ID

17289

Beskrivning

Documentation part: Record 37 Year 3 Medical History The Cardiovascular Health Study (CHS) was initiated by the National Heart, Lung and Blood Institute (NHLBI) in 1987 to determine the risk factors for development and progression of cardiovascular disease (CVD) in older adults, with an emphasis on subclinical measures. The study recruited 5,888 adults aged 65 or older at entry in four U.S. communities and conducted extensive annual clinical exams between 1989-1999 along with semi-annual phone calls, events adjudication, and subsequent data analyses and publications. Additional data were collected by studies ancillary to CHS. With the exception of annual clinic visits, these activities are still ongoing. Data obtained from: https://chs-nhlbi.org/ Permission granted by: Erika Enright.

Länk

https://chs-nhlbi.org/

Nyckelord

Versioner (3)
  1. 2016-09-03 2016-09-03 -
  2. 2016-09-04 2016-09-04 -
  3. 2016-09-04 2016-09-04 -
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4 september 2016

DOI

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Year 3 Medical History Cardiovascular Health Study (CHS)

Engelsk

Year 3 Medical History Cardiovascular Health Study (CHS)

1 Formulär  
Medical History
Beskrivning

Medical History

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

general health

Datatyp

integer

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

health compared to age group

Datatyp

integer

Alias
UMLS CUI [1,1]
C0018759
UMLS CUI [1,2]
C0027362
3 How does your health compare to six months ago?
Beskrivning

health compared

Datatyp

integer

Alias
UMLS CUI [1,1]
C0018759
UMLS CUI [1,2]
C1707455
4 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 days in a hospital or nursing home.
Beskrivning

Answer "0" if you haven't spent any days in bed in the last two weeks.

Datatyp

integer

Måttenheter
  • days
Alias
UMLS CUI [1,1]
C0221423
UMLS CUI [1,2]
C0004910
UMLS CUI [1,3]
C0439228
days
A. What illness or injury caused you to stay in bed?
Beskrivning

Please check only one answer. If the reason isn't on this list, please check OTHER and write the reason why in the blank.

Datatyp

integer

Alias
UMLS CUI [1,1]
C0221423
UMLS CUI [1,2]
C0004910
Other, specify:
Beskrivning

illness causing stay in bed other

Datatyp

text

Alias
UMLS CUI [1,1]
C0221423
UMLS CUI [1,2]
C0004910
UMLS CUI [1,3]
C0205394
11 Has a doctor told you that you had rheumatic fever or heart valve problems since we saw you last year?
Beskrivning

rheumatic fever

Datatyp

integer

Alias
UMLS CUI [1]
C3536892
12 Has a doctor told you that you had atrial fibrillation since we saw you last year?
Beskrivning

atrial fibrillation

Datatyp

integer

Alias
UMLS CUI [1]
C0004238
13 Has a doctor told you that you had a deep vein thrombosis or blood clots in your leg since we saw you last year?
Beskrivning

DVT

Datatyp

integer

Alias
UMLS CUI [1]
C0149871
14 Has a doctor ever told you that you had other heart or circulatory problems since we saw you last year?
Beskrivning

heart or circulatory problems

Datatyp

integer

Alias
UMLS CUI [1]
C0007222
Specify:
Beskrivning

other heart problem

Datatyp

text

Alias
UMLS CUI [1,1]
C0795691
UMLS CUI [1,2]
C0205394
16 Within the last 30 days did you STOP taking any medication (other than medications for high blood pressure)?
Beskrivning

stop medication

Datatyp

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C2746065
16 A1. What was the name of the medicine(s)?
Beskrivning

name medication 1

Datatyp

text

Alias
UMLS CUI [1]
C2360065
16 A2.
Beskrivning

medication name 2

Datatyp

text

Alias
UMLS CUI [1]
C2360065
17 Within the last 30 days did you START taking any medication (other than medications for high blood pressure)?
Beskrivning

start medication

Datatyp

integer

Alias
UMLS CUI [1]
C0451613
17 A1. What was the name of the medicine(s)?
Beskrivning

medication name 3

Datatyp

text

Alias
UMLS CUI [1]
C2360065
17 A2.
Beskrivning

medication name 4

Datatyp

text

Alias
UMLS CUI [1]
C2360065
18 Has a doctor ever told you that you had diabetes since we saw you last year?
Beskrivning

diabetes

Datatyp

integer

Alias
UMLS CUI [1]
C0011849
19 Have you stayed overnight as a patient in a hospital since we spoke to you on the phone about six months ago?
Beskrivning

hospitalization

Datatyp

boolean

Alias
UMLS CUI [1]
C0019993
20 Have you stayed overnight as a patient in a nursing home or rehabilitation center since we spoke to you on the phone six months ago?
Beskrivning

nursing home

Datatyp

boolean

Alias
UMLS CUI [1]
C0028688
21 Have you had any pain or discomfort in your chest since we saw you last year?
Beskrivning

pain in chest

Datatyp

boolean

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

chest pain walking uphill

Datatyp

integer

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C3842654
B. Do you feel the pain when you walk at an ordinary pace or level?
Beskrivning

chest pain walking

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0080331
C. What do you do if you feel it while you are walking?
Beskrivning

chest pain consequence

Datatyp

integer

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

chest pain resting

Datatyp

integer

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

chest pain localization

Datatyp

text

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

chest pain localization other

Datatyp

text

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0475264
F. Did this pain or discomfort ever occur before we saw you last year?
Beskrivning

chest pain before

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0332152
G. Have you seen a doctor about this pain?
Beskrivning

chest pain seen by doctor

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0583527
H. Since we saw you last year, have you had a severe pain accross the front of your chest lasting for half an hour or more?
Beskrivning

severe chest pain

Datatyp

boolean

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

severe chest pain seen by doctor

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0205082
UMLS CUI [1,3]
C0583527
J. If you saw a doctor, what did your doctor say it was?
Beskrivning

diagnosis

Datatyp

integer

Alias
UMLS CUI [1]
C0011900
Other:
Beskrivning

other diagnosis

Datatyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0205394
22 Have you had to sleep on 2 or more pillows to help you breathe since we saw you last year?
Beskrivning

sleep on pillows

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0182291
UMLS CUI [1,2]
C0443302
23 Have you been awakened at night by trouble breathing since we saw you last year?
Beskrivning

awakened by trouble breathing

Datatyp

boolean

Alias
UMLS CUI [1,1]
C3641913
UMLS CUI [1,2]
C0240526
24 Have you had swelling of your feet or ankles since we saw you last year?
Beskrivning

swelling of your feet or ankles

Datatyp

boolean

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

swelling during the day

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0574002
UMLS CUI [1,2]
C0585022
UMLS CUI [2,1]
C0235439
UMLS CUI [2,2]
C0585022
25 Have you had pain in either leg on walking since we saw you last year?
Beskrivning

leg pain walking

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0080331
A. Does this pain ever begin when you are standing still or standing?
Beskrivning

leg pain standing still

Datatyp

boolean

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

pain in calf

Datatyp

boolean

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

leg pain walking uphill

Datatyp

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C3842654
D. Do you feel it when you walk at an ordinary pace on the level?
Beskrivning

leg pain walking ordinary pace

Datatyp

boolean

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

leg pain disappears walking

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0080331
UMLS CUI [1,3]
C2746065
F. What do you do if you get it while you are walking?
Beskrivning

action leg pain walking

Datatyp

integer

Alias
UMLS CUI [1,1]
C3266814
UMLS CUI [1,2]
C0023222
UMLS CUI [1,3]
C0080331
G. What happens to the pain if you stand still?
Beskrivning

leg pain standing still

Datatyp

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0231472
26 Did a doctor tell you that you had pneumonia since we saw you last year?
Beskrivning

pneumonia

Datatyp

boolean

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

bronchitis

Datatyp

boolean

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

bronchitis confirmed by doctor

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0006277
UMLS CUI [1,2]
C0583527
28 Did a doctor tell you that you have developed chronic bronchitis since we saw you last year?
Beskrivning

chronic bronchitis

Datatyp

boolean

Alias
UMLS CUI [1]
C0008677
29 Did a doctor tell you that you have developed emphysema since we saw you last year?
Beskrivning

emphysema

Datatyp

boolean

Alias
UMLS CUI [1]
C0034067
30 Did a doctor tell you that you have developed asthma since we saw you last year?
Beskrivning

asthma

Datatyp

boolean

Alias
UMLS CUI [1]
C0004096
31 Since we saw you last year, have you usually had a cough?
Beskrivning

usually coughing

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0010200
UMLS CUI [1,2]
C3888388
A. Did you cough like this on most of the days for three consecutive months or more during the year?
Beskrivning

cough most of the time

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0010200
UMLS CUI [1,2]
C1948053
UMLS CUI [1,3]
C3828954
32 Since we saw you last year, have you frequently brought up phlegm or thick mucus from your chest or swallowing phlegm?
Beskrivning

Include phlegm brought up when you first smoke or first go out-of-doors. Exclude phlegm from your nose

Datatyp

boolean

Alias
UMLS CUI [1]
C3173640
A. Did you bring up phlegm like this on most days for 3 consecutive months or more during the year?
Beskrivning

phlegm most of the time

Datatyp

boolean

Alias
UMLS CUI [1,1]
C3173640
UMLS CUI [1,2]
C1948053
UMLS CUI [1,3]
C3828954
33 A. Since we saw you last year, did your chest sound wheezy or whistling when you had a cold?
Beskrivning

wheezy chest when cold

Datatyp

boolean

Alias
UMLS CUI [1]
C3169461
33 B. Since we saw you last year, did your chest sound wheezy or whistling occasionally apart from colds?
Beskrivning

occasionally wheezy chest

Datatyp

boolean

Alias
UMLS CUI [1]
C3169463
33 C. Since we saw you last year, did your chest sound wheezy or whistling most days or nights?
Beskrivning

wheezy chest most days or nights

Datatyp

text

Alias
UMLS CUI [1]
C3169465
33 D. Since we saw you last year, did you require medicine or treatment because of your chest sounded wheezy or whistling?
Beskrivning

treatment for wheezy chest

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0425483
UMLS CUI [1,2]
C0087111
34 Since we saw you last year, have you been troubled by shortness of breath when hurrying on the level or walking up a slight hill?
Beskrivning

shortness of breath in hurry

Datatyp

boolean

Alias
UMLS CUI [1]
C3173658
A. Have you had to walk slower than people of your age on the level because of breathlessness since we saw you last year?
Beskrivning

breathlessness walk slower

Datatyp

boolean

Alias
UMLS CUI [1]
C3173660
B. Have you had to stop for breath when walking at your own pace on the level since we saw you last year?
Beskrivning

stop for breath

Datatyp

boolean

Alias
UMLS CUI [1]
C3173662
C. Have you had to stop for breath after walking about 100 yards (or after a few minutes) on the level since we saw you last year?
Beskrivning

stop for breath after walking

Datatyp

boolean

Alias
UMLS CUI [1]
C3173664
D. Have you been too breathless to leave the house, or have you become breathless when dressing or undressing since we saw you last year?
Beskrivning

too breathless to leave the house

Datatyp

boolean

Alias
UMLS CUI [1]
C3173666
35 Have you been told by a doctor that you currently have any of the following? A. Arthristis of hands or arms
Beskrivning

arthristis of hands or arms

Datatyp

integer

Alias
UMLS CUI [1]
C0409208
B. Arthritis of shoulder
Beskrivning

arthritis of shoulder

Datatyp

integer

Alias
UMLS CUI [1]
C1298682
C. Arthritis of hips or knees
Beskrivning

arthritis of hips or knees

Datatyp

integer

Alias
UMLS CUI [1]
C0263776
UMLS CUI [2]
C0240111
D. Hearing loss
Beskrivning

hearing loss

Datatyp

integer

Alias
UMLS CUI [1]
C3887873
E. Cataracts
Beskrivning

cataracts

Datatyp

integer

Alias
UMLS CUI [1]
C0086543
F. Glaucoma
Beskrivning

glaucoma

Datatyp

integer

Alias
UMLS CUI [1]
C0017601
G. Diseases of the retina
Beskrivning

diseases of the retina

Datatyp

integer

Alias
UMLS CUI [1]
C0035309
H. Osteoporosis
Beskrivning

osteoporosis

Datatyp

integer

Alias
UMLS CUI [1]
C0029456
I. Parkinson's Disease
Beskrivning

parkinsons disease

Datatyp

integer

Alias
UMLS CUI [1]
C0030567
J. Dementia or Alzheimer's Disease
Beskrivning

dementia

Datatyp

integer

Alias
UMLS CUI [1]
C0497327
UMLS CUI [2]
C0002395
K. Other neurologic disease
Beskrivning

neurologic disease

Datatyp

integer

Alias
UMLS CUI [1]
C0027765
If other, specify:
Beskrivning

neurologic disease other

Datatyp

text

Alias
UMLS CUI [1,1]
C0027765
UMLS CUI [1,2]
C0205394
L. Depression
Beskrivning

depression

Datatyp

integer

Alias
UMLS CUI [1]
C0011581
M. Liver disease, cirrhosis or hepatitis
Beskrivning

liver disease

Datatyp

integer

Alias
UMLS CUI [1]
C0023895
UMLS CUI [2]
C0023890
UMLS CUI [3]
C0019158
N. Kidney (renal) disease or failure
Beskrivning

renal disease

Datatyp

integer

Alias
UMLS CUI [1]
C0022658
UMLS CUI [2]
C0035078
36 Have you been told by a doctor that you currently have cancer?
Beskrivning

cancer diagnosis

Datatyp

integer

Alias
UMLS CUI [1]
C0006826
A. Breast cancer
Beskrivning

breast cancer

Datatyp

integer

Alias
UMLS CUI [1]
C0678222
B. Blood cancer, leukemia or lymphoma
Beskrivning

blood cancer

Datatyp

integer

Alias
UMLS CUI [1]
C0023418
UMLS CUI [2]
C0024299
C. Colon (bowel) or rectum cancer
Beskrivning

Colon Cancer

Datatyp

integer

Alias
UMLS CUI [1]
C0699790
D. Lung cancer
Beskrivning

lung cancer

Datatyp

integer

Alias
UMLS CUI [1]
C0242379
E. Malignant melanoma
Beskrivning

malignant melanoma

Datatyp

integer

Alias
UMLS CUI [1]
C0025202
F. Other skin cancer
Beskrivning

skin cancer

Datatyp

integer

Alias
UMLS CUI [1]
C0007114
G. Prostate cancer
Beskrivning

prostate cancer

Datatyp

integer

Alias
UMLS CUI [1]
C0600139
H. Other cancer
Beskrivning

other cancer

Datatyp

integer

Alias
UMLS CUI [1]
C1707251
If other, specify:
Beskrivning

other cancer specify

Datatyp

text

Alias
UMLS CUI [1]
C1707251
37 In the last year, have you been treated by a doctor for any of the following: A. Broken hip (fracture)
Beskrivning

broken hip

Datatyp

integer

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

broken lower leg

Datatyp

integer

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

broken arm

Datatyp

integer

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

spine compression fracture

Datatyp

integer

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

other injury

Datatyp

integer

Specify
Beskrivning

other injury specify

Datatyp

text

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

medication for arthritis

Datatyp

integer

Alias
UMLS CUI [1,1]
C0003864
UMLS CUI [1,2]
C0013227
G. Did you have arthritis sugery on one or both knees?
Beskrivning

arthritis sugery

Datatyp

integer

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0240111
H. Did you have arthritis sugery on your hip?
Beskrivning

arthritis sugery on hip

Datatyp

integer

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0263776
I. Did you have arthritis surgery on another part of your body?
Beskrivning

arthritis surgery

Datatyp

integer

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0003864
If other, specify:
Beskrivning

other arthritis surgery

Datatyp

text

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0003864
38 In the last year, have you had pain in any bones or joints for at least half the days of a month? A. Hands
Beskrivning

pain in hand

Datatyp

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0018563
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0018563
B. Feet
Beskrivning

pain in feet

Datatyp

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0016504
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0016504
C. Knees
Beskrivning

pain in knees

Datatyp

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0022742
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0022742
D. Hips
Beskrivning

pain in hips

Datatyp

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0019552
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0019552
E. Neck
Beskrivning

pain in neck

Datatyp

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0027530
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0027530
F. Back
Beskrivning

pain in back

Datatyp

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0004600
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0004600
G. Shoulders
Beskrivning

pain in shoulders

Datatyp

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0037004
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0037004
H. Other
Beskrivning

other pain

Datatyp

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0205394
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0205394
H. Other, specify:
Beskrivning

other pain specify

Datatyp

text

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0205394
UMLS CUI [2,1]
C0003862
UMLS CUI [2,2]
C0205394
39 In the last year, have you accidentally lost control of your urine (wet yourself) more than one time in a month?
Beskrivning

wet yourself

Datatyp

integer

Alias
UMLS CUI [1]
C0042024
40 In the last year, have you had a fall?
Beskrivning

fall

Datatyp

integer

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

times fallen

Datatyp

integer

Måttenheter
  • times
Alias
UMLS CUI [1,1]
C0085639
UMLS CUI [1,2]
C0439603
times
41 Since we saw you last year, have you requested advice from your doctor regarding your blood cholesterol level?
Beskrivning

advice regarding cholesterol

Datatyp

integer

Alias
UMLS CUI [1,1]
C0150600
UMLS CUI [1,2]
C0518017
A. Why did you seek advice?
Beskrivning

reason advice cholesterol

Datatyp

text

Alias
UMLS CUI [1,1]
C0150600
UMLS CUI [1,2]
C0518017
UMLS CUI [1,3]
C0392360
Other, specify:
Beskrivning

other reason for advice

Datatyp

text

Alias
UMLS CUI [1,1]
C0150600
UMLS CUI [1,2]
C0518017
UMLS CUI [1,3]
C0392360
UMLS CUI [1,4]
C0205394
42 Since we saw you last year, have you had your blood cholesterol measured?
Beskrivning

blood cholesterol measured

Datatyp

integer

Alias
UMLS CUI [1,1]
C0518017
UMLS CUI [1,2]
C0444706
A. Where did you have it measured?
Beskrivning

where measured

Datatyp

text

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0444706
UMLS CUI [1,3]
C0518017
B. Why did you have it measured?
Beskrivning

reason measured

Datatyp

text

Alias
UMLS CUI [1,1]
C0518017
UMLS CUI [1,2]
C0444706
UMLS CUI [1,3]
C0392360
Other, specify:
Beskrivning

other reason measured

Datatyp

text

Alias
UMLS CUI [1,1]
C0518017
UMLS CUI [1,2]
C0444706
UMLS CUI [1,3]
C0392360
UMLS CUI [1,4]
C0205394
Medical History: Myocardical Infarction
Beskrivning

Medical History: Myocardical Infarction

5 Has a doctor ever told you that you had a myocardial infarction or heart attack?
Beskrivning

myocardical infarction

Datatyp

integer

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

name doctor

Datatyp

text

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

doctor address

Datatyp

text

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

doctor city

Datatyp

text

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

doctor state

Datatyp

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C1301808
Hospital name:
Beskrivning

hospital name

Datatyp

text

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

hospital city

Datatyp

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
State:
Beskrivning

hospital state

Datatyp

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
Date of event or diagnosis
Beskrivning

date of diagnosis

Datatyp

date

Alias
UMLS CUI [1,1]
C0027051
UMLS CUI [1,2]
C0011008
Medical History: Congestive heart failure
Beskrivning

Medical History: Congestive heart failure

6 Has a doctor ever told you that you had a new incident of heart failure or congestive heart failure since we spoke with you on the phone about six month ago?
Beskrivning

heart failure or congestive heart failure

Datatyp

integer

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

name doctor

Datatyp

text

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

doctor address

Datatyp

text

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

doctor city

Datatyp

text

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

doctor state

Datatyp

text

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

date of diagnosis congestive heart failure

Datatyp

date

Alias
UMLS CUI [1,1]
C0018802
UMLS CUI [1,2]
C0011008
Medical History: Intermittent claudication
Beskrivning

Medical History: Intermittent claudication

7 Has a doctor ever told you that you had a new incident of intermittent claudication or pain in your legs from a blockage of the arteries since we spoke with you on the phone about six month ago?
Beskrivning

intermittent claudication

Datatyp

integer

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

name doctor

Datatyp

text

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

doctor address

Datatyp

text

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

doctor city

Datatyp

text

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

doctor state

Datatyp

text

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

date of diagnosis intermittent claudication

Datatyp

date

Alias
UMLS CUI [1,1]
C0021775
UMLS CUI [1,2]
C0011008
Medical History: Angina
Beskrivning

Medical History: Angina

8 Has a doctor ever told you that you had a new incident of angina pectoris or chest pain due to heart disease since we spoke with you on the phone about six month ago?
Beskrivning

angina

Datatyp

integer

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

name doctor

Datatyp

text

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

doctor address

Datatyp

text

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

doctor city

Datatyp

text

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

doctor state

Datatyp

text

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

date of diagnosis angina

Datatyp

date

Alias
UMLS CUI [1,1]
C0002962
UMLS CUI [1,2]
C0011008
Medical History: Cerebrovascular accident
Beskrivning

Medical History: Cerebrovascular accident

9 Has a doctor ever told you that you had a new stroke or cerebrovascular accident since we spoke with you on the phone about six month ago?
Beskrivning

cerebrovascular accident

Datatyp

integer

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

name doctor

Datatyp

text

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

doctor address

Datatyp

text

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

doctor city

Datatyp

text

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

doctor state

Datatyp

text

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

date of diagnosis cerebrovascular accident

Datatyp

date

Alias
UMLS CUI [1,1]
C0038454
UMLS CUI [1,2]
C0011008
Medical History: Transient ischemic attack
Beskrivning

Medical History: Transient ischemic attack

10 Has a doctor ever told you that you had a new transient ischemic attack or TIA or silent stroke since we spoke with you on the phone about six month ago?
Beskrivning

TIA

Datatyp

integer

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

name doctor

Datatyp

text

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

doctor address

Datatyp

text

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

doctor city

Datatyp

text

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

doctor state

Datatyp

text

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

date of diagnosis TIA

Datatyp

date

Alias
UMLS CUI [1,1]
C0007787
UMLS CUI [1,2]
C0011008
Medical History: Hypertension
Beskrivning

Medical History: Hypertension

15 Has a doctor ever told you that you had high blood pressure?
Beskrivning

high blood pressure

Datatyp

integer

Alias
UMLS CUI [1]
C0020538
A. How old were you when you were first told that you had high blood pressure?
Beskrivning

high blood pressure age

Datatyp

integer

Måttenheter
  • years old
Alias
UMLS CUI [1,1]
C0020538
UMLS CUI [1,2]
C0001779
UMLS CUI [1,3]
C4071762
years old
B. Have you ever been treated with medicines for high blood pressure?
Beskrivning

high blood pressure medication

Datatyp

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
C. Were you treated with medicines for high blood pressure since we saw you last year?
Beskrivning

high blood pressure medication since

Datatyp

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
D. Are you currently taking medicines for high blood pressure?
Beskrivning

high blood pressure medication currently

Datatyp

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
UMLS CUI [1,3]
C0521116
E. Since you were first told you have high blood pressure, about how many years have you taken medicines for high blood pressure?
Beskrivning

medication high blood pressure duration

Datatyp

integer

Måttenheter
  • years
Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
UMLS CUI [1,3]
C0449238
years
Since you were first told you have high blood pressure, about how many years have you taken medicines for high blood pressure?
Beskrivning

medication high blood pressure months

Datatyp

integer

Måttenheter
  • months
Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
UMLS CUI [1,3]
C0449238
months
F. Within the last year, did you STOP taking any of your medicines for high blood pressure?
Beskrivning

stop medication high blood pressure

Datatyp

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
UMLS CUI [1,3]
C2746065
G. Why did you stop taking your high blood pressure medicine(s)?
Beskrivning

medication stop high blood pressure reason

Datatyp

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
UMLS CUI [1,3]
C2746065
UMLS CUI [1,4]
C0392360
Other, specify:
Beskrivning

medication stop high blood pressure reason other

Datatyp

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
UMLS CUI [1,3]
C2746065
UMLS CUI [1,4]
C0392360
UMLS CUI [1,5]
C0205394
H. What was the name of the medicine(s)? FIRST MEDICINE
Beskrivning

If you don't know, describe the pill or write what it was, for instance, "water pill".

Datatyp

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
H. What was the name of the medicine(s)? SECOND MEDICINE
Beskrivning

If you don't know, describe the pill or write what it was, for instance, "water pill".

Datatyp

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
I. Did you stop the medicine(s) within the last 30 days? FIRST MEDICINE
Beskrivning

stop medicine time

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
UMLS CUI [1,3]
C2746065
UMLS CUI [1,4]
C3845590
I. Did you stop the medicine(s) within the last 30 days? SECOND MEDICINE
Beskrivning

stop medicine time 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
UMLS CUI [1,3]
C2746065
UMLS CUI [1,4]
C3845590
J. Did you have: Fatigue, Lethargy FIRST MEDICINE
Beskrivning

fatigue

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0015672
UMLS CUI [2,1]
C0879626
UMLS CUI [2,2]
C0023380
J. Did you have: Fatigue, Lethargy SECOND MEDICINE
Beskrivning

fatigue 2

Datatyp

boolean

Alias
UMLS CUI [1]
C0015672
UMLS CUI [2]
C0023380
J. Did you have: Nightmares or sleep disorder FIRST MEDICINE
Beskrivning

nightmares or sleep disorder

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0851578
J. Did you have: Nightmares or sleep disorder SECOND MEDICINE
Beskrivning

nightmares or sleep disorder 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0851578
J. Did you have: Headache FIRST MEDICINE
Beskrivning

headache

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0018681
J. Did you have: Headache SECOND MEDICINE
Beskrivning

headache 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0018681
J. Did you have: Dry mouth FIRST MEDICINE
Beskrivning

dry mouth

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0043352
J. Did you have: Dry mouth SECOND MEDICINE
Beskrivning

dry mouth 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0043352
J. Did you have: Nausea FIRST MEDICINE
Beskrivning

nausea

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0027497
J. Did you have: Nausea SECOND MEDICINE
Beskrivning

nausea 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0027497
J. Did you have: Muscle cramps. Myalgia FIRST MEDICINE
Beskrivning

myalgia

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0231528
J. Did you have: Muscle cramps. Myalgia SECOND MEDICINE
Beskrivning

myalgia 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0231528
J. Did you have: Slow heart rate, bradycardia FIRST MEDICINE
Beskrivning

bradycardia

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0428977
J. Did you have: Slow heart rate, bradycardia SECOND MEDICINE
Beskrivning

bradycardia 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0428977
J. Did you have: Anxiety, irritability FIRST MEDICINE
Beskrivning

anxiety

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0003467
UMLS CUI [2,1]
C0879626
UMLS CUI [2,2]
C0022107
J. Did you have: Anxiety, irritability SECOND MEDICINE
Beskrivning

anxiety 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0003467
UMLS CUI [2,1]
C0879626
UMLS CUI [2,2]
C0022107
J. Did you have: Palpitations FIRST MEDICINE
Beskrivning

palpitations

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0030252
J. Did you have: Palpitations SECOND MEDICINE
Beskrivning

palpitations 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0030252
J. Did you have: Cough FIRST MEDICINE
Beskrivning

cough

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0010200
J. Did you have: Cough SECOND MEDICINE
Beskrivning

cough 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0010200
J. Did you have: Sexual disorder FIRST MEDICINE
Beskrivning

sexual disorder

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0549622
J. Did you have: Sexual disorder SECOND MEDICINE
Beskrivning

sexual disorder 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0549622
J. Did you have: Swollen feet, edema FIRST MEDICINE
Beskrivning

edema

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0574002
J. Did you have: Swollen feet, edema SECOND MEDICINE
Beskrivning

edema 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0574002
J. Did you have: Ulcer symptoms, stomach pain FIRST MEDICINE
Beskrivning

ulcer symptoms

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0581868
UMLS CUI [2]
C1963242
J. Did you have: Ulcer symptoms, stomach pain SECOND MEDICINE
Beskrivning

ulcer symptoms 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0581868
UMLS CUI [2]
C1963242
J. Did you have: Gout, pain in joints FIRST MEDICINE
Beskrivning

gout

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0018099
UMLS CUI [2]
C1963066
J. Did you have: Gout, pain in joints SECOND MEDICINE
Beskrivning

gout 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0018099
UMLS CUI [2]
C1963066
J. Did you have: Depression FIRST MEDICINE
Beskrivning

depression

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0011581
J. Did you have: Depression SECOND MEDICINE
Beskrivning

depression 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0879626
UMLS CUI [1,2]
C0011581
J. Did you have: Other FIRST MEDICINE
Beskrivning

other adverse event

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0205394
If other, specify:
Beskrivning

other adverse event

Datatyp

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0205394
J. Did you have: Other SECOND MEDICINE
Beskrivning

other adverse event 2

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0205394
If other, specify:
Beskrivning

other adverse event 2

Datatyp

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0205394
Hospitalizatiuon
Beskrivning

Hospitalizatiuon

Reason for admission
Beskrivning

reason for hospitalization

Datatyp

text

Alias
UMLS CUI [1]
C1830395
Hospital name
Beskrivning

hospital name

Datatyp

text

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

hospital city

Datatyp

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
State:
Beskrivning

hospital state

Datatyp

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
Mo/Yr
Beskrivning

date hospitalization

Datatyp

text

Måttenheter
  • mo/yr
Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0019993
mo/yr
Nursing home admission
Beskrivning

Nursing home admission

Reason for admission
Beskrivning

reason for nursing home admission

Datatyp

text

Alias
UMLS CUI [1]
C1830397
Name of place:
Beskrivning

nursing home name

Datatyp

text

Alias
UMLS CUI [1,1]
C0028688
UMLS CUI [1,2]
C0027365
City:
Beskrivning

nursing home city

Datatyp

text

Alias
UMLS CUI [1,1]
C0028688
UMLS CUI [1,2]
C0008848
State:
Beskrivning

nursing home state

Datatyp

text

Alias
UMLS CUI [1,1]
C0028688
UMLS CUI [1,2]
C1301808
Mo/Yr
Beskrivning

date nursing home admission

Datatyp

text

Måttenheter
  • mo/yr
Alias
UMLS CUI [1,1]
C0028688
UMLS CUI [1,2]
C0011008
mo/yr
Date of interview
Beskrivning

Date of interview

Interviewer or Reviewer
Beskrivning

interviewer

Datatyp

text

Alias
UMLS CUI [1]
C1550483
Interview:
Beskrivning

date of interview

Datatyp

date

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

interview mode

Datatyp

text

Alias
UMLS CUI [1,1]
C0021822
UMLS CUI [1,2]
C1547617
Tillbaka till toppen

Similar models

Year 3 Medical History Cardiovascular Health Study (CHS)

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Medical History
Item
1 Would you say, in general, your health is:
integer
C0516984 (UMLS CUI [1])
general health
Code List
1 Would you say, in general, your health is:
CL Item
Excellent (1)
CL Item
Very Good (2)
CL Item
Good  (3)
CL Item
Fair  (4)
CL Item
Poor (5)
Item
2 Would you say your health compares to other persons your age?
integer
C0018759 (UMLS CUI [1,1])
C0027362 (UMLS CUI [1,2])
health compared to age group
Code List
2 Would you say your health compares to other persons your age?
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
3 How does your health compare to six months ago?
integer
C0018759 (UMLS CUI [1,1])
C1707455 (UMLS CUI [1,2])
health compared
Code List
3 How does your health compare to six months ago?
CL Item
Better (1)
CL Item
About the same  (2)
CL Item
Worse (3)
days in bed because of injury
Item
4 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 days in a hospital or nursing home.
integer
C0221423 (UMLS CUI [1,1])
C0004910 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item
A. What illness or injury caused you to stay in bed?
integer
C0221423 (UMLS CUI [1,1])
C0004910 (UMLS CUI [1,2])
illness causing stay in bed
Code List
A. What illness or injury caused you to stay in bed?
CL Item
Heart attack or heart failure  (1)
CL Item
Diabetes  (2)
CL Item
Arthritis  (3)
CL Item
Stroke  (4)
CL Item
Mental illness  (5)
CL Item
Cold or flu  (6)
CL Item
Cancer  (7)
CL Item
Injury  (8)
CL Item
General fatigue or weakness, old age  (9)
CL Item
Lung disease, emphysema or bronchitis  (10)
CL Item
Other (11)
CL Item
Don't know (99)
illness causing stay in bed other
Item
Other, specify:
text
C0221423 (UMLS CUI [1,1])
C0004910 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item
11 Has a doctor told you that you had rheumatic fever or heart valve problems since we saw you last year?
integer
C3536892 (UMLS CUI [1])
rheumatic fever
Code List
11 Has a doctor told you that you had rheumatic fever or heart valve problems since we saw you last year?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
12 Has a doctor told you that you had atrial fibrillation since we saw you last year?
integer
C0004238 (UMLS CUI [1])
rheumatic fever
Code List
12 Has a doctor told you that you had atrial fibrillation since we saw you last year?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
13 Has a doctor told you that you had a deep vein thrombosis or blood clots in your leg since we saw you last year?
integer
C0149871 (UMLS CUI [1])
rheumatic fever
Code List
13 Has a doctor told you that you had a deep vein thrombosis or blood clots in your leg since we saw you last year?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
14 Has a doctor ever told you that you had other heart or circulatory problems since we saw you last year?
integer
C0007222 (UMLS CUI [1])
rheumatic fever
Code List
14 Has a doctor ever told you that you had other heart or circulatory problems since we saw you last year?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
other heart problem
Item
Specify:
text
C0795691 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
16 Within the last 30 days did you STOP taking any medication (other than medications for high blood pressure)?
integer
C0013227 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
rheumatic fever
Code List
16 Within the last 30 days did you STOP taking any medication (other than medications for high blood pressure)?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
name medication 1
Item
16 A1. What was the name of the medicine(s)?
text
C2360065 (UMLS CUI [1])
medication name 2
Item
16 A2.
text
C2360065 (UMLS CUI [1])
start medication
Item
17 Within the last 30 days did you START taking any medication (other than medications for high blood pressure)?
integer
C0451613 (UMLS CUI [1])
medication name 3
Item
17 A1. What was the name of the medicine(s)?
text
C2360065 (UMLS CUI [1])
medication name 4
Item
17 A2.
text
C2360065 (UMLS CUI [1])
Item
18 Has a doctor ever told you that you had diabetes since we saw you last year?
integer
C0011849 (UMLS CUI [1])
rheumatic fever
Code List
18 Has a doctor ever told you that you had diabetes since we saw you last year?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
hospitalization
Item
19 Have you stayed overnight as a patient in a hospital since we spoke to you on the phone about six months ago?
boolean
C0019993 (UMLS CUI [1])
nursing home
Item
20 Have you stayed overnight as a patient in a nursing home or rehabilitation center since we spoke to you on the phone six months ago?
boolean
C0028688 (UMLS CUI [1])
pain in chest
Item
21 Have you had any pain or discomfort in your chest since we saw you last year?
boolean
C0008031 (UMLS CUI [1])
Item
A. Do you feel pain when you walk uphill or hurry?
integer
C0008031 (UMLS CUI [1,1])
C3842654 (UMLS CUI [1,2])
chest pain walking uphill
Code List
A. Do you feel pain when you walk uphill or hurry?
CL Item
yes (1)
CL Item
no (0)
CL Item
never hurry or walk uphill (9)
chest pain walking
Item
B. Do you feel the pain when you walk at an ordinary pace or level?
boolean
C0008031 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
Item
C. What do you do if you feel it while you are walking?
integer
C0008031 (UMLS CUI [1])
chest pain consequence
Code List
C. What do you do if you feel it while you are walking?
CL Item
stop or slow down, or continue at same pace after taking nitroglycerine (1)
CL Item
continue at same pace (2)
Item
D. If you stand still, what happens to the pain?
integer
C0008031 (UMLS CUI [1,1])
C0035253 (UMLS CUI [1,2])
chest pain resting
Code List
D. If you stand still, what happens to the pain?
CL Item
relieved in 10 minutes or less (1)
CL Item
takes longer than 10 minutes to be relieved (2)
CL Item
not relieved (3)
CL Item
don't know (4)
Item
E. Where do you get this pain or discomfort?
text
C0008031 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
chest pain localization
Code List
E. Where do you get this pain or discomfort?
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
chest pain localization other
Item
Other, specify:
text
C0008031 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
chest pain before
Item
F. Did this pain or discomfort ever occur before we saw you last year?
boolean
C0008031 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
chest pain seen by doctor
Item
G. Have you seen a doctor about this pain?
boolean
C0008031 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
severe chest pain
Item
H. Since we saw you last year, have you had a severe pain accross the front of your chest lasting for half an hour or more?
boolean
C0008031 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
severe chest pain seen by doctor
Item
I. Did you see a doctor because of this pain?
boolean
C0008031 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
C0583527 (UMLS CUI [1,3])
Item
J. If you saw a doctor, what did your doctor say it was?
integer
C0011900 (UMLS CUI [1])
diagnosis
Code List
J. If you saw a doctor, what did your doctor say it was?
CL Item
Angina (1)
CL Item
Heart attack (2)
CL Item
Other (3)
other diagnosis
Item
Other:
text
C0011900 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
sleep on pillows
Item
22 Have you had to sleep on 2 or more pillows to help you breathe since we saw you last year?
boolean
C0182291 (UMLS CUI [1,1])
C0443302 (UMLS CUI [1,2])
awakened by trouble breathing
Item
23 Have you been awakened at night by trouble breathing since we saw you last year?
boolean
C3641913 (UMLS CUI [1,1])
C0240526 (UMLS CUI [1,2])
swelling of your feet or ankles
Item
24 Have you had swelling of your feet or ankles since we saw you last year?
boolean
C0574002 (UMLS CUI [1])
C0235439 (UMLS CUI [2])
swelling during the day
Item
A. Did it tend to come on during the day and do down overnight?
boolean
C0574002 (UMLS CUI [1,1])
C0585022 (UMLS CUI [1,2])
C0235439 (UMLS CUI [2,1])
C0585022 (UMLS CUI [2,2])
leg pain walking
Item
25 Have you had pain in either leg on walking since we saw you last year?
boolean
C0023222 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
leg pain standing still
Item
A. Does this pain ever begin when you are standing still or standing?
boolean
C0023222 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
pain in calf
Item
B. Do you feel this pain in your calf or calves?
boolean
C0236040 (UMLS CUI [1])
Item
C. Do you feel it when you walk uphill or hurry?
integer
C0023222 (UMLS CUI [1,1])
C3842654 (UMLS CUI [1,2])
chest pain walking uphill
Code List
C. Do you feel it when you walk uphill or hurry?
CL Item
yes (1)
CL Item
no (0)
CL Item
never hurry or walk uphill (9)
leg pain walking ordinary pace
Item
D. Do you feel it when you walk at an ordinary pace on the level?
boolean
C0023222 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
leg pain disappears walking
Item
E. Does this pain ever disappear while you are walking?
boolean
C0023222 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
C2746065 (UMLS CUI [1,3])
Item
F. What do you do if you get it while you are walking?
integer
C3266814 (UMLS CUI [1,1])
C0023222 (UMLS CUI [1,2])
C0080331 (UMLS CUI [1,3])
action leg pain walking
Code List
F. What do you do if you get it while you are walking?
CL Item
stop or slow down (1)
CL Item
continue at same pace (2)
Item
G. What happens to the pain if you stand still?
integer
C0023222 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
chest pain resting
Code List
G. What happens to the pain if you stand still?
CL Item
relieved in 10 minutes or less (1)
CL Item
takes longer than 10 minutes to be relieved (2)
CL Item
not relieved (3)
CL Item
don't know (4)
pneumonia
Item
26 Did a doctor tell you that you had pneumonia since we saw you last year?
boolean
C0032285 (UMLS CUI [1])
bronchitis
Item
26 Have you had an attack of bronchitis since we saw you last year?
boolean
C0006277 (UMLS CUI [1])
bronchitis confirmed by doctor
Item
A. Was it confirmed by a doctor?
boolean
C0006277 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
chronic bronchitis
Item
28 Did a doctor tell you that you have developed chronic bronchitis since we saw you last year?
boolean
C0008677 (UMLS CUI [1])
emphysema
Item
29 Did a doctor tell you that you have developed emphysema since we saw you last year?
boolean
C0034067 (UMLS CUI [1])
asthma
Item
30 Did a doctor tell you that you have developed asthma since we saw you last year?
boolean
C0004096 (UMLS CUI [1])
usually coughing
Item
31 Since we saw you last year, have you usually had a cough?
boolean
C0010200 (UMLS CUI [1,1])
C3888388 (UMLS CUI [1,2])
cough most of the time
Item
A. Did you cough like this on most of the days for three consecutive months or more during the year?
boolean
C0010200 (UMLS CUI [1,1])
C1948053 (UMLS CUI [1,2])
C3828954 (UMLS CUI [1,3])
chest phlegm
Item
32 Since we saw you last year, have you frequently brought up phlegm or thick mucus from your chest or swallowing phlegm?
boolean
C3173640 (UMLS CUI [1])
phlegm most of the time
Item
A. Did you bring up phlegm like this on most days for 3 consecutive months or more during the year?
boolean
C3173640 (UMLS CUI [1,1])
C1948053 (UMLS CUI [1,2])
C3828954 (UMLS CUI [1,3])
wheezy chest when cold
Item
33 A. Since we saw you last year, did your chest sound wheezy or whistling when you had a cold?
boolean
C3169461 (UMLS CUI [1])
occasionally wheezy chest
Item
33 B. Since we saw you last year, did your chest sound wheezy or whistling occasionally apart from colds?
boolean
C3169463 (UMLS CUI [1])
wheezy chest most days or nights
Item
33 C. Since we saw you last year, did your chest sound wheezy or whistling most days or nights?
text
C3169465 (UMLS CUI [1])
treatment for wheezy chest
Item
33 D. Since we saw you last year, did you require medicine or treatment because of your chest sounded wheezy or whistling?
boolean
C0425483 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
shortness of breath in hurry
Item
34 Since we saw you last year, have you been troubled by shortness of breath when hurrying on the level or walking up a slight hill?
boolean
C3173658 (UMLS CUI [1])
breathlessness walk slower
Item
A. Have you had to walk slower than people of your age on the level because of breathlessness since we saw you last year?
boolean
C3173660 (UMLS CUI [1])
stop for breath
Item
B. Have you had to stop for breath when walking at your own pace on the level since we saw you last year?
boolean
C3173662 (UMLS CUI [1])
stop for breath after walking
Item
C. Have you had to stop for breath after walking about 100 yards (or after a few minutes) on the level since we saw you last year?
boolean
C3173664 (UMLS CUI [1])
too breathless to leave the house
Item
D. Have you been too breathless to leave the house, or have you become breathless when dressing or undressing since we saw you last year?
boolean
C3173666 (UMLS CUI [1])
Item
35 Have you been told by a doctor that you currently have any of the following? A. Arthristis of hands or arms
integer
C0409208 (UMLS CUI [1])
rheumatic fever
Code List
35 Have you been told by a doctor that you currently have any of the following? A. Arthristis of hands or arms
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. Arthritis of shoulder
integer
C1298682 (UMLS CUI [1])
rheumatic fever
Code List
B. Arthritis of shoulder
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
C. Arthritis of hips or knees
integer
C0263776 (UMLS CUI [1])
C0240111 (UMLS CUI [2])
rheumatic fever
Code List
C. Arthritis of hips or knees
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
D. Hearing loss
integer
C3887873 (UMLS CUI [1])
rheumatic fever
Code List
D. Hearing loss
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
E. Cataracts
integer
C0086543 (UMLS CUI [1])
rheumatic fever
Code List
E. Cataracts
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
F. Glaucoma
integer
C0017601 (UMLS CUI [1])
rheumatic fever
Code List
F. Glaucoma
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
G. Diseases of the retina
integer
C0035309 (UMLS CUI [1])
rheumatic fever
Code List
G. Diseases of the retina
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
H. Osteoporosis
integer
C0029456 (UMLS CUI [1])
rheumatic fever
Code List
H. Osteoporosis
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
I. Parkinson's Disease
integer
C0030567 (UMLS CUI [1])
rheumatic fever
Code List
I. Parkinson's Disease
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
J. Dementia or Alzheimer's Disease
integer
C0497327 (UMLS CUI [1])
C0002395 (UMLS CUI [2])
rheumatic fever
Code List
J. Dementia or Alzheimer's Disease
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
K. Other neurologic disease
integer
C0027765 (UMLS CUI [1])
rheumatic fever
Code List
K. Other neurologic disease
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
neurologic disease other
Item
If other, specify:
text
C0027765 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
L. Depression
integer
C0011581 (UMLS CUI [1])
rheumatic fever
Code List
L. Depression
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
M. Liver disease, cirrhosis or hepatitis
integer
C0023895 (UMLS CUI [1])
C0023890 (UMLS CUI [2])
C0019158 (UMLS CUI [3])
rheumatic fever
Code List
M. Liver disease, cirrhosis or hepatitis
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
N. Kidney (renal) disease or failure
integer
C0022658 (UMLS CUI [1])
C0035078 (UMLS CUI [2])
rheumatic fever
Code List
N. Kidney (renal) disease or failure
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
36 Have you been told by a doctor that you currently have cancer?
integer
C0006826 (UMLS CUI [1])
rheumatic fever
Code List
36 Have you been told by a doctor that you currently have cancer?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. Breast cancer
integer
C0678222 (UMLS CUI [1])
rheumatic fever
Code List
A. Breast cancer
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. Blood cancer, leukemia or lymphoma
integer
C0023418 (UMLS CUI [1])
C0024299 (UMLS CUI [2])
rheumatic fever
Code List
B. Blood cancer, leukemia or lymphoma
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
C. Colon (bowel) or rectum cancer
integer
C0699790 (UMLS CUI [1])
rheumatic fever
Code List
C. Colon (bowel) or rectum cancer
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
D. Lung cancer
integer
C0242379 (UMLS CUI [1])
rheumatic fever
Code List
D. Lung cancer
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
E. Malignant melanoma
integer
C0025202 (UMLS CUI [1])
rheumatic fever
Code List
E. Malignant melanoma
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
F. Other skin cancer
integer
C0007114 (UMLS CUI [1])
rheumatic fever
Code List
F. Other skin cancer
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
G. Prostate cancer
integer
C0600139 (UMLS CUI [1])
rheumatic fever
Code List
G. Prostate cancer
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
H. Other cancer
integer
C1707251 (UMLS CUI [1])
rheumatic fever
Code List
H. Other cancer
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
other cancer specify
Item
If other, specify:
text
C1707251 (UMLS CUI [1])
Item
37 In the last year, have you been treated by a doctor for any of the following: A. Broken hip (fracture)
integer
C0019557 (UMLS CUI [1])
rheumatic fever
Code List
37 In the last year, have you been treated by a doctor for any of the following: A. Broken hip (fracture)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. Broken lower leg (fracture)
integer
C1542178 (UMLS CUI [1])
rheumatic fever
Code List
B. Broken lower leg (fracture)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
C. Broken arm, wrist or shoulder (fracture)
integer
C0178316 (UMLS CUI [1])
C0435630 (UMLS CUI [2])
C0037006 (UMLS CUI [3])
rheumatic fever
Code List
C. Broken arm, wrist or shoulder (fracture)
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
D. Spine (vertebral) compression fracture
integer
C0262431 (UMLS CUI [1])
rheumatic fever
Code List
D. Spine (vertebral) compression fracture
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
E. Other injury
integer
other injury
Code List
E. Other injury
CL Item
no (0)
CL Item
yes (1)
CL Item
don´t know (9)
other injury specify
Item
Specify
text
Item
F. Did you have arthritis that was treated with medication?
integer
C0003864 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
rheumatic fever
Code List
F. Did you have arthritis that was treated with medication?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
G. Did you have arthritis sugery on one or both knees?
integer
C0543467 (UMLS CUI [1,1])
C0240111 (UMLS CUI [1,2])
rheumatic fever
Code List
G. Did you have arthritis sugery on one or both knees?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
H. Did you have arthritis sugery on your hip?
integer
C0543467 (UMLS CUI [1,1])
C0263776 (UMLS CUI [1,2])
rheumatic fever
Code List
H. Did you have arthritis sugery on your hip?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
I. Did you have arthritis surgery on another part of your body?
integer
C0543467 (UMLS CUI [1,1])
C0003864 (UMLS CUI [1,2])
rheumatic fever
Code List
I. Did you have arthritis surgery on another part of your body?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
other arthritis surgery
Item
If other, specify:
text
C0543467 (UMLS CUI [1,1])
C0003864 (UMLS CUI [1,2])
Item
38 In the last year, have you had pain in any bones or joints for at least half the days of a month? A. Hands
integer
C0151825 (UMLS CUI [1,1])
C0018563 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0018563 (UMLS CUI [2,2])
rheumatic fever
Code List
38 In the last year, have you had pain in any bones or joints for at least half the days of a month? A. Hands
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
B. Feet
integer
C0151825 (UMLS CUI [1,1])
C0016504 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0016504 (UMLS CUI [2,2])
rheumatic fever
Code List
B. Feet
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
C. Knees
integer
C0151825 (UMLS CUI [1,1])
C0022742 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0022742 (UMLS CUI [2,2])
rheumatic fever
Code List
C. Knees
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
D. Hips
integer
C0151825 (UMLS CUI [1,1])
C0019552 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0019552 (UMLS CUI [2,2])
rheumatic fever
Code List
D. Hips
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
E. Neck
integer
C0151825 (UMLS CUI [1,1])
C0027530 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0027530 (UMLS CUI [2,2])
rheumatic fever
Code List
E. Neck
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
F. Back
integer
C0151825 (UMLS CUI [1,1])
C0004600 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0004600 (UMLS CUI [2,2])
rheumatic fever
Code List
F. Back
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
G. Shoulders
integer
C0151825 (UMLS CUI [1,1])
C0037004 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0037004 (UMLS CUI [2,2])
rheumatic fever
Code List
G. Shoulders
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
H. Other
integer
C0151825 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
rheumatic fever
Code List
H. Other
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
other pain specify
Item
H. Other, specify:
text
C0151825 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0003862 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
Item
39 In the last year, have you accidentally lost control of your urine (wet yourself) more than one time in a month?
integer
C0042024 (UMLS CUI [1])
rheumatic fever
Code List
39 In the last year, have you accidentally lost control of your urine (wet yourself) more than one time in a month?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
40 In the last year, have you had a fall?
integer
C0085639 (UMLS CUI [1])
rheumatic fever
Code List
40 In the last year, have you had a fall?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
times fallen
Item
A. How many times have you fallen in the last year?
integer
C0085639 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Item
41 Since we saw you last year, have you requested advice from your doctor regarding your blood cholesterol level?
integer
C0150600 (UMLS CUI [1,1])
C0518017 (UMLS CUI [1,2])
rheumatic fever
Code List
41 Since we saw you last year, have you requested advice from your doctor regarding your blood cholesterol level?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. Why did you seek advice?
text
C0150600 (UMLS CUI [1,1])
C0518017 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
reason advice cholesterol
Code List
A. Why did you seek advice?
CL Item
Recommendation from first visit to CHS (Recommendation from first visit to CHS)
CL Item
Recommendation from other health screening program (Recommendation from other health screening program)
CL Item
Recommendation of family, friends (Recommendation of family, friends)
CL Item
General concern about health (General concern about health)
CL Item
Other (Other)
other reason for advice
Item
Other, specify:
text
C0150600 (UMLS CUI [1,1])
C0518017 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
Item
42 Since we saw you last year, have you had your blood cholesterol measured?
integer
C0518017 (UMLS CUI [1,1])
C0444706 (UMLS CUI [1,2])
rheumatic fever
Code List
42 Since we saw you last year, have you had your blood cholesterol measured?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
A. Where did you have it measured?
text
C0018704 (UMLS CUI [1,1])
C0444706 (UMLS CUI [1,2])
C0518017 (UMLS CUI [1,3])
where measured
Code List
A. Where did you have it measured?
CL Item
Doctor's office or hospital, at the request of your doctor (Doctor's office or hospital, at the request of your doctor)
CL Item
Health fair or other health screening program not related to your doctor (Health fair or other health screening program not related to your doctor)
CL Item
Other (Other)
CL Item
Don't know (Don't know)
Item
B. Why did you have it measured?
text
C0518017 (UMLS CUI [1,1])
C0444706 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
reason measured
Code List
B. Why did you have it measured?
CL Item
Recommended by your doctor (Recommended by your doctor)
CL Item
Requested by you or a family member (Requested by you or a family member)
CL Item
Other (Other)
other reason measured
Item
Other, specify:
text
C0518017 (UMLS CUI [1,1])
C0444706 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
Item Group
Medical History: Myocardical Infarction
Item
5 Has a doctor ever told you that you had a myocardial infarction or heart attack?
integer
C0027051 (UMLS CUI [1])
rheumatic fever
Code List
5 Has a doctor ever told you that you had a myocardial infarction or heart attack?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
name doctor
Item
A. What was the doctor's name and address? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and address? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and address? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and address? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
hospital name
Item
Hospital name:
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
City:
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
State:
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis
Item
Date of event or diagnosis
date
C0027051 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Medical History: Congestive heart failure
Item
6 Has a doctor ever told you that you had a new incident of heart failure or congestive heart failure since we spoke with you on the phone about six month ago?
integer
C0018801 (UMLS CUI [1])
C0018802 (UMLS CUI [2])
rheumatic fever
Code List
6 Has a doctor ever told you that you had a new incident of heart failure or congestive heart failure since we spoke with you on the phone about six month ago?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
name doctor
Item
A. What was the doctor's name and address? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and address? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and address? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and address? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis congestive heart failure
Item
B. Date of event or diagnosis:
date
C0018802 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Medical History: Intermittent claudication
Item
7 Has a doctor ever told you that you had a new incident of intermittent claudication or pain in your legs from a blockage of the arteries since we spoke with you on the phone about six month ago?
integer
C0021775 (UMLS CUI [1])
rheumatic fever
Code List
7 Has a doctor ever told you that you had a new incident of intermittent claudication or pain in your legs from a blockage of the arteries since we spoke with you on the phone about six month ago?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
name doctor
Item
A. What was the doctor's name and address? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and address? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and address? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and address? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis intermittent claudication
Item
B. Date of event or diagnosis:
date
C0021775 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Medical History: Angina
Item
8 Has a doctor ever told you that you had a new incident of angina pectoris or chest pain due to heart disease since we spoke with you on the phone about six month ago?
integer
C0002962 (UMLS CUI [1])
rheumatic fever
Code List
8 Has a doctor ever told you that you had a new incident of angina pectoris or chest pain due to heart disease since we spoke with you on the phone about six month ago?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
name doctor
Item
A. What was the doctor's name and address? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and address? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and address? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and address? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis angina
Item
B. Date of event or diagnosis:
date
C0002962 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Medical History: Cerebrovascular accident
Item
9 Has a doctor ever told you that you had a new stroke or cerebrovascular accident since we spoke with you on the phone about six month ago?
integer
C0038454 (UMLS CUI [1])
rheumatic fever
Code List
9 Has a doctor ever told you that you had a new stroke or cerebrovascular accident since we spoke with you on the phone about six month ago?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
name doctor
Item
A. What was the doctor's name and address? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and address? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and address? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and address? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis cerebrovascular accident
Item
B. Date of event or diagnosis:
date
C0038454 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Medical History: Transient ischemic attack
Item
10 Has a doctor ever told you that you had a new transient ischemic attack or TIA or silent stroke since we spoke with you on the phone about six month ago?
integer
C0007787 (UMLS CUI [1])
rheumatic fever
Code List
10 Has a doctor ever told you that you had a new transient ischemic attack or TIA or silent stroke since we spoke with you on the phone about six month ago?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
name doctor
Item
A. What was the doctor's name and address? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and address? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and address? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and address? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis TIA
Item
B. Date of event or diagnosis:
date
C0007787 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Medical History: Hypertension
Item
15 Has a doctor ever told you that you had high blood pressure?
integer
C0020538 (UMLS CUI [1])
rheumatic fever
Code List
15 Has a doctor ever told you that you had high blood pressure?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
high blood pressure age
Item
A. How old were you when you were first told that you had high blood pressure?
integer
C0020538 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
C4071762 (UMLS CUI [1,3])
Item
B. Have you ever been treated with medicines for high blood pressure?
integer
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
rheumatic fever
Code List
B. Have you ever been treated with medicines for high blood pressure?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
C. Were you treated with medicines for high blood pressure since we saw you last year?
integer
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
rheumatic fever
Code List
C. Were you treated with medicines for high blood pressure since we saw you last year?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
Item
D. Are you currently taking medicines for high blood pressure?
integer
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
C0521116 (UMLS CUI [1,3])
rheumatic fever
Code List
D. Are you currently taking medicines for high blood pressure?
CL Item
yes (1)
CL Item
no (0)
CL Item
don't know (9)
medication high blood pressure duration
Item
E. Since you were first told you have high blood pressure, about how many years have you taken medicines for high blood pressure?
integer
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
medication high blood pressure months
Item
Since you were first told you have high blood pressure, about how many years have you taken medicines for high blood pressure?
integer
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
Item
F. Within the last year, did you STOP taking any of your medicines for high blood pressure?
integer
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
C2746065 (UMLS CUI [1,3])
stop medication high blood pressure
Code List
F. Within the last year, did you STOP taking any of your medicines for high blood pressure?
CL Item
yes, permanently  (1)
CL Item
yes, temporarily  (2)
CL Item
no  (0)
CL Item
don't know (9)
Item
G. Why did you stop taking your high blood pressure medicine(s)?
integer
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
C2746065 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
medication stop high blood pressure reason
Code List
G. Why did you stop taking your high blood pressure medicine(s)?
CL Item
Because of side effect(s) or bad reaction(s)  (1)
CL Item
The medicine wasn't working  (2)
CL Item
Because of lab abnormalities  (3)
CL Item
Doctor told me to stop  (4)
CL Item
Other (5)
medication stop high blood pressure reason other
Item
Other, specify:
text
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
C2746065 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
C0205394 (UMLS CUI [1,5])
name of medication high blood pressure
Item
H. What was the name of the medicine(s)? FIRST MEDICINE
text
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
name of medication high blood pressure 2
Item
H. What was the name of the medicine(s)? SECOND MEDICINE
text
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
stop medicine time
Item
I. Did you stop the medicine(s) within the last 30 days? FIRST MEDICINE
boolean
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
C2746065 (UMLS CUI [1,3])
C3845590 (UMLS CUI [1,4])
stop medicine time 2
Item
I. Did you stop the medicine(s) within the last 30 days? SECOND MEDICINE
boolean
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
C2746065 (UMLS CUI [1,3])
C3845590 (UMLS CUI [1,4])
fatigue
Item
J. Did you have: Fatigue, Lethargy FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0015672 (UMLS CUI [1,2])
C0879626 (UMLS CUI [2,1])
C0023380 (UMLS CUI [2,2])
fatigue 2
Item
J. Did you have: Fatigue, Lethargy SECOND MEDICINE
boolean
C0015672 (UMLS CUI [1])
C0023380 (UMLS CUI [2])
nightmares or sleep disorder
Item
J. Did you have: Nightmares or sleep disorder FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0851578 (UMLS CUI [1,2])
nightmares or sleep disorder 2
Item
J. Did you have: Nightmares or sleep disorder SECOND MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0851578 (UMLS CUI [1,2])
headache
Item
J. Did you have: Headache FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0018681 (UMLS CUI [1,2])
headache 2
Item
J. Did you have: Headache SECOND MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0018681 (UMLS CUI [1,2])
dry mouth
Item
J. Did you have: Dry mouth FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0043352 (UMLS CUI [1,2])
dry mouth 2
Item
J. Did you have: Dry mouth SECOND MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0043352 (UMLS CUI [1,2])
nausea
Item
J. Did you have: Nausea FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0027497 (UMLS CUI [1,2])
nausea 2
Item
J. Did you have: Nausea SECOND MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0027497 (UMLS CUI [1,2])
myalgia
Item
J. Did you have: Muscle cramps. Myalgia FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0231528 (UMLS CUI [1,2])
myalgia 2
Item
J. Did you have: Muscle cramps. Myalgia SECOND MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0231528 (UMLS CUI [1,2])
bradycardia
Item
J. Did you have: Slow heart rate, bradycardia FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0428977 (UMLS CUI [1,2])
bradycardia 2
Item
J. Did you have: Slow heart rate, bradycardia SECOND MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0428977 (UMLS CUI [1,2])
anxiety
Item
J. Did you have: Anxiety, irritability FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0003467 (UMLS CUI [1,2])
C0879626 (UMLS CUI [2,1])
C0022107 (UMLS CUI [2,2])
anxiety 2
Item
J. Did you have: Anxiety, irritability SECOND MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0003467 (UMLS CUI [1,2])
C0879626 (UMLS CUI [2,1])
C0022107 (UMLS CUI [2,2])
palpitations
Item
J. Did you have: Palpitations FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0030252 (UMLS CUI [1,2])
palpitations 2
Item
J. Did you have: Palpitations SECOND MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0030252 (UMLS CUI [1,2])
cough
Item
J. Did you have: Cough FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0010200 (UMLS CUI [1,2])
cough 2
Item
J. Did you have: Cough SECOND MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0010200 (UMLS CUI [1,2])
sexual disorder
Item
J. Did you have: Sexual disorder FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0549622 (UMLS CUI [1,2])
sexual disorder 2
Item
J. Did you have: Sexual disorder SECOND MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0549622 (UMLS CUI [1,2])
edema
Item
J. Did you have: Swollen feet, edema FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0574002 (UMLS CUI [1,2])
edema 2
Item
J. Did you have: Swollen feet, edema SECOND MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0574002 (UMLS CUI [1,2])
ulcer symptoms
Item
J. Did you have: Ulcer symptoms, stomach pain FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0581868 (UMLS CUI [1,2])
C1963242 (UMLS CUI [2])
ulcer symptoms 2
Item
J. Did you have: Ulcer symptoms, stomach pain SECOND MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0581868 (UMLS CUI [1,2])
C1963242 (UMLS CUI [2])
gout
Item
J. Did you have: Gout, pain in joints FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0018099 (UMLS CUI [1,2])
C1963066 (UMLS CUI [2])
gout 2
Item
J. Did you have: Gout, pain in joints SECOND MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0018099 (UMLS CUI [1,2])
C1963066 (UMLS CUI [2])
depression
Item
J. Did you have: Depression FIRST MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0011581 (UMLS CUI [1,2])
depression 2
Item
J. Did you have: Depression SECOND MEDICINE
boolean
C0879626 (UMLS CUI [1,1])
C0011581 (UMLS CUI [1,2])
other adverse event
Item
J. Did you have: Other FIRST MEDICINE
boolean
C0877248 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
other adverse event
Item
If other, specify:
text
C0877248 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
other adverse event 2
Item
J. Did you have: Other SECOND MEDICINE
boolean
C0877248 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
other adverse event 2
Item
If other, specify:
text
C0877248 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Hospitalizatiuon
reason for hospitalization
Item
Reason for admission
text
C1830395 (UMLS CUI [1])
hospital name
Item
Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
City:
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
State:
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date hospitalization
Item
Mo/Yr
text
C0011008 (UMLS CUI [1,1])
C0019993 (UMLS CUI [1,2])
Item Group
Nursing home admission
reason for nursing home admission
Item
Reason for admission
text
C1830397 (UMLS CUI [1])
nursing home name
Item
Name of place:
text
C0028688 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
nursing home city
Item
City:
text
C0028688 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
nursing home state
Item
State:
text
C0028688 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date nursing home admission
Item
Mo/Yr
text
C0028688 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Date of interview
interviewer
Item
Interviewer or Reviewer
text
C1550483 (UMLS CUI [1])
date of interview
Item
Interview:
date
C0011008 (UMLS CUI [1])
Item
For CHS field center use only:
text
C0021822 (UMLS CUI [1,1])
C1547617 (UMLS CUI [1,2])
interview mode
Code List
For CHS field center use only:
CL Item
self-administered (self-administered)
CL Item
interviewer-administered (interviewer-administered)
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