days in bed because of injury
Item
1 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])
Code List
A. What illness or injury caused you to stay in bed?
CL Item
Heart attack or heart failure (1)
CL Item
Mental illness (5)
CL Item
General fatigue or weakness, old age (9)
CL Item
Lung disease, emphysema or bronchitis (10)
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])
hospitalization
Item
8 Have you stayed overnight as a patient in a hospital for any other reason (not reported in Questions 2-7) since we spoke to you on the phone about six month ago?
boolean
C0019993 (UMLS CUI [1])
nursing home
Item
9 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])
Item
10 Has a doctor told you that you have high pressure since we saw you last year?
integer
C0020538 (UMLS CUI [1])
Code List
10 Has a doctor told you that you have high pressure since we saw you last year?
Item
11 Has a doctor ever told you that you had diabetes since we saw you last year?
integer
C0011849 (UMLS CUI [1])
Code List
11 Has a doctor ever told you that you had diabetes since we saw you last year?
pain in chest
Item
12 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])
Code List
A. Do you feel pain when you walk uphill or hurry?
CL Item
stop or slow down, or continue at same pace after taking nitroglycerine (1)
CL Item
continue at same pace (2)
chest pain walking
Item
B. Do you feel the pain when you walk at an ordinary pace or level?
boolean
C0008031 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
Item
C. What do you do if you feel it while you are walking?
integer
C0008031 (UMLS CUI [1])
Code List
C. What do you do if you feel it while you are walking?
CL Item
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])
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)
Item
E. Where do you get this pain or discomfort?
text
C0008031 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
Code List
E. Where do you get this pain or discomfort?
chest pain localization other
Item
Other, specify:
text
C0008031 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
chest pain past two weeks
Item
F. Have you had this pain in the past two weeks?
boolean
C0008031 (UMLS CUI [1])
chest pain past two weeks frequency
Item
If yes, how many times in the past two weeks have you had this pain?
integer
C0008031 (UMLS CUI [1])
chest pain past two weeks frequency increase
Item
G. Has there been an increase in the frequency or severity in the past two weeks?
boolean
C0008031 (UMLS CUI [1,1])
C0332185 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
chest pain seen by doctor
Item
H. Have you seen a doctor about this pain?
boolean
C0008031 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
severe chest pain
Item
I. Have you had a severe pain accross the front of your chest lasting for half an hour or more?
boolean
C0008031 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
severe chest pain seen by doctor
Item
J. Did you see a doctor because of this pain?
boolean
C0008031 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
C0583527 (UMLS CUI [1,3])
diagnosis
Item
K. If you saw a doctor, what did your doctor say it was?
boolean
C0011900 (UMLS CUI [1])
other diagnosis
Item
Other:
text
C0011900 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
sleep on pillows
Item
13 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
14 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
15 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
16 Do you get pain in either leg while walking?
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])
Code List
C. Do you feel it when you walk uphill or hurry?
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])
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])
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)
Item
H. How far can you walk before getting this pain?
text
C0429886 (UMLS CUI [1])
Code List
H. How far can you walk before getting this pain?
CL Item
Less than one block (Less than one block)
number of blocks
Item
if more than one block
integer
C0429886 (UMLS CUI [1])
Item
17 Do you get short of breath... A. While resting in a chair?
integer
C0013404 (UMLS CUI [1,1])
C0035253 (UMLS CUI [1,2])
C0179847 (UMLS CUI [1,3])
Code List
17 Do you get short of breath... A. While resting in a chair?
Item
B. When walking on level ground?
integer
C0013404 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
Code List
B. When walking on level ground?
Item
C. When walking quickly or uphill?
integer
C0013404 (UMLS CUI [1,1])
C3842654 (UMLS CUI [1,2])
Code List
C. When walking quickly or uphill?
Item
D. With light physical activity, such as walking down a flight of stairs, dressing or showering without stopping, cleaning windows, stripping and making the bed, mopping floors, hanging washed clothes, pushing a power lawn mower, bowling, or playing golf (walk and carry clubs)
integer
C0013404 (UMLS CUI [1,1])
C1517883 (UMLS CUI [1,2])
Code List
D. With light physical activity, such as walking down a flight of stairs, dressing or showering without stopping, cleaning windows, stripping and making the bed, mopping floors, hanging washed clothes, pushing a power lawn mower, bowling, or playing golf (walk and carry clubs)
Item
E. With moderate physical activity, such as carrying anything up a flight of stairs without stopping, dancing a foxtrot, gardening, raking, weeding, having sexual intercourse, or walking 4 miles an hour over level ground?
integer
C0013404 (UMLS CUI [1,1])
C0026606 (UMLS CUI [1,2])
C0205081 (UMLS CUI [1,3])
Code List
E. With moderate physical activity, such as carrying anything up a flight of stairs without stopping, dancing a foxtrot, gardening, raking, weeding, having sexual intercourse, or walking 4 miles an hour over level ground?
Item
F. With strenuous physical activity, such as doing outdoor work (shoveling snow, spading soil), playing squash or handball, jogging or walking 5 miles an hour, or carrying objects that weigh at least 80 pounds?
integer
C0013404 (UMLS CUI [1,1])
C1514989 (UMLS CUI [1,2])
Code List
F. With strenuous physical activity, such as doing outdoor work (shoveling snow, spading soil), playing squash or handball, jogging or walking 5 miles an hour, or carrying objects that weigh at least 80 pounds?
shortness of breath walking uphill
Item
18 Are you troubled by shortness of breath when hurrying on the level or walking up a slight hill?
boolean
C3173658 (UMLS CUI [1])
walk slower because of breathlessness
Item
A. Do you have to walk slower than people of your age on the level because of breathlessness?
boolean
C3173659 (UMLS CUI [1])
stop for breath
Item
B. Do you ever have to stop for breath when walking at your own pace on the level?
boolean
C3173662 (UMLS CUI [1])
stop for breath
Item
C. Do you ever have to stop for breath after walking about 100 yards (or after a few minutes) on the level?
boolean
C3173664 (UMLS CUI [1])
too breathless
Item
D. Are you too breathless to leave the house, or do you become breathless when dressing or undressing?
boolean
C3173666 (UMLS CUI [1])
Item
2 Has a doctor ever told you that you had a myocardial infarction or heart attack?
integer
C0027051 (UMLS CUI [1])
Code List
2 Has a doctor ever told you that you had a myocardial infarction or heart attack?
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and city? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and city? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and city? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis myocardial infarction
Item
B. Date of event or diagnosis:
date
C0027051 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
see doctor myocardial infarction
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
text
C0027051 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0027051 (UMLS CUI [1,2])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
never hurry or walk uphill (9)
hospitalization myocardial infarction
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0027051 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
date of hospitalization
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
date
C0011008 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
days altogether hospitalized
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0027051 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item
3 Has a doctor ever told you that you had a new incident of angina pectoris or chest pain due to heart disease since we spoke with you on the phone about six month ago?
integer
C0002962 (UMLS CUI [1])
Code List
3 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?
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and city? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and city? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and city? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis angina
Item
B. Date of event or diagnosis:
date
C0002962 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
see doctor angina
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
text
C0002962 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0002962 (UMLS CUI [1,2])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
hospitalization angina
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0002962 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
date of hospitalization
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
date
C0011008 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
days altogether hospitalized angina
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0002962 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item
4 Has a doctor ever told you that you had a new incident of heart failure or congestive heart failure since we spoke with you on the phone about six month ago?
integer
C0018801 (UMLS CUI [1])
C0018802 (UMLS CUI [2])
Code List
4 Has a doctor ever told you that you had a new incident of heart failure or congestive heart failure since we spoke with you on the phone about six month ago?
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and city? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and city? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and city? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis congestive heart failure
Item
B. Date of event or diagnosis:
date
C0018802 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
see doctor congestive heart failure
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
text
C0018802 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0018802 (UMLS CUI [1,2])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
hospitalization congestive heart failure
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0018802 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
date of hospitalization
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
date
C0011008 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
days altogether hospitalized congestive heart failure
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0018802 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item
5 Has a doctor ever told you that you had a new incident of intermittent claudication or pain in your legs from a blockage of the arteries since we spoke with you on the phone about six month ago?
integer
C0021775 (UMLS CUI [1])
Code List
5 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?
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and city? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and city? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and city? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis intermittent claudication
Item
B. Date of event or diagnosis:
date
C0021775 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
see doctor intermittent claudication
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
text
C0021775 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0021775 (UMLS CUI [1,2])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
hospitalization intermittent claudication
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0021775 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
date of hospitalization
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
date
C0011008 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
days altogether hospitalized intermittent claudication
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0021775 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item
6 Has a doctor ever told you that you had a new stroke or cerebrovascular accident since we spoke with you on the phone about six month ago?
integer
C0038454 (UMLS CUI [1])
Code List
6 Has a doctor ever told you that you had a new stroke or cerebrovascular accident since we spoke with you on the phone about six month ago?
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and city? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and city? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and city? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis cerebrovascular accident
Item
B. Date of event or diagnosis:
date
C0038454 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
see doctor cerebrovascular accident
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
text
C0038454 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
hospitalization cerebrovascular accident
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
date of hospitalization
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
date
C0011008 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
days altogether hospitalized cerebrovascular accident
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item
7 Has a doctor ever told you that you had a new transient ischemic attack or TIA or silent stroke since we spoke with you on the phone about six month ago?
integer
C0007787 (UMLS CUI [1])
Code List
7 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?
name doctor
Item
A. What was the doctor's name and city? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and city? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and city? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and city? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
date of diagnosis TIA
Item
B. Date of event or diagnosis:
date
C0007787 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
see doctor TIA
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
text
C0007787 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0007787 (UMLS CUI [1,2])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
hospitalization TIA
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0007787 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
date of hospitalization
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Date of Hospitalization:
date
C0011008 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
days altogether hospitalized TIA
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0007787 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
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
Month/Day/Year
date
C0011008 (UMLS CUI [1,1])
C0019993 (UMLS CUI [1,2])
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
Month/Day/Year
date
C0028688 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
1 Have you smoked cigarettes during the last 30 days?
integer
C0543414 (UMLS CUI [1])
Code List
1 Have you smoked cigarettes during the last 30 days?
number of cigarettes
Item
A. On average, how many cigarettes do you usually smoke per day?
integer
C3694146 (UMLS CUI [1])
Item
2 If you previously smoked cigarettes, have you stopped smoking during the last year?
integer
C0425310 (UMLS CUI [1])
Code List
2 If you previously smoked cigarettes, have you stopped smoking during the last year?
Item
3 Does anyone living with you smoke cigarettes regularly?
integer
C0543414 (UMLS CUI [1,1])
C3844040 (UMLS CUI [1,2])
Code List
3 Does anyone living with you smoke cigarettes regularly?
Item
4. Have you ever lived for at least one year in the same household with someone (including a parent or spouse) who smoked cigarettes regularly?
integer
C0543414 (UMLS CUI [1,1])
C3844040 (UMLS CUI [1,2])
C4082117 (UMLS CUI [1,3])
Code List
4. Have you ever lived for at least one year in the same household with someone (including a parent or spouse) who smoked cigarettes regularly?
years household member regular smoker
Item
A. For how many years in total have you lived with someone (including a parent or spouse) who smoked cigarettes regularly?
integer
C0543414 (UMLS CUI [1,1])
C3844040 (UMLS CUI [1,2])
C0439234 (UMLS CUI [1,3])
Item
B. During what time periods in your life where you living with a regular smoker? As a child/teenager
integer
C0543414 (UMLS CUI [1,1])
C3844040 (UMLS CUI [1,2])
C0205653 (UMLS CUI [1,3])
Code List
B. During what time periods in your life where you living with a regular smoker? As a child/teenager
Item
B. During what time periods in your life where you living with a regular smoker? Between the ages of 20 to 50
integer
C0543414 (UMLS CUI [1,1])
C3844040 (UMLS CUI [1,2])
C1837499 (UMLS CUI [1,3])
Code List
B. During what time periods in your life where you living with a regular smoker? Between the ages of 20 to 50
Item
B. During what time periods in your life where you living with a regular smoker? After age 50
integer
C0543414 (UMLS CUI [1,1])
C3844040 (UMLS CUI [1,2])
C4060704 (UMLS CUI [1,3])
Code List
B. During what time periods in your life where you living with a regular smoker? After age 50
Item
5 Do you ever use snuff or smokeless tobacco?
integer
C0040338 (UMLS CUI [1])
Code List
5 Do you ever use snuff or smokeless tobacco?
Item
6 Do you ever drink beer?
integer
C0559430 (UMLS CUI [1])
Code List
6 Do you ever drink beer?
Item
A. About how often do you drink beer?
integer
C0559430 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Code List
A. About how often do you drink beer?
beer amount
Item
B. How many 12 ounce cans or bottles of beer do you usually drink on one occasion?
float
C0559430 (UMLS CUI [1,1])
C0179376 (UMLS CUI [1,2])
Item
7 Do you ever drink wine?
integer
C0043188 (UMLS CUI [1])
Code List
7 Do you ever drink wine?
Item
A. About how often do you drink wine?
integer
C0043188 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Code List
A. About how often do you drink wine?
wine amount
Item
B. How many drinks, equal to one shot of liquor, do you usually drink on one occasion?
float
C0043188 (UMLS CUI [1,1])
C0681585 (UMLS CUI [1,2])
Item
8 Do you ever drink liquor?
integer
C0301611 (UMLS CUI [1])
Code List
8 Do you ever drink liquor?
Item
A. About how often do you drink liquor?
integer
C0301611 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Code List
A. About how often do you drink liquor?
drink liquor amount
Item
B. How many drinks, equal to one shot of liquor, do you usually drink on one occasion?
float
C0301611 (UMLS CUI [1,1])
C0681585 (UMLS CUI [1,2])
Item
9 During the past two weeks, have you taken a multiple vitamin or other vitamin supplements?
integer
C2054184 (UMLS CUI [1])
Code List
9 During the past two weeks, have you taken a multiple vitamin or other vitamin supplements?
Item
10. Did you take a multiple vitamin?
integer
C0301532 (UMLS CUI [1])
Code List
10. Did you take a multiple vitamin?
days multiple vitamin
Item
A. On about how many days during the last two weeks did you take this vitamin?
integer
C0301532 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
11 Did you take Vitamin A or beta-carotene (other than Vitamin A or beta-carotene contained in a multiple vitamin)?
integer
C0042839 (UMLS CUI [1,1])
C0053396 (UMLS CUI [1,2])
Code List
11 Did you take Vitamin A or beta-carotene (other than Vitamin A or beta-carotene contained in a multiple vitamin)?
Item
11 Did you take Vitamin A or beta-carotene (other than Vitamin A or beta-carotene contained in a multiple vitamin)?
integer
C0042839 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0053396 (UMLS CUI [2,1])
C0449238 (UMLS CUI [2,2])
Code List
11 Did you take Vitamin A or beta-carotene (other than Vitamin A or beta-carotene contained in a multiple vitamin)?
Item
12 Did you take Vitamin C (other than Vitamin C contained in a multiple vitamin)?
integer
C0003968 (UMLS CUI [1])
Code List
12 Did you take Vitamin C (other than Vitamin C contained in a multiple vitamin)?
vitamin C days
Item
A. About how many days during the last two weeks did you take this vitamin?
integer
C0003968 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
13 Did you take Vitamin E (other than Vitamin E contained in a multiple vitamin)?
integer
C0042874 (UMLS CUI [1])
Code List
13 Did you take Vitamin E (other than Vitamin E contained in a multiple vitamin)?
vitamin E days
Item
A. About how many days during the last two weeks did you take this vitamin?
integer
C0042874 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
walking outside the home
Item
14 Think about the walking you do outside your home. During the last week, about how many city blocks or miles did you walk?
integer
C0429886 (UMLS CUI [1])
Item
Blocks or miles
integer
C0429886 (UMLS CUI [1])
Code List
Blocks or miles
Item
15 When you walk outside your home, what is your usual pace?
integer
C1821542 (UMLS CUI [1])
Code List
15 When you walk outside your home, what is your usual pace?
CL Item
no walking at all (0)
CL Item
casual strolling (greater than 0 to 2.0 mph) (1)
CL Item
average or normal (greater than 2.0 to 3.0 mph) (2)
CL Item
fairly briskly (greater than 3.0 to 4.0 mph) (3)
CL Item
brisk or striding (greater than 4 mph) (4)
flights of stairs
Item
16 Think about how often you use stairs. Include stairs inside and outside your home, and stairs at other places. In the last week, about how many flights of stairs did you climb up?
integer
C3831080 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Item
17 How would you describe your level of physical activity since we saw you last year?
integer
C0026606 (UMLS CUI [1])
Code List
17 How would you describe your level of physical activity since we saw you last year?
CL Item
A lot less active (1)
CL Item
A little less active (2)
CL Item
About as active (3)
CL Item
A little more active (4)
CL Item
A lot more active (5)
time spent seated or lying
Item
18 In a usual 24-hour period, how many hours do you spend seated or lying down? Include time spent sleeping.
integer
C0444334 (UMLS CUI [1,1])
C0439227 (UMLS CUI [1,2])
C0277814 (UMLS CUI [2,1])
C0439227 (UMLS CUI [2,2])
Item
19 Are you usually sleepy in the daytime? (Do not include taking a regular daily nap as "feeling sleepy")
integer
C0013144 (UMLS CUI [1])
Code List
19 Are you usually sleepy in the daytime? (Do not include taking a regular daily nap as "feeling sleepy")
Item
20 Do you feel groggy and unrefreshed for more than a half hour after waking up in the morning?
integer
C0424571 (UMLS CUI [1])
Code List
20 Do you feel groggy and unrefreshed for more than a half hour after waking up in the morning?
Item
21 Has your spouse or roommate complained about your loud snoring?
integer
C4054846 (UMLS CUI [1])
Code List
21 Has your spouse or roommate complained about your loud snoring?
Item
22 Has anyone observed you while sleeping to have episodes where you stop breathing for a while and then snore or snort loudly?
integer
C0037315 (UMLS CUI [1])
Code List
22 Has anyone observed you while sleeping to have episodes where you stop breathing for a while and then snore or snort loudly?
Item
23 Do you usually have trouble falling asleep?
integer
C0150079 (UMLS CUI [1])
Code List
23 Do you usually have trouble falling asleep?
Item
24 Do you usually wake up several times at night?
integer
C1170730 (UMLS CUI [1])
Code List
24 Do you usually wake up several times at night?
Item
25 Do you usually wake up far too early?
integer
C0541798 (UMLS CUI [1])
Code List
25 Do you usually wake up far too early?
Item
26 Can you see well enough to drive, with or without glasses?
integer
C0042789 (UMLS CUI [1,1])
C4050139 (UMLS CUI [1,2])
Code List
26 Can you see well enough to drive, with or without glasses?
Item
27 Can you see well enough (with glasses if needed) to watch TV?
integer
C0042789 (UMLS CUI [1,1])
C0039461 (UMLS CUI [1,2])
Code List
27 Can you see well enough (with glasses if needed) to watch TV?
Item
28 Can you see well enough (with glasses if needed) to recognize someone across the room?
integer
C0042789 (UMLS CUI [1,1])
C0558054 (UMLS CUI [1,2])
C1547703 (UMLS CUI [1,3])
Code List
28 Can you see well enough (with glasses if needed) to recognize someone across the room?
Item
29 Can you see well enough (with glasses if needed) to read the newspaper?
integer
C0042789 (UMLS CUI [1,1])
C0027989 (UMLS CUI [1,2])
Code List
29 Can you see well enough (with glasses if needed) to read the newspaper?
Item
30 Can you hear well enough to use the telephone, with or without a hearing aid?
integer
C0018767 (UMLS CUI [1,1])
C0577446 (UMLS CUI [1,2])
Code List
30 Can you hear well enough to use the telephone, with or without a hearing aid?
Item
31 Can you hear well enough (with hearing aid if necessary) to listen to a radio?
integer
C0018767 (UMLS CUI [1,1])
C0026867 (UMLS CUI [1,2])
Code List
31 Can you hear well enough (with hearing aid if necessary) to listen to a radio?
Item
32 Can you hear well enough (with a hearing aid if necessary) to carry on a conversation in a crowded room?
integer
C0018767 (UMLS CUI [1,1])
C0871703 (UMLS CUI [1,2])
Code List
32 Can you hear well enough (with a hearing aid if necessary) to carry on a conversation in a crowded room?
Item
33 Is your natural mother still living?
integer
C2321272 (UMLS CUI [1])
Code List
33 Is your natural mother still living?
age mother
Item
If YES, how old is she?
integer
C0026591 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
age mother died
Item
If NO, how old was she when she died?
integer
C1546180 (UMLS CUI [1,1])
C0026591 (UMLS CUI [1,2])
Item
34 Is your natural father still living?
integer
C2321271 (UMLS CUI [1])
Code List
34 Is your natural father still living?
age father
Item
If YES, how old is he?
integer
C0015671 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
age father died
Item
If NO, how old was he when he died?
integer
C1546180 (UMLS CUI [1,1])
C0015671 (UMLS CUI [1,2])
Item
35 Are you currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen?
integer
C0014939 (UMLS CUI [1])
Code List
35 Are you currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen?
estrogen days
Item
A. How many days per month do you take estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
estrogen intake duration
Item
B. For how long have you been taking estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
estrogen intake duration months
Item
B. For how long have you been taking estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
C. Why are you taking estrogen? TO PREVENT HOT FLASHES
integer
C0600142 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
C. Why are you taking estrogen? TO PREVENT HOT FLASHES
Item
C. Why are you taking estrogen? TO PREVENT OTHER POST-MENOPAUSAL SYMPTOMS
integer
C0206159 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
C. Why are you taking estrogen? TO PREVENT OTHER POST-MENOPAUSAL SYMPTOMS
Item
C. Why are you taking estrogen? TO PREVENT OSTEOPOROSIS OR BONE LOSS
integer
C0029456 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
C. Why are you taking estrogen? TO PREVENT OSTEOPOROSIS OR BONE LOSS
Item
C. Why are you taking estrogen? TO PREVENT HEART DISEASE
integer
C0018799 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
C. Why are you taking estrogen? TO PREVENT HEART DISEASE
Item
C. Why are you taking estrogen? FOR OTHER REASONS
integer
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
C. Why are you taking estrogen? FOR OTHER REASONS
estrogen intake reason other reason specify
Item
Other:
text
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
36 If you are NOT currently taking estrogens such as Premain, Estrace, Ogen or any other estrogen, have you taken estrogen in the past?
integer
C0014939 (UMLS CUI [1,1])
C0332119 (UMLS CUI [1,2])
Code List
36 If you are NOT currently taking estrogens such as Premain, Estrace, Ogen or any other estrogen, have you taken estrogen in the past?
estrogen days
Item
A. How many days per month did you take estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
estrogen stopped
Item
B. When did you stop?
text
C0014939 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
C0439234 (UMLS CUI [1,3])
estrogen stopped age
Item
B. When did you stop?
integer
C0014939 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
estrogen intake duration
Item
C. For how long did you take estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
estrogen intake duration months
Item
C. For how long have you been taking estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
D. Why did you take estrogen? TO PREVENT HOT FLASHES
integer
C0600142 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
D. Why did you take estrogen? TO PREVENT HOT FLASHES
Item
D. Why did you take estrogen? TO PREVENT OTHER POST-MENOPAUSAL SYMPTOMS
integer
C0206159 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
D. Why did you take estrogen? TO PREVENT OTHER POST-MENOPAUSAL SYMPTOMS
Item
D. Why did you take estrogen? TO PREVENT OSTEOPOROSIS OR BONE LOSS
integer
C0029456 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
D. Why did you take estrogen? TO PREVENT OSTEOPOROSIS OR BONE LOSS
Item
D. Why did you take estrogen? TO PREVENT HEART DISEASE
integer
C0018799 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
D. Why did you take estrogen? TO PREVENT HEART DISEASE
Item
D. Why did you take estrogen? FOR OTHER REASONS
integer
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
D. Why did you take estrogen? FOR OTHER REASONS
estrogen intake reason other reason specify
Item
Other:
text
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
37 Are you currently taking progestins such as Provera or Norlutate?
integer
C0033306 (UMLS CUI [1])
Code List
37 Are you currently taking progestins such as Provera or Norlutate?
progestin days
Item
A. How many days per month do you take progestin?
integer
C0033306 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
progestin intake duration
Item
B. For how long have you been taking progestin?
integer
C0033306 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
progestin intake duration months
Item
B. For how long have you been taking progestin?
integer
C0033306 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
38 If you are NOT currently taking progestin such as Provera or Norlutate, have you taken progestin in the past?
integer
C0033306 (UMLS CUI [1,1])
C0332119 (UMLS CUI [1,2])
Code List
38 If you are NOT currently taking progestin such as Provera or Norlutate, have you taken progestin in the past?
progestin days
Item
A. How many days per month did you take progestin?
integer
C0033306 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
progestin stopped
Item
B. When did you stop?
text
C0033306 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
C0439234 (UMLS CUI [1,3])
progestin stopped age
Item
B. When did you stop?
integer
C0033306 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
progestin intake duration
Item
C. For how long have you been taking progestin?
integer
C0033306 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
progestin intake duration months
Item
C. For how long have you been taking progestin?
integer
C0033306 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])