in [month]?
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
Item
When did this assault or robbery happen?
text
C0004063 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Code List
When did this assault or robbery happen?
CL Item
during last month (during last month)
CL Item
not during the last month (not during the last month)
CL Item
don't know (don't know)
Item
27 Have you had any important relationship, for example with your spouse or a good friend, become significantly worse since we saw you in [month]?
integer
C2045651 (UMLS CUI [1])
Code List
27 Have you had any important relationship, for example with your spouse or a good friend, become significantly worse since we saw you in [month]?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
When did this relationship worsen?
text
C2045651 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Code List
When did this relationship worsen?
CL Item
during last month (during last month)
CL Item
not during the last month (not during the last month)
CL Item
don't know (don't know)
Item
28 Did someone you were close to die since we saw you in [month]?
integer
C0814602 (UMLS CUI [1])
Code List
28 Did someone you were close to die since we saw you in [month]?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
When did this person die?
integer
C0814602 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Code List
When did this person die?
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
Item
29 Have any other important things happened to you or your spouse or partner since [month] that made this period significantly different from the previous six months?
integer
C0023670 (UMLS CUI [1])
Code List
29 Have any other important things happened to you or your spouse or partner since [month] that made this period significantly different from the previous six months?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
significant event specify
Item
What happened?
text
C0023670 (UMLS CUI [1])
Item
Was it positive or negative?
text
C1280500 (UMLS CUI [1,1])
C0023670 (UMLS CUI [1,2])
Code List
Was it positive or negative?
CL Item
pos (pos)
CL Item
neg (neg)
CL Item
don't know (don't know)
Item
30 In the last six months, have you had any change in your ability to walk a half-mile (about 5-6 blocks)?
integer
C0559964 (UMLS CUI [1])
Code List
30 In the last six months, have you had any change in your ability to walk a half-mile (about 5-6 blocks)?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
In what way has your aility to walk changed?
text
C0559964 (UMLS CUI [1,1])
C0443172 (UMLS CUI [1,2])
Code List
In what way has your aility to walk changed?
CL Item
less difficulty walking (less difficulty walking)
CL Item
new onset of difficulty waking  (new onset of difficulty waking )
CL Item
more difficulty walking (more difficulty walking)
CL Item
can no longer walk (can no longer walk)
Item
31 In the last six months, have you had any change in your ability to walk up 10 steps?
integer
C0560066 (UMLS CUI [1])
Code List
31 In the last six months, have you had any change in your ability to walk up 10 steps?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
In what way has your ability to walk up 10 steps changed?
text
C0560066 (UMLS CUI [1,1])
C0443172 (UMLS CUI [1,2])
Code List
In what way has your ability to walk up 10 steps changed?
CL Item
less difficulty (less difficulty)
CL Item
new onset of difficulty (new onset of difficulty)
CL Item
more difficulty (more difficulty)
Item
32 In the last six months, have you had any change in your ability to do heavy housework (like scrubbing floors or washing windows) or yard work (like raking leaves or mowing)?
integer
C0563673 (UMLS CUI [1])
Code List
32 In the last six months, have you had any change in your ability to do heavy housework (like scrubbing floors or washing windows) or yard work (like raking leaves or mowing)?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
In what way has your ability to do heavy housework or yard work changed?
text
C0563673 (UMLS CUI [1,1])
C0443172 (UMLS CUI [1,2])
Code List
In what way has your ability to do heavy housework or yard work changed?
CL Item
less difficulty (less difficulty)
CL Item
new onset of difficulty (new onset of difficulty)
CL Item
more difficulty (more difficulty)
Item
33 In the last six month, have you had any change in your ability to take care of your personal care needs, such as eating, bathing, dressing or getting around the home?
integer
C0846604 (UMLS CUI [1])
Code List
33 In the last six month, have you had any change in your ability to take care of your personal care needs, such as eating, bathing, dressing or getting around the home?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
In what way has your ability to handle your personal needs changed?
text
C0846604 (UMLS CUI [1,1])
C0443172 (UMLS CUI [1,2])
Code List
In what way has your ability to handle your personal needs changed?
CL Item
less difficulty (less difficulty)
CL Item
new onset of difficulty (new onset of difficulty)
CL Item
more difficulty (more difficulty)
Item
34 In the last six months, have you had any change in your ability to do tasks with your arms and hands, such as reaching out, gripping, lifting or carrying something as heavy as ten pounds (a bag of groceries)?
integer
C0565699 (UMLS CUI [1])
Code List
34 In the last six months, have you had any change in your ability to do tasks with your arms and hands, such as reaching out, gripping, lifting or carrying something as heavy as ten pounds (a bag of groceries)?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
Item
In what way has your ability to do tasks with your arms and hands changed?
text
C0565699 (UMLS CUI [1,1])
C0443172 (UMLS CUI [1,2])
Code List
In what way has your ability to do tasks with your arms and hands changed?
CL Item
less difficulty (less difficulty)
CL Item
new onset of difficulty (new onset of difficulty)
CL Item
more difficulty (more difficulty)
Item
35 In the last six months, have you had a fall?
integer
C0085639 (UMLS CUI [1])
Code List
35 In the last six months, have you had a fall?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
times fallen
Item
How many times have you fallen in the last six month?
integer
C0085639 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
information still correct
Item
36 You previously provided us with information about someone who could provide information and answer questions for you in the event that you were unable to answer yourself. Please tell me if the information I have is still correct.
boolean
information still correct
Item
37 You previously provided us with information about friends or relatives who you are likely to keep in touch with, but who do not live with you, and who are not planning to move anytime soon. Please tell me if the information I have is still correct.
boolean
plan to go out of the area
Item
38 Do you plan to be out of the area 6 months from now?
boolean
Item
Are you moving out of the area permanently or will you only be gone temporarily?
text
Code List
Are you moving out of the area permanently or will you only be gone temporarily?
CL Item
permanently (permanently)
CL Item
temporarily out of the area (vacation, business, etc.) (temporarily out of the area (vacation, business, etc.))
new address known
Item
Do you know what your new address and telephone number will be?
boolean
new address street
Item
Street:
text
C1301826 (UMLS CUI [1])
new address city
Item
City
text
C0008848 (UMLS CUI [1])
new address state
Item
State
text
C1442792 (UMLS CUI [1])
new telephone number
Item
Telephone number
text
C1515258 (UMLS CUI [1])
general area
Item
Do you know which general area you will be moving to?
text
time of return
Item
When will you return?
text
C0579192 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Item Group
Hospitalization Myocardial Infarction
date hospitalization myocardial infarction
Item
Date
date
C0019993 (UMLS CUI [1,1])
C0027051 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
hospital myocardial infarction
Item
Hospital name and city
text
C0019994 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
C0027051 (UMLS CUI [1,4])
Item Group
Hospitalization Angina Pectoris
date hospitalization angina pectoris
Item
Date
date
C0019993 (UMLS CUI [1,1])
C0002962 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
hospital angina pectoris
Item
Hospital name and city
text
C0019994 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
C0002962 (UMLS CUI [1,4])
Item Group
Hospitalization Heart Failure
date hospitalization heart failure
Item
Date
date
C0019993 (UMLS CUI [1,1])
C0018801 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
hospital heart failure
Item
Hospital name and city
text
C0019994 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
C0018801 (UMLS CUI [1,4])
Item Group
Hospitalization Intermittent Claudication
date hospitalization intermittent claudication
Item
Date
date
C0019993 (UMLS CUI [1,1])
C0021775 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
hospital intermittent claudication
Item
Hospital name and city
text
C0019994 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
C0021775 (UMLS CUI [1,4])
hospital stroke
Item
Hospital name and city
text
C0019994 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
C0038454 (UMLS CUI [1,4])
Item Group
Hospitalization Stroke
date hospitalization stroke
Item
Date
date
C0019993 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
hospital stroke
Item
Hospital name and city
text
C0019994 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
C0038454 (UMLS CUI [1,4])
Item Group
Hospitalization TIA
date hospitalization TIA
Item
Date
date
C0019993 (UMLS CUI [1,1])
C0007787 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
hospital TIA
Item
Hospital name and city
text
C0019994 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
C0007787 (UMLS CUI [1,4])
Item Group
Hospitalizatiuon
hospital address
Item
Name, city and state of the hospital
text
C0019994 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
reason for hospitalization
Item
18 Please tell me the reason you were admitted, the name and location of the hospital, and the month and year you were a patient for each time you stayed overnight in a hospital for problems you have not already told me about.
text
C1830395 (UMLS CUI [1])
date hospitalization
Item
Mo/Day/Yr
date
C0011008 (UMLS CUI [1,1])
C0019993 (UMLS CUI [1,2])
Item Group
Nursing home admission
reason for nursing home admission
Item
20 Please tell me the reason you were admitted, the name and location of the nursing home, and the month and year you were a patient for each time you stayed overnight in a nursing home or rehabilitation center. Reason for nursing home admission
text
C1830397 (UMLS CUI [1])
address nursing home
Item
Name, city and state of nursing home
text
C0028688 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
date nursing home admission
Item
Mo/Day/Yr
date
C0028688 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])

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