Item
Has the participant moved during the last six month?
integer
C0679646 (UMLS CUI [1,1])
C0560560 (UMLS CUI [1,2])
Code List
Has the participant moved during the last six month?
Item
Did you move during the last month?
integer
Code List
Did you move during the last month?
Item
1 What is your current marital status? Are you:
text
C0024819 (UMLS CUI [1])
Code List
1 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
2 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
2 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
refused/don't know (refused/don't know)
Item
3 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
3 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)
Item
4 How does your to when we saw you in [month]? Would you say your health is?
text
Code List
4 How does your to when we saw you in [month]? Would you say your health is?
CL Item
about the same (about the same)
CL Item
don't know (don't know)
days in bed because of injury
Item
5 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
6 What illness caused you to stay in bed?
text
C0221423 (UMLS CUI [1,1])
C0425251 (UMLS CUI [1,2])
Code List
6 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
mental illness (mental illness)
CL Item
cold or flu (cold or flu)
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
don't know (don't know)
Item
7 Have you had coronary bypass surgery (CABG) since we saw you about six month ago?
integer
C0010055 (UMLS CUI [1])
Code List
7 Have you had coronary bypass surgery (CABG) since we saw you about six month ago?
Item
8 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
8 Have you had a cardiac catheterization or coronary angiography since we saw you about six month ago?
myocardial infarction
Item
9a. 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
10a. 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
11a. 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
12a. 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
13a. 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
14a. 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
15 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
16 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])
overnight patient in a hospital
Item
Were you an overnight patient in a hospital at any other time during the past six months?
boolean
C0545084 (UMLS CUI [1])
stay in nursing home or rehab center
Item
18 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])
overnight patient in a nursing home
Item
Were you an overnight patient in a nursing home or rehabilitation center at any other time during the past six months?
boolean
C0545084 (UMLS CUI [1,1])
C0019860 (UMLS CUI [1,2])
C0545084 (UMLS CUI [2,1])
C0034993 (UMLS CUI [2,2])
peripheral angioplasty
Item
20. Did you have a procedure in or out the hospital to open up the arteries in either of your legs in the last six months?
boolean
C1112653 (UMLS CUI [1])
date peripheral angioplasty
Item
20a. Date of procedure:
date
C1112653 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
peripheral angioplasty location
Item
20b. Where was the procedure done?
text
C2826892 (UMLS CUI [1])
C0019994 (UMLS CUI [2,1])
C0027365 (UMLS CUI [2,2])
C0019994 (UMLS CUI [3,1])
C0450429 (UMLS CUI [3,2])
Item
21 Please tell me if you have ever had any of the following conditions? High blood pressure
text
C0020538 (UMLS CUI [1])
Code List
21 Please tell me if you have ever had any of the following conditions? High blood pressure
CL Item
Never told (Never told)
CL Item
During the past year (During the past year)
CL Item
More than 1 year ago (More than 1 year ago)
Item
21 Please tell me if you have ever had any of the following conditions? Asthma
text
C0004096 (UMLS CUI [1])
Code List
21 Please tell me if you have ever had any of the following conditions? Asthma
CL Item
Never told (Never told)
CL Item
During the past year (During the past year)
CL Item
More than 1 year ago (More than 1 year ago)
Item
21 Please tell me if you have ever had any of the following conditions? Atrial fibrillation
text
C0004238 (UMLS CUI [1])
Code List
21 Please tell me if you have ever had any of the following conditions? Atrial fibrillation
CL Item
Never told (Never told)
CL Item
During the past year (During the past year)
CL Item
More than 1 year ago (More than 1 year ago)
Item
21 Please tell me if you have ever had any of the following conditions? Deep vein thrombosis
text
C0149871 (UMLS CUI [1])
Code List
21 Please tell me if you have ever had any of the following conditions? Deep vein thrombosis
CL Item
Never told (Never told)
CL Item
During the past year (During the past year)
CL Item
More than 1 year ago (More than 1 year ago)
Item
21 Please tell me if you have ever had any of the following conditions? Rheumatic fever or heart valve problems
text
C3536892 (UMLS CUI [1])
Code List
21 Please tell me if you have ever had any of the following conditions? Rheumatic fever or heart valve problems
CL Item
Never told (Never told)
CL Item
During the past year (During the past year)
CL Item
More than 1 year ago (More than 1 year ago)
Item
21 Please tell me if you have ever had any of the following conditions? Emphysema
text
C0034067 (UMLS CUI [1])
Code List
21 Please tell me if you have ever had any of the following conditions? Emphysema
CL Item
Never told (Never told)
CL Item
During the past year (During the past year)
CL Item
More than 1 year ago (More than 1 year ago)
Item
21 Please tell me if you have ever had any of the following conditions? Diabetes
text
C0011849 (UMLS CUI [1])
Code List
21 Please tell me if you have ever had any of the following conditions? Diabetes
CL Item
Never told (Never told)
CL Item
During the past year (During the past year)
CL Item
More than 1 year ago (More than 1 year ago)
diagnosis time diabetes
Item
What month and year were you first told that you had diabetes?
text
C0011849 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
22 Have you ever had any of the following problems? Foot ulcers/sores on feet
integer
C0085119 (UMLS CUI [1])
C0863085 (UMLS CUI [2])
Code List
22 Have you ever had any of the following problems? Foot ulcers/sores on feet
Item
22 Have you ever had any of the following problems? High blood sugar
integer
C0020456 (UMLS CUI [1])
Code List
22 Have you ever had any of the following problems? High blood sugar
Item
22 Have you ever had any of the following problems? Low blood sugar
integer
C0020615 (UMLS CUI [1])
Code List
22 Have you ever had any of the following problems? Low blood sugar
Item
22 Have you ever had any of the following problems? Fainting or passing out
integer
C0039070 (UMLS CUI [1])
Code List
22 Have you ever had any of the following problems? Fainting or passing out
Item
22 Have you ever had any of the following problems? Eye problems
integer
C0262477 (UMLS CUI [1])
Code List
22 Have you ever had any of the following problems? Eye problems
Item
23 Are you currently taking medication prescribed by a doctor for any of the following conditions? High blood pressure
integer
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
Code List
23 Are you currently taking medication prescribed by a doctor for any of the following conditions? High blood pressure
Item
23 Are you currently taking medication prescribed by a doctor for any of the following conditions? Atrial fibrillation
integer
C0013227 (UMLS CUI [1,1])
C0004238 (UMLS CUI [1,2])
Code List
23 Are you currently taking medication prescribed by a doctor for any of the following conditions? Atrial fibrillation
Item
23 Are you currently taking medication prescribed by a doctor for any of the following conditions? Deep vein thrombosis
integer
C0013227 (UMLS CUI [1,1])
C0149871 (UMLS CUI [1,2])
Code List
23 Are you currently taking medication prescribed by a doctor for any of the following conditions? Deep vein thrombosis
Item
23 Are you currently taking medication prescribed by a doctor for any of the following conditions? Diabetes
integer
C0013227 (UMLS CUI [1,1])
C0011849 (UMLS CUI [1,2])
Code List
23 Are you currently taking medication prescribed by a doctor for any of the following conditions? Diabetes
Item
How are you treated for diabetes?
text
C0087111 (UMLS CUI [1,1])
C0011849 (UMLS CUI [1,2])
Code List
How are you treated for diabetes?
CL Item
Insulin (Insulin)
CL Item
Oral Hypoglycemic Agent (Oral Hypoglycemic Agent)
Item
Other:
text
C0087111 (UMLS CUI [1,1])
C0011849 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
CL Item
Insulin (Insulin)
CL Item
Oral Hypoglycemic Agent (Oral Hypoglycemic Agent)
information still correct
Item
39 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
40 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
41 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])