ID

17211

Beschreibung

Documentation part: Record 32 Years 16 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/

Stichworte

  1. 31.08.16 31.08.16 -
Hochgeladen am

31. August 2016

DOI

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Years 16 Phone Follow up Cardiovascular Health Study (CHS)

Years 16 Phone Follow up Cardiovascular Health Study (CHS)

Introduction
Beschreibung

Introduction

Did you receive our letter?
Beschreibung

participant received letter

Datentyp

boolean

Interview completed by:
Beschreibung

interview completed by

Datentyp

text

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

interview completed by proxy reason

Datentyp

text

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

interview completed by proxy reason other

Datentyp

text

Alias
UMLS CUI [1,1]
C0021823
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0600420
16 Yrs 6 months follow-up telephone interview
Beschreibung

16 Yrs 6 months follow-up telephone interview

Has the participant moved during the last six month?
Beschreibung

participant moved

Datentyp

integer

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

participant moved last month

Datentyp

integer

1 What is your current marital status? Are you:
Beschreibung

marital status

Datentyp

text

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

marital status other

Datentyp

text

Alias
UMLS CUI [1,1]
C0024819
UMLS CUI [1,2]
C0205394
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:
Beschreibung

general Health

Datentyp

text

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

health status compared

Datentyp

integer

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

health status previous visit

Datentyp

text

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?
Beschreibung

days in bed because of injury

Datentyp

integer

Maßeinheiten
  • days
Alias
UMLS CUI [1,1]
C0221423
UMLS CUI [1,2]
C0004910
UMLS CUI [1,3]
C0439228
days
6 What illness caused you to stay in bed?
Beschreibung

illness caused staying in bed

Datentyp

text

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

CABG

Datentyp

integer

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

cardiac catheterization or coronary angiography

Datentyp

integer

Alias
UMLS CUI [1]
C0018795
UMLS CUI [2]
C0085532
9a. Has a doctor told you that you had a new myocardial infarction or heart attack since we saw you about six month ago?
Beschreibung

myocardial infarction

Datentyp

boolean

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

date myocardial infarction

Datentyp

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]?
Beschreibung

myocardial infarction seen doctor

Datentyp

integer

Maßeinheiten
  • times
Alias
UMLS CUI [1,1]
C0027051
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
Physician:
Beschreibung

myocardial infarction physician name

Datentyp

text

Alias
UMLS CUI [1]
C2826892
Physician address
Beschreibung

myocardial infarction physician address

Datentyp

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?
Beschreibung

myocardial infarction hospitalization

Datentyp

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?
Beschreibung

myocardial infarction times hospitalized

Datentyp

integer

Maßeinheiten
  • 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?
Beschreibung

number of days hospitalized for MI

Datentyp

integer

Maßeinheiten
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0027051
UMLS CUI [1,3]
C0449238
days
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?
Beschreibung

angina pectoris

Datentyp

boolean

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

date angina pectoris

Datentyp

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]?
Beschreibung

angina pectoris seen doctor

Datentyp

integer

Maßeinheiten
  • times
Alias
UMLS CUI [1,1]
C0002962
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
Physician:
Beschreibung

angina pectoris physician name

Datentyp

text

Alias
UMLS CUI [1]
C2826892
Physician address
Beschreibung

angina pectoris physician address

Datentyp

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?
Beschreibung

angina pectoris hospitalization

Datentyp

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?
Beschreibung

angina pectoris times hospitalized

Datentyp

integer

Maßeinheiten
  • 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?
Beschreibung

number of days hospitalized for angina pectoris

Datentyp

integer

Maßeinheiten
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0002962
UMLS CUI [1,3]
C0449238
days
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?
Beschreibung

heart failure

Datentyp

boolean

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

date heart failure

Datentyp

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]?
Beschreibung

heart failure seen doctor

Datentyp

integer

Maßeinheiten
  • times
Alias
UMLS CUI [1,1]
C0018801
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
Physician:
Beschreibung

heart failure physician name

Datentyp

text

Alias
UMLS CUI [1]
C2826892
Physician address
Beschreibung

heart failure physician address

Datentyp

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?
Beschreibung

heart failure hospitalization

Datentyp

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?
Beschreibung

heart failure times hospitalized

Datentyp

integer

Maßeinheiten
  • 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?
Beschreibung

number of days hospitalized for heart failure

Datentyp

integer

Maßeinheiten
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0018801
UMLS CUI [1,3]
C0449238
days
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?
Beschreibung

intermittent claudication

Datentyp

boolean

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

date intermittent claudication

Datentyp

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]?
Beschreibung

intermittent claudication seen doctor

Datentyp

integer

Maßeinheiten
  • times
Alias
UMLS CUI [1,1]
C0021775
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
Physician:
Beschreibung

intermittent claudication physician name

Datentyp

text

Alias
UMLS CUI [1]
C2826892
Physician address
Beschreibung

intermittent claudication physician address

Datentyp

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?
Beschreibung

intermittent claudication hospitalization

Datentyp

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?
Beschreibung

intermittent claudication times hospitalized

Datentyp

integer

Maßeinheiten
  • 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?
Beschreibung

number of days hospitalized for intermittent claudication

Datentyp

integer

Maßeinheiten
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0021775
UMLS CUI [1,3]
C0449238
days
13a. Has a doctor told you that you had a new stroke or cerebrovascular accident since we saw you about six month ago?
Beschreibung

stroke

Datentyp

boolean

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

date stroke

Datentyp

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]?
Beschreibung

stroke seen doctor

Datentyp

integer

Maßeinheiten
  • times
Alias
UMLS CUI [1,1]
C0038454
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
Physician:
Beschreibung

stroke physician name

Datentyp

text

Alias
UMLS CUI [1]
C2826892
Physician address
Beschreibung

stroke physician address

Datentyp

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?
Beschreibung

stroke hospitalization

Datentyp

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?
Beschreibung

stroke times hospitalized

Datentyp

integer

Maßeinheiten
  • 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?
Beschreibung

number of days hospitalized for stroke

Datentyp

integer

Maßeinheiten
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0038454
UMLS CUI [1,3]
C0449238
days
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?
Beschreibung

TIA

Datentyp

boolean

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

date TIA

Datentyp

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]?
Beschreibung

TIA seen doctor

Datentyp

integer

Maßeinheiten
  • times
Alias
UMLS CUI [1,1]
C0007787
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
Physician:
Beschreibung

TIA physician name

Datentyp

text

Alias
UMLS CUI [1]
C2826892
Physician address
Beschreibung

TIA physician address

Datentyp

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?
Beschreibung

TIA hospitalization

Datentyp

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?
Beschreibung

TIA times hospitalized

Datentyp

integer

Maßeinheiten
  • 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?
Beschreibung

number of days hospitalized for TIA

Datentyp

integer

Maßeinheiten
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0007787
UMLS CUI [1,3]
C0449238
days
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?
Beschreibung

times seen a doctor

Datentyp

integer

Maßeinheiten
  • times
Alias
UMLS CUI [1,1]
C0583527
UMLS CUI [1,2]
C0439603
times
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?
Beschreibung

times seen a doctor

Datentyp

integer

Maßeinheiten
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0439603
times
Were you an overnight patient in a hospital at any other time during the past six months?
Beschreibung

overnight patient in a hospital

Datentyp

boolean

Alias
UMLS CUI [1]
C0545084
18 Have you stayed overnight as a patient in a nursing home or rehabilitation center since [month]?
Beschreibung

stay in nursing home or rehab center

Datentyp

boolean

Alias
UMLS CUI [1]
C0019860
UMLS CUI [2]
C0034993
Were you an overnight patient in a nursing home or rehabilitation center at any other time during the past six months?
Beschreibung

overnight patient in a nursing home

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0545084
UMLS CUI [1,2]
C0019860
UMLS CUI [2,1]
C0545084
UMLS CUI [2,2]
C0034993
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?
Beschreibung

peripheral angioplasty

Datentyp

boolean

Alias
UMLS CUI [1]
C1112653
20a. Date of procedure:
Beschreibung

date peripheral angioplasty

Datentyp

date

Alias
UMLS CUI [1,1]
C1112653
UMLS CUI [1,2]
C0011008
20b. Where was the procedure done?
Beschreibung

peripheral angioplasty location

Datentyp

text

Alias
UMLS CUI [1]
C2826892
UMLS CUI [2,1]
C0019994
UMLS CUI [2,2]
C0027365
UMLS CUI [3,1]
C0019994
UMLS CUI [3,2]
C0450429
21 Please tell me if you have ever had any of the following conditions? High blood pressure
Beschreibung

high blood pressure

Datentyp

text

Alias
UMLS CUI [1]
C0020538
21 Please tell me if you have ever had any of the following conditions? Asthma
Beschreibung

asthma

Datentyp

text

Alias
UMLS CUI [1]
C0004096
21 Please tell me if you have ever had any of the following conditions? Atrial fibrillation
Beschreibung

atrial fibrillation

Datentyp

text

Alias
UMLS CUI [1]
C0004238
21 Please tell me if you have ever had any of the following conditions? Deep vein thrombosis
Beschreibung

DVT

Datentyp

text

Alias
UMLS CUI [1]
C0149871
21 Please tell me if you have ever had any of the following conditions? Rheumatic fever or heart valve problems
Beschreibung

rheumatic fever

Datentyp

text

Alias
UMLS CUI [1]
C3536892
21 Please tell me if you have ever had any of the following conditions? Emphysema
Beschreibung

emphysema

Datentyp

text

Alias
UMLS CUI [1]
C0034067
21 Please tell me if you have ever had any of the following conditions? Diabetes
Beschreibung

diabetes

Datentyp

text

Alias
UMLS CUI [1]
C0011849
What month and year were you first told that you had diabetes?
Beschreibung

diagnosis time diabetes

Datentyp

text

Maßeinheiten
  • mo/yr
Alias
UMLS CUI [1,1]
C0011849
UMLS CUI [1,2]
C0011008
mo/yr
22 Have you ever had any of the following problems? Foot ulcers/sores on feet
Beschreibung

foot ulcers

Datentyp

integer

Alias
UMLS CUI [1]
C0085119
UMLS CUI [2]
C0863085
22 Have you ever had any of the following problems? High blood sugar
Beschreibung

high blood sugar

Datentyp

integer

Alias
UMLS CUI [1]
C0020456
22 Have you ever had any of the following problems? Low blood sugar
Beschreibung

low blood sugar

Datentyp

integer

Alias
UMLS CUI [1]
C0020615
22 Have you ever had any of the following problems? Fainting or passing out
Beschreibung

fainting or passing out

Datentyp

integer

Alias
UMLS CUI [1]
C0039070
22 Have you ever had any of the following problems? Eye problems
Beschreibung

eye problems

Datentyp

integer

Alias
UMLS CUI [1]
C0262477
23 Are you currently taking medication prescribed by a doctor for any of the following conditions? High blood pressure
Beschreibung

medication high blood pressure

Datentyp

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
23 Are you currently taking medication prescribed by a doctor for any of the following conditions? Atrial fibrillation
Beschreibung

medication atrial fibrillation

Datentyp

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0004238
23 Are you currently taking medication prescribed by a doctor for any of the following conditions? Deep vein thrombosis
Beschreibung

medication DVT

Datentyp

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0149871
23 Are you currently taking medication prescribed by a doctor for any of the following conditions? Diabetes
Beschreibung

medication diabetes

Datentyp

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0011849
How are you treated for diabetes?
Beschreibung

diabetes treatment

Datentyp

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0011849
Other:
Beschreibung

diabetes treatment other

Datentyp

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0011849
UMLS CUI [1,3]
C0205394
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.
Beschreibung

information still correct

Datentyp

boolean

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.
Beschreibung

information still correct

Datentyp

boolean

41 Do you plan to be out of the area 6 months from now?
Beschreibung

plan to go out of the area

Datentyp

boolean

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

move out of the area

Datentyp

text

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

new address known

Datentyp

boolean

Street:
Beschreibung

new address street

Datentyp

text

Alias
UMLS CUI [1]
C1301826
City
Beschreibung

new address city

Datentyp

text

Alias
UMLS CUI [1]
C0008848
State
Beschreibung

new address state

Datentyp

text

Alias
UMLS CUI [1]
C1442792
Telephone number
Beschreibung

new telephone number

Datentyp

text

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

general area

Datentyp

text

When will you return?
Beschreibung

time of return

Datentyp

text

Maßeinheiten
  • mo/yr
Alias
UMLS CUI [1,1]
C0579192
UMLS CUI [1,2]
C0040223
mo/yr
Hospitalization Myocardial Infarction
Beschreibung

Hospitalization Myocardial Infarction

Date
Beschreibung

date hospitalization myocardial infarction

Datentyp

date

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

hospital myocardial infarction

Datentyp

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
Beschreibung

Hospitalization Angina Pectoris

Date
Beschreibung

date hospitalization angina pectoris

Datentyp

date

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

hospital angina pectoris

Datentyp

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
Beschreibung

Hospitalization Heart Failure

Date
Beschreibung

date hospitalization heart failure

Datentyp

date

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

hospital heart failure

Datentyp

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
Beschreibung

Hospitalization Intermittent Claudication

Date
Beschreibung

date hospitalization intermittent claudication

Datentyp

date

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

hospital intermittent claudication

Datentyp

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
Beschreibung

hospital stroke

Datentyp

text

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

Hospitalization Stroke

Date
Beschreibung

date hospitalization stroke

Datentyp

date

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

hospital stroke

Datentyp

text

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

Hospitalization TIA

Date
Beschreibung

date hospitalization TIA

Datentyp

date

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

hospital TIA

Datentyp

text

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

Hospitalizatiuon

Name, city and state of the hospital
Beschreibung

hospital address

Datentyp

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
17 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.
Beschreibung

reason for hospitalization

Datentyp

text

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

date hospitalization

Datentyp

date

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

Nursing home admission

19 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
Beschreibung

reason for nursing home admission

Datentyp

text

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

address nursing home

Datentyp

text

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

date nursing home admission

Datentyp

date

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

Ähnliche Modelle

Years 16 Phone Follow up Cardiovascular Health Study (CHS)

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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
16 Yrs 6 months follow-up telephone interview
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?
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
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
good? (good?)
CL Item
fair? (fair?)
CL Item
poor? (poor?)
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)
CL Item
Don´t know (9)
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
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
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
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
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?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
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?
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
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
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
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
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
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
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
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
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
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
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
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
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
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
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
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
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
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
CL Item
yes (1)
CL Item
no (0)
CL Item
unknown (9)
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)
CL Item
Other (Other)
Item
Other:
text
C0087111 (UMLS CUI [1,1])
C0011849 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Code List
Other:
CL Item
Insulin (Insulin)
CL Item
Oral Hypoglycemic Agent (Oral Hypoglycemic Agent)
CL Item
Other (Other)
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])
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
17 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
19 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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