ID

42932

Description

Documentation part: Record 59 Years 10-11 Medical & Personal 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.

Link

https://chs-nhlbi.org/

Keywords

Versions (2)
  1. 8/27/17 8/27/17 -
  2. 9/17/21 9/17/21 -
Copyright Holder

National Heart, Lung and Blood Institute (NHLBI)

Uploaded on

September 17, 2021

DOI

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License

Creative Commons BY-NC 3.0
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Years 10-11 Medical & Personal History Cardiovascular Health Study (CHS)

English

Years 10-11 Medical & Personal History Cardiovascular Health Study (CHS)

1 forms  
Medical & Personal History
Description

Medical & Personal History

Alias
UMLS CUI-1
C0262926
1 Would you say, in general, your health is:
Description

general health

Data type

integer

Alias
UMLS CUI [1]
C0516984
2 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. If you do not remember the exact number of days, please estimate as closely as possible.)
Description

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

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0221423
UMLS CUI [1,2]
C0004910
UMLS CUI [1,3]
C0439228
days
3 Are you currently involved in any medical studies other than CHS?
Description

study participation

Data type

integer

Alias
UMLS CUI [1]
C2348568
If YES, please name:
Description

study participation

Data type

text

Alias
UMLS CUI [1]
C2348568
4 Has a doctor told you that you had a new myocardial infarction or heart attack since we spoke with you on the phone about six months ago?
Description

The next set of questions have to do with diseases or procedures you may have had in the past six months. We are looking for changes in your health since we last contacted you. If NO or DON'T KNOW, skip to Question 5 on page 3.

Data type

integer

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

doctor

Data type

text

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

doctor address

Data type

text

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

doctor city

Data type

text

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

doctor state

Data type

text

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

myocardial infarction date

Data type

date

Alias
UMLS CUI [1,1]
C0027051
UMLS CUI [1,2]
C0011008
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
Description

myocardial infarction seen doctor

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0027051
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
D. Were you in the hospital at least one night for this condition since we last spoke to you?
Description

If NO or DON'T KNOW, skip to Question 5 on page 3.

Data type

integer

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

myocardial infarction times hospitalized

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0027051
UMLS CUI [1,3]
C0439603
times
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission date
Description

hospital admission date

Data type

date

Alias
UMLS CUI [1]
C0806429
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital name
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital address, city, state
Description

hospital address

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
UMLS CUI [1,4]
C1301808
G. How many days altogether were you hospitalized for this condition?
Description

myocardial infarction hospitalization days

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0027051
UMLS CUI [1,3]
C0439228
days
5 Has a doctor 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 months ago?
Description

If NO or DON'T KNOW, skip to Question 6 on page 4.

Data type

integer

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

doctor

Data type

text

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

doctor address

Data type

text

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

doctor city

Data type

text

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

doctor state

Data type

text

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

angina pectoris date

Data type

date

Alias
UMLS CUI [1,1]
C0002962
UMLS CUI [1,2]
C0011008
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
Description

angina pectoris seen doctor

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0002962
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
D. Were you in the hospital at least one nicht for this condition since we last spoke to you?
Description

If NO or DON'T KNOW, skip to Question 6 on page 4.

Data type

integer

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

angina pectoris times hospitalized

Data type

integer

Measurement units
  • Times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0002962
UMLS CUI [1,3]
C0439603
Times
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission date
Description

hospital admission date

Data type

date

Alias
UMLS CUI [1]
C0806429
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital address, city, state
Description

hospital address

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
UMLS CUI [1,4]
C1301808
G. How many days altogether were you hospitalized for this condition?
Description

angina pectoris hospitalization days

Data type

integer

Measurement units
  • Days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0002962
UMLS CUI [1,3]
C0439228
Days
6 Has a doctor 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 months ago?
Description

If NO or DON'T KNOW, skip to Question 7 on page 5.

Data type

integer

Alias
UMLS CUI [1]
C0018801
A. What was the doctor´s name and address? Name
Description

doctor

Data type

text

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

doctor address

Data type

text

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

doctor city

Data type

text

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

doctor state

Data type

text

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

heart failure date

Data type

date

Alias
UMLS CUI [1,1]
C0018802
UMLS CUI [1,2]
C0011008
C. How many times altogether have you seen a doctor for this condition since we last spoke to you?
Description

heart failure seen doctor

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0018801
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
D. Were you in the hospital at least one night for this condition since we last spoke to you?
Description

If NO or DON'T KNOW, skip to Question 7 on page 5.

Data type

integer

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

heart failure times hospitalized

Data type

integer

Measurement units
  • Times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0018801
UMLS CUI [1,3]
C0439603
Times
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission date
Description

hospital admission date

Data type

date

Alias
UMLS CUI [1]
C0806429
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital address, city, state
Description

hospital address

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
UMLS CUI [1,4]
C1301808
G. How many days altogether were you hospitalized for this condition?
Description

heart failure hospitalization days

Data type

integer

Measurement units
  • Days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0018801
UMLS CUI [1,3]
C0449238
Days
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?
Description

If NO or DON'T KNOW, skip to Question 8 on page 6.

Data type

integer

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

doctor

Data type

text

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

doctor address

Data type

text

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

doctor city

Data type

text

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

doctor state

Data type

text

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

intermittent claudication date

Data type

date

Alias
UMLS CUI [1,1]
C0021775
UMLS CUI [1,2]
C0011008
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
Description

intermittent claudication seen doctor

Data type

integer

Measurement units
  • Times
Alias
UMLS CUI [1,1]
C0021775
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
Times
D. Were you in the hospital at least one night for this condition since we last spoke to you?
Description

If NO or DON'T KNOW, skip to Question 8 on page 6.

Data type

integer

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

intermittent claudication times hospitalized

Data type

integer

Measurement units
  • Times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0021775
UMLS CUI [1,3]
C0439603
Times
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission date
Description

hospital admission date

Data type

date

Alias
UMLS CUI [1]
C0806429
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital address, city, state
Description

hospital address

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
UMLS CUI [1,4]
C1301808
G. How many days altogether were you hospitalized for this condition?
Description

intermittent claudication hospitalization days

Data type

integer

Measurement units
  • Days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0021775
UMLS CUI [1,3]
C0439228
Days
8 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?
Description

If NO or DON'T KNOW, skip to Question 9 on page 7.

Data type

integer

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

doctor

Data type

text

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

doctor address

Data type

text

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

doctor city

Data type

text

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

doctor state

Data type

text

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

cerebrovascular accident date

Data type

date

Alias
UMLS CUI [1,1]
C0038454
UMLS CUI [1,2]
C0011008
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
Description

cerebrovascular accident seen doctor

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0038454
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
D. Were you in the hospital at least one night for this condition since we last spoke to you?
Description

If NO or DON'T KNOW, skip to Question 9 on page 7.

Data type

integer

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

cerebrovascular accident times hospitalized

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0038454
UMLS CUI [1,3]
C0439603
times
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission date
Description

hospital admission date

Data type

date

Alias
UMLS CUI [1]
C0806429
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital address, city, state
Description

hospital address

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
UMLS CUI [1,4]
C1301808
G. How many days altogether were you hospitalized for this condition?
Description

cerebrovascular accident days hospitalized

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0038454
UMLS CUI [1,3]
C0439228
days
9 Has a doctor told you that you had a new transient ischemic attack or TIA or silent stroke since we spoke to you on the phone about six months ago?
Description

If NO or DON'T KNOW, skip to Question 10 on page 8.

Data type

integer

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

doctor

Data type

text

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

doctor address

Data type

text

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

doctor city

Data type

text

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

doctor state

Data type

text

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

transient ischemic attack date

Data type

date

Alias
UMLS CUI [1,1]
C0007787
UMLS CUI [1,2]
C0011008
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
Description

transient ischemic attack doctor seen

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0007787
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
D. Were you in the hospital at least one night for this condition since we last spoke to you?
Description

If NO or DON'T KNOW, skip to Question 10 on page 8.

Data type

integer

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

transient ischemic attack times hospitalized

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0007787
UMLS CUI [1,3]
C0439603
times
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission date
Description

hospital admission date

Data type

date

Alias
UMLS CUI [1]
C0806429
F. Please record the admission date of each hospitalization and the name and location of the hospital. Hospital name
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital address, city, state
Description

hospital address

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1442065
UMLS CUI [1,3]
C0008848
UMLS CUI [1,4]
C1301808
G. How many days altogether were you hospitalized for this condition?
Description

transient ischemic attack days hospitalized

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0007787
UMLS CUI [1,3]
C0439228
days
10 Have you stayed overnight as a patient in a hospital for any other reasons not repored in Question 4 through 9 since we spoke to you on the phone about six months ago?
Description

If YES, please record the reason you were admitted, the name of the hospital and the month and year you were a patient EACH time you stayed overnight in a hospital. (Use another sheet of paper to list additional admissions.) If NO or DON'T KNOW, skip to Question 11.

Data type

integer

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0205394
Reason for admission
Description

reason for hospitalization

Data type

text

Alias
UMLS CUI [1]
C1830395
Hospital name
Description

hospital name

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
Hospital address:
Description

hospital address

Data type

text

Alias
UMLS CUI [1]
C1442065
Date of hospitalization:
Description

date of hospitalization

Data type

date

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0011008
Length of Stay
Description

Length of Stay

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1]
C0023303
days
11 Have you stayed overnight as a patient in a nursing home or rehabilitation center since we spoke to you on the phone about six months ago?
Description

If YES, please record the reason you were admitted, the name of the nursing home or rehabilitation center and the month and year you were a patient EACH time you stayed overnight in a nursing home or rehabilitation center. (Use another sheet of paper to list additional admissions.) IF NO or DON'T KNOW, skip to Question 12 on page 9.

Data type

integer

Alias
UMLS CUI [1]
C0028688
Reason for admission
Description

Reason for admission

Data type

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0809949
Nursing home name
Description

nursing home

Data type

integer

Alias
UMLS CUI [1]
C0028688
City:
Description

nursing home city

Data type

text

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

nursing home state

Data type

text

Alias
UMLS CUI [1,1]
C0028688
UMLS CUI [1,2]
C1301808
Date of admission
Description

Admission date

Data type

date

Alias
UMLS CUI [1]
C1302393
Lenght of stay:
Description

length of hospital stay

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1]
C0023303
days
Are you currently staying in a nursing home?
Description

currently in nursing home

Data type

integer

Alias
UMLS CUI [1,1]
C0028688
UMLS CUI [1,2]
C0521116
12 Have you received any home health care in the past six months?
Description

If NO od DON'T KNOW, skip to Question 13.

Data type

integer

Alias
UMLS CUI [1]
C0019855
A. What type of care did you receive through home health care? (Check all that apply.) Physical therapy
Description

physical therapy

Data type

integer

Alias
UMLS CUI [1]
C0949766
A. What type of care did you receive through home health care? (Check all that apply.) Occupational therapy
Description

occupational therapy

Data type

integer

Alias
UMLS CUI [1]
C1318464
A What type of care did you receive through home health care? (Check all that apply.) Nursing care
Description

nursing care

Data type

integer

Alias
UMLS CUI [1]
C0028678
A. What type of care did you receive through home health care? (Check all that apply.) Other type of care
Description

other type of care

Data type

integer

Alias
UMLS CUI [1,1]
C0019855
UMLS CUI [1,2]
C0205394
If Other, please specify:
Description

other type of care

Data type

text

Alias
UMLS CUI [1,1]
C0019855
UMLS CUI [1,2]
C0205394
13 Have you had a flu shot isnce we saw you last year?
Description

flu shot

Data type

integer

Alias
UMLS CUI [1]
C0770694
14 Have you had a shot to prevent pneumonia, sometimes called pneumovax, since we saw you lasr year?
Description

pneumovax

Data type

integer

Alias
UMLS CUI [1]
C0071315
15 Did a doctor prescribe nitroglycerin for you since we saw you last year?
Description

nitroglycerin

Data type

integer

Alias
UMLS CUI [1]
C0017887
If YES, specify reason:
Description

nitroglycerin

Data type

text

Alias
UMLS CUI [1]
C0017887
16 Have you had pneumonia since we saw you last year?
Description

pneumonia

Data type

integer

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

If NO or DON'T KNOW, skip to Question 18.

Data type

integer

Alias
UMLS CUI [1]
C0006277
Was this confirmed by a doctor?
Description

bronchitis confirmed by doctor

Data type

integer

Alias
UMLS CUI [1,1]
C0006277
UMLS CUI [1,2]
C0583527
18 Has a doctor ever told you that you had any of the following conditions od diseases; and if so, when were you FIRST told that you had the condition? A. High blood pressure
Description

For each condition or disease listed below, please check the appropriate box as follows: If a doctor has never told you that you had the condition, please mark "Never told". If a doctor first told you DURING THE PAST YEAR that you ha the condition, please mark "First told during the past year". If a doctor first told you MORE THAN ONE YEAR AGO that you had the condition, please mark "First told more than one year ago".

Data type

integer

Alias
UMLS CUI [1]
C0020538
B. Asthma
Description

asthma

Data type

integer

Alias
UMLS CUI [1]
C0004096
C. Atrial Fibrillation
Description

atrial fibrillation

Data type

integer

Alias
UMLS CUI [1]
C0004238
D. Deep vein thrombosis (or blood clots in legs)
Description

deep vein thrombosis

Data type

integer

Alias
UMLS CUI [1]
C0149871
E. Rheumatic fever or heart valve problems
Description

rheumativ fever or heart valve problems

Data type

integer

Alias
UMLS CUI [1,1]
C3536892
UMLS CUI [1,2]
C0018824
F. Emphysema
Description

emphysema

Data type

integer

Alias
UMLS CUI [1]
C0034067
G. Diabetes
Description

diabetes

Data type

integer

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

diabetes diagnosis date

Data type

partialDate

Alias
UMLS CUI [1,1]
C0011849
UMLS CUI [1,2]
C0011900
UMLS CUI [1,3]
C0011008
19a. Have you ever had any of the following problems? A. Foot ulcers/ sores on feet
Description

foot ulcers

Data type

integer

Alias
UMLS CUI [1,1]
C0085119
UMLS CUI [1,2]
C0863085
B. High blood sugar
Description

high blood sugar

Data type

integer

Alias
UMLS CUI [1]
C0020456
C. Low blood sugar
Description

low blood sugar

Data type

integer

Alias
UMLS CUI [1]
C0020615
D. Fainting or passing out
Description

fainting

Data type

integer

Alias
UMLS CUI [1]
C0039070
E. Eye problems
Description

eye problems

Data type

integer

Alias
UMLS CUI [1]
C0262477
19b. Has a doctor told you that you had other heart or circulatory problems since we saw you last year?
Description

heart or circulatory problems

Data type

integer

Alias
UMLS CUI [1]
C0007222
If YES, specify reason:
Description

heart or circulatory problems

Data type

text

Alias
UMLS CUI [1]
C0007222
20 Are you currently taking medication prescribed by a doctor for any of the following conditions? A. High blood pressure
Description

high blood pressure medication

Data type

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
B. Atrial fibrillation
Description

atrial fibrillation medication

Data type

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0004238
C. Deep vein thrombosis (or blood clots in your legs)
Description

deep vein thrombosis medication

Data type

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0149871
D. Diabetes
Description

diabetes medication

Data type

integer

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

diabetes treatment

Data type

integer

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0011849
If Other, specify:
Description

diabetes treatment

Data type

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0011849
21 Have you had coronary angiography or heart catheterization as an outpatient procedure since we last saw you?
Description

If NO or DON'T KNOW, skip to Question 22.

Data type

integer

Alias
UMLS CUI [1]
C0085532
a. Date of Procedure
Description

coronary angiography date

Data type

date

Alias
UMLS CUI [1,1]
C0085532
UMLS CUI [1,2]
C0011008
b. Where was this procedure done? (doctor, clinic, hospital) Name, Address, City, State
Description

coronary angiography hospital

Data type

text

Alias
UMLS CUI [1,1]
C0085532
UMLS CUI [1,2]
C0019994
UMLS CUI [1,3]
C1442065
22 Did you have a procedure in or out of the hospital to open up the arteries in either of your legs since we last saw you?
Description

If NO or DON'T KNOW, skip to Question 23.

Data type

integer

Alias
UMLS CUI [1]
C0397581
a. Date of Procedure:
Description

arterial procedure date

Data type

date

Alias
UMLS CUI [1,1]
C0397581
UMLS CUI [1,2]
C0011008
b. Where was this procedure done? (doctor, clinic, hospital) Name, Address, City, State
Description

arterial procedure hospital

Data type

text

Alias
UMLS CUI [1,1]
C0397581
UMLS CUI [1,2]
C0019994
UMLS CUI [1,3]
C1442065
23 Have you been told by a doctor that you currently have any of the following? A. Arthritis of the Hands
Description

arthritis of hands

Data type

integer

Alias
UMLS CUI [1]
C0409208
B. Arthritis of the Shoulder
Description

arthritis of shoulder

Data type

integer

Alias
UMLS CUI [1]
C1298682
C. Arthritis of Hips or Knees
Description

arthritis of hips or knees

Data type

integer

Alias
UMLS CUI [1]
C0263776
UMLS CUI [2]
C0240111
D. Osteoporosis
Description

osteoporosis

Data type

integer

Alias
UMLS CUI [1]
C0029456
E. Liver Disease, Cirrhosis, or Hepatitis
Description

liver disease

Data type

integer

Alias
UMLS CUI [1]
C0023895
F. Kidney (Renal) Disease or Failure
Description

kidney disease

Data type

integer

Alias
UMLS CUI [1]
C0022658
24. During the last year have you had pain in any bones or joints for at least half the days of a month?
Description

If YES, please indicate where you had this pain (check all below). If NO or DON'T KNOW, skip to Question 25.

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0003862
A. Hands
Description

pain in hands

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0018563
UMLS CUI [1,3]
C0003862
B. Feet
Description

pain in feet

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0016504
UMLS CUI [1,3]
C0003862
C. Knees
Description

pain in knees

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0022742
UMLS CUI [1,3]
C0003862
D. Hips
Description

pain in hips

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0019552
UMLS CUI [1,3]
C0003862
E. Neck
Description

pain in neck

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0027530
UMLS CUI [1,3]
C0003862
F. Back
Description

pain in back

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0004600
UMLS CUI [1,3]
C0003862
G. Shoulders
Description

pain in shoulders

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0037004
UMLS CUI [1,3]
C0003862
H. Other area
Description

pain in other area

Data type

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0003862
UMLS CUI [1,3]
C0220886
Specify other area:
Description

pain in other area

Data type

text

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0003862
UMLS CUI [1,3]
C0220886
25 Have you been told by a doctor that you currently have cancer?
Description

If YES, please answer questions below. If NO or DON'T KNOW, skip to Question 26.

Data type

integer

Alias
UMLS CUI [1]
C0006826
A. Breast Cancer
Description

breast cancer

Data type

integer

Alias
UMLS CUI [1]
C0678222
B. Blood Cancer, leukemia or lymphoma
Description

blood cancer

Data type

integer

Alias
UMLS CUI [1]
C0376545
C. Colon (bowel) or Rectum cancer
Description

colon cancer

Data type

integer

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

lung cancer

Data type

integer

Alias
UMLS CUI [1]
C0242379
E. Malignant Melanoma
Description

malignant melanoma

Data type

integer

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

skin cancer

Data type

integer

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

prostate cancer

Data type

integer

Alias
UMLS CUI [1]
C0600139
H. Pancreatic cancer
Description

pancreatic cancer

Data type

integer

Alias
UMLS CUI [1]
C0235974
I. Esophageal cancer
Description

esophageal cancer

Data type

integer

Alias
UMLS CUI [1]
C0014859
J. Other cancer
Description

other cancer

Data type

integer

Alias
UMLS CUI [1]
C1707251
Specify other cancer
Description

other cancer

Data type

text

Alias
UMLS CUI [1]
C1707251
26 Have you been treated by a doctor for any of the following since we last saw you? A. Broken hip (fracture)
Description

broken hip

Data type

integer

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

broken lower leg

Data type

integer

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

broken arm

Data type

integer

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

spine compression fracture

Data type

integer

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

other injury

Data type

integer

Alias
UMLS CUI [1,1]
C3263722
UMLS CUI [1,2]
C0205394
Specify other injury:
Description

other injury

Data type

text

Alias
UMLS CUI [1,1]
C3263722
UMLS CUI [1,2]
C0205394
F. Did you have arthritis that was treated with medication?
Description

arthritis treated with medication

Data type

integer

Alias
UMLS CUI [1,1]
C0003864
UMLS CUI [1,2]
C0013227
27 Have you had a cold, the flu, a dental infection, or other infections in the last two weeks?
Description

infections

Data type

integer

Alias
UMLS CUI [1]
C0009450
28 Have you had any of the following symptoms in the past two weeks? A. Fever or chills
Description

fever

Data type

integer

Alias
UMLS CUI [1]
C0015967
B. Sore throat
Description

sore throat

Data type

integer

Alias
UMLS CUI [1]
C0242429
C. Cough
Description

cough

Data type

integer

Alias
UMLS CUI [1]
C0010200
D. Sputum or mucous
Description

sputum

Data type

integer

Alias
UMLS CUI [1]
C0038056
E. Runny nose or congestion
Description

runny nose

Data type

integer

Alias
UMLS CUI [1]
C1260880
F. Pain on urination
Description

urination pain

Data type

integer

Alias
UMLS CUI [1]
C0013428
G. Cloudy or discolored urine
Description

cloudy or discolored urine

Data type

integer

Alias
UMLS CUI [1]
C0522153
H. Tests showing a urine infection
Description

urine infection

Data type

integer

Alias
UMLS CUI [1]
C0729523
I. Diarrhea
Description

diarrhea

Data type

integer

Alias
UMLS CUI [1]
C0011991
J. Other infection
Description

other infection

Data type

integer

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0009450
If OTHER, specify:
Description

other infection

Data type

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0009450
29 During the past year, have you had spells of dizziness, loss of balance, or sensation of spinning?
Description

dizziness

Data type

integer

Alias
UMLS CUI [1]
C0012833
30 During the past year, have you had a fall? (Do not include falls during skiing, skating, or other activities that may affect balance.)
Description

If NO or DON'T KNOW, skip to Question 31.

Data type

integer

Alias
UMLS CUI [1]
C0085639
A. How many times have you fallen during the past year?
Description

falls

Data type

integer

Measurement units
  • times
Alias
UMLS CUI [1]
C0085639
times
31 A. During the past year, have you injured your head?
Description

head injury

Data type

integer

Alias
UMLS CUI [1]
C0018674
B. During the past year, have you injured your neck?
Description

neck injury

Data type

integer

Alias
UMLS CUI [1]
C0027531
C. During the past year, have you ever fainted, lost consciousness, or "blacked out"?
Description

If NO or DON'T KNOW, skip to Question 32.

Data type

integer

Alias
UMLS CUI [1]
C0039070
When did this occur? (Month/Year)
Description

fainting

Data type

partialDate

Alias
UMLS CUI [1]
C0039070
32 Would you say that your appetite is usually:
Description

appetite

Data type

integer

Alias
UMLS CUI [1]
C0003618
33 During the past year, have you gained or lost more than 10 pounds?
Description

If LITTLE or NO CHANGE or DON'T KNOW, skip to Question 34.

Data type

integer

Alias
UMLS CUI [1]
C0005911
A. Were any of the following a major factor in your weight change? Diet
Description

diet

Data type

integer

Alias
UMLS CUI [1]
C0012155
Surgery, illess or medication
Description

illness

Data type

integer

Alias
UMLS CUI [1]
C0221423
Exercise
Description

exercise

Data type

integer

Alias
UMLS CUI [1]
C0015259
B. Were you trying to lose weight?
Description

try to lose weight

Data type

boolean

Alias
UMLS CUI [1]
C0421273
34 Have you had to sleep pn two or more pillows to help you breathe at any time during the past 12 months?
Description

pillows

Data type

integer

Alias
UMLS CUI [1,1]
C0035203
UMLS CUI [1,2]
C0182291
35 How often, if ever, have you awakened suddenly with a feeling of gasping, choking or shortness of breath?
Description

awakened by trouble breathing

Data type

integer

Alias
UMLS CUI [1,1]
C3641913
UMLS CUI [1,2]
C0240526
36 During thw last 30 days, did you start taking any medicine(s)?
Description

If NO or DON'T KNOW, skip to Question 37.

Data type

integer

Alias
UMLS CUI [1,1]
C0451613
UMLS CUI [1,2]
C3845590
What is (are) the name(s) of the medicine(s)?
Description

medication name

Data type

text

Alias
UMLS CUI [1]
C2360065
37 During the last 30 days, did you stop taking any medicine(s)?
Description

If NO or DON'T KNOW, skip to Question 38.

Data type

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C2746065
UMLS CUI [1,3]
C3845590
What is (are) the name(s) of the medicine(s)?
Description

medication name

Data type

text

Alias
UMLS CUI [1]
C2360065
38 During the last thirty days, did you change the dosage of any medicine(s)?
Description

If NO or DON'T KNOW, skip to Question 39.

Data type

integer

Alias
UMLS CUI [1]
C0420247
What is (are) the name(s) of the medicine(s)? (Use another sheet of paper to list additional medicines.)
Description

medication name

Data type

text

Alias
UMLS CUI [1]
C2360065
Did the dosage:
Description

dosage change

Data type

integer

Alias
UMLS CUI [1]
C0420247
39 During the last two weeks, did you take any aspirin or aspirin-containing medicines such as Bufferin, Anacin or Ascriptin?
Description

If NO or DON'T KNOW, skip to Question 40.

Data type

integer

Alias
UMLS CUI [1]
C0004057
What was the reason you took aspirin? headache
Description

aspirin for headache

Data type

integer

Alias
UMLS CUI [1,1]
C0004057
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0018681
Arthritis
Description

aspirin for arthritis

Data type

integer

Alias
UMLS CUI [1,1]
C0004057
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0003864
Cardiovascular protection
Description

aspirin for cardiovascular protection

Data type

integer

Alias
UMLS CUI [1,1]
C0004057
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0007226
UMLS CUI [1,4]
C0199176
Other body aches
Description

aspirin for other body aches

Data type

integer

Alias
UMLS CUI [1,1]
C0004057
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0030193
UMLS CUI [1,4]
C0205394
Specify other:
Description

aspirin for other body aches

Data type

text

Alias
UMLS CUI [1,1]
C0004057
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0030193
UMLS CUI [1,4]
C0205394
On about how many days did you take it during the last 2 weeks?
Description

aspirin days last 2 weeks

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0004057
UMLS CUI [1,2]
C0439228
UMLS CUI [1,3]
C4288440
days
40 Have you smoked cigarettes during the past 30 days?
Description

If NO or DON'T KNOW, skip to Question 41.

Data type

integer

Alias
UMLS CUI [1]
C0543414
On average, how many cigarettes do you smoke per days?
Description

cigarettes per day

Data type

integer

Measurement units
  • cigarettes
Alias
UMLS CUI [1]
C3694146
cigarettes
41 Have you smoked a pipe or cigar during the past 30 days?
Description

smoking

Data type

integer

Alias
UMLS CUI [1]
C0543414
42 Which of the following best describes your current smoking status?
Description

smoking status

Data type

integer

Alias
UMLS CUI [1]
C1519386
43 Do you ever use snuff or smokeless tobacco?
Description

smokeless tobacco

Data type

integer

Alias
UMLS CUI [1]
C0040338
44 Do you ever drink beer?
Description

If NO or DON'T KNOW, skip to Question 45.

Data type

integer

Alias
UMLS CUI [1]
C0559430
A. About how often do you drink beer?
Description

drink beer frequency

Data type

integer

Alias
UMLS CUI [1,1]
C0559430
UMLS CUI [1,2]
C0439603
B. How many 12-ounce cans or bottles of beer do you usually drink on one occasion?
Description

bottles of beer

Data type

integer

Measurement units
  • cans/bottles
Alias
UMLS CUI [1,1]
C0559430
UMLS CUI [1,2]
C0179376
cans/bottles
45 Do you ever drink wine?
Description

If NO or DON'T KNOW, skip to Question 46.

Data type

integer

Alias
UMLS CUI [1]
C0043188
A. About how often do you drink wine?
Description

drink wine frequency

Data type

integer

Alias
UMLS CUI [1,1]
C0043188
UMLS CUI [1,2]
C0439603
B. How many medium six-ounce glasses of wine do you usually drink on one occasion?
Description

servings of wine

Data type

integer

Measurement units
  • glasses
Alias
UMLS CUI [1,1]
C0043188
UMLS CUI [1,2]
C0681585
glasses
46 Do you ever drink liquor?
Description

If NO or DON'T KNOW, skip to Question 47.

Data type

integer

Alias
UMLS CUI [1]
C0301611
A. About how often do you drink liquor?
Description

drink liquor frequency

Data type

integer

Alias
UMLS CUI [1,1]
C0301611
UMLS CUI [1,2]
C0439603
B. How many drinks, equal to one shot of liquor, do you usually drink on one occassion?
Description

servings of liquor

Data type

integer

Measurement units
  • drinks
Alias
UMLS CUI [1,1]
C0301611
UMLS CUI [1,2]
C0681585
drinks
47 Can you see well enough to drive (with or without glasses)?
Description

see well enough to drive

Data type

integer

Alias
UMLS CUI [1,1]
C0042789
UMLS CUI [1,2]
C4050139
48 Can you see well enough to watch TV (with or without glasses)?
Description

see well enough to watch tv

Data type

integer

Alias
UMLS CUI [1,1]
C0042789
UMLS CUI [1,2]
C0871498
49 Can you see well enough to recognize someone across the room (with or without glasses)?
Description

recognize someone across the room

Data type

integer

Alias
UMLS CUI [1,1]
C0042789
UMLS CUI [1,2]
C0558054
UMLS CUI [1,3]
C1547703
50 Can you see well enough to read the newspaper (with or without glasses)?
Description

see well enough to read

Data type

integer

Alias
UMLS CUI [1,1]
C0042789
UMLS CUI [1,2]
C0027989
51 Can you hear well enough to use the telephone (with or without a hearing aid)?
Description

hear well enough to use telephone

Data type

integer

Alias
UMLS CUI [1,1]
C0018767
UMLS CUI [1,2]
C0577446
52 Can you hear well enough to listen to a radio (with or without a hearing aid)?
Description

listen to radio

Data type

integer

Alias
UMLS CUI [1]
C0018767
53 Can you hear well enough to carry on a conversation in a crowded room (with or without a hearing aid)?
Description

hear well enough to carry a conversation in a crowded room

Data type

integer

Alias
UMLS CUI [1,1]
C0018767
UMLS CUI [1,2]
C0871703
UMLS CUI [1,3]
C0010383
54 Think about the walking you do outside your home. During the last week, about how many city blocks or miles did you walk
Description

walking distance

Data type

text

Measurement units
  • blocks/miles
Alias
UMLS CUI [1]
C0429886
blocks/miles
55 When you walk outside your home, what is your usual pace?
Description

walking pace

Data type

integer

Alias
UMLS CUI [1]
C1821542
56 Think about how often you use stairs. Include stairs inside and outside your home, and stairs at other places. In the last weeks, about how many flights of stairs did you climb up? (Ten steps=one flight of stairs)
Description

flights of stairs

Data type

integer

Measurement units
  • flights of stairs
Alias
UMLS CUI [1,1]
C3831080
UMLS CUI [1,2]
C0449788
flights of stairs
57 How would you describe your level of activity since we saw you last year?
Description

level of activity

Data type

integer

Alias
UMLS CUI [1]
C0683317
58 In a usual 24-hour period, how many hours do you spend sleeping during the day?
Description

sleep during day

Data type

float

Measurement units
  • hours
Alias
UMLS CUI [1]
C4075948
hours
59 In a usual 24-hour period, how many hours do you spend sleeping during the night?
Description

sleep during night

Data type

float

Measurement units
  • hours
Alias
UMLS CUI [1]
C4054766
hours
60 In a usual 24-hour period, how many hours do you spend seated or lying down during the day (excluding time sleeping)?
Description

Include all day-time resting or lying down AND time spent watching TV while seated, eating, reading, or any other time sitting down.

Data type

float

Measurement units
  • hours
Alias
UMLS CUI [1,1]
C0277814
UMLS CUI [1,2]
C2584317
UMLS CUI [1,3]
C0439227
hours
61 During the past two weeks, have you taken a multople vitamin or any other vitamin supplement?
Description

If YES, indicate which vitamins you took and the number of days you took the vitamin during the past two weeks.

Data type

integer

Alias
UMLS CUI [1]
C0724359
Multiple Vitamin
Description

multiple vitamin

Data type

integer

Alias
UMLS CUI [1]
C0301532
Days taken
Description

days taken multiple vitamin

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0301532
UMLS CUI [1,2]
C0439228
days
Vitamin A or beta-carotene
Description

vitamin a

Data type

integer

Alias
UMLS CUI [1]
C0042839
Days taken
Description

days taken vitamin a

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0042839
UMLS CUI [1,2]
C0439228
days
Vitamin C
Description

vitamin c

Data type

integer

Alias
UMLS CUI [1]
C0003968
Days taken
Description

days taken vitamin c

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0003968
UMLS CUI [1,2]
C0439228
days
Vitamin E
Description

vitamin e

Data type

integer

Alias
UMLS CUI [1]
C0042874
Days taken
Description

days taken vitamin e

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0042874
UMLS CUI [1,2]
C0439228
days
62 Do you have any of the following types of health insurance in addition to Medicare to help pay for your medical bills?
Description

health insurance

Data type

integer

Alias
UMLS CUI [1]
C0021682
Specify other:
Description

health insurance

Data type

text

Alias
UMLS CUI [1]
C0021682
63 What is your current occupational status?
Description

occupational status

Data type

integer

Alias
UMLS CUI [1]
C0014006
Specify other:
Description

occupational status

Data type

text

Alias
UMLS CUI [1]
C0014006
A. If you work or volunteer, how many hours per month do you do this?
Description

working hours

Data type

float

Measurement units
  • hours per month
Alias
UMLS CUI [1,1]
C0043227
UMLS CUI [1,2]
C0439227
UMLS CUI [1,3]
C0332177
hours per month
64 Do you often have shaking or tremor that you can't control?
Description

tremor

Data type

integer

Alias
UMLS CUI [1]
C0040822
65 Do other people often tell you that you have a tremor?
Description

tremor

Data type

integer

Alias
UMLS CUI [1]
C0040822
66 Has a doctor diagnosed you as havin a familial tremor or a benign essential tremor?
Description

diagnosed tremor

Data type

integer

Alias
UMLS CUI [1,1]
C0040822
UMLS CUI [1,2]
C0011900
67 Do you often have shaking or tremor in you hands or arm that you can't control?
Description

tremor in arms

Data type

integer

Alias
UMLS CUI [1,1]
C0040822
UMLS CUI [1,2]
C1140618
68 Does your head often shake uncontrollably?
Description

shaking head

Data type

integer

Alias
UMLS CUI [1,1]
C0040822
UMLS CUI [1,2]
C0018670
69 Do you often have an uncontrollable tremor anywhere else in your body (legs, voice, mounth, chin, chest)? A. Nowhere else
Description

uncontrollable tremor

Data type

integer

Alias
UMLS CUI [1]
C0040822
B. Right leg
Description

uncontrollable tremor right leg

Data type

integer

Alias
UMLS CUI [1,1]
C0040822
UMLS CUI [1,2]
C0230415
C. Left leg
Description

uncontrollable tremor left leg

Data type

integer

Alias
UMLS CUI [1,1]
C0040822
UMLS CUI [1,2]
C0230416
D. Voice
Description

uncontrollable tremor voice

Data type

integer

Alias
UMLS CUI [1]
C0042939
E. Mouth or chin
Description

uncontrollable tremor mouth

Data type

integer

Alias
UMLS CUI [1,1]
C0040822
UMLS CUI [1,2]
C0230028
F. Chest or stomach
Description

uncontrollable tremor chest or stomach

Data type

integer

Alias
UMLS CUI [1,1]
C0040822
UMLS CUI [1,2]
C0817096
UMLS CUI [1,3]
C0038351
G. Other
Description

other uncontrollable tremor

Data type

integer

Alias
UMLS CUI [1,1]
C0040822
UMLS CUI [1,2]
C0205394
70 Does your voice almost always tremble when you talk?
Description

trembling voice

Data type

integer

Alias
UMLS CUI [1,1]
C0042939
UMLS CUI [1,2]
C0234369
71 Does your hand usually tremble when you hod a pen or write yoour name?
Description

trembling hand

Data type

integer

Alias
UMLS CUI [1,1]
C0234369
UMLS CUI [1,2]
C0018563
72 Do you have a problem because your hand shakes when you drink or pour from a cup or a glass?
Description

hand shaking

Data type

integer

Alias
UMLS CUI [1,1]
C0018563
UMLS CUI [1,2]
C0040822
73 Do you have a problem because your hand shakes when you hold a fork, spoon or knife?
Description

hand shaking

Data type

integer

Alias
UMLS CUI [1,1]
C0018563
UMLS CUI [1,2]
C0040822
74 Does shaking or tremor make you spill when drinking from a cup or eating soup with a spoon?
Description

spilling because of tremor

Data type

integer

Alias
UMLS CUI [1,1]
C0040822
UMLS CUI [1,2]
C0452428
75 Do your hands tremble uncontrollably when you button your shirt? (This is not the same as having difficulty buttoning.)
Description

trembling hands

Data type

integer

Alias
UMLS CUI [1,1]
C0234369
UMLS CUI [1,2]
C0018563
76 To what extent does each of the following statements describe you? A. I try to pass along the knowledge I have gained through my experiences.
Description

pass along knowledge

Data type

integer

Alias
UMLS CUI [1]
C0376554
B. I do not feel that other people need me.
Description

feel needed

Data type

integer

Alias
UMLS CUI [1]
C4034795
C. I think I would like the work of a teacher.
Description

like work of teacher

Data type

integer

Alias
UMLS CUI [1,1]
C0221457
UMLS CUI [1,2]
C0043227
D. I feel as though I have made a difference to many people.
Description

make a difference

Data type

integer

Alias
UMLS CUI [1]
C3846158
E. I do not volunteer to work for a charity.
Description

volunteer work

Data type

integer

Alias
UMLS CUI [1]
C2367294
F. I have made and created thingd that have had an mpact on other people.
Description

create things

Data type

integer

Alias
UMLS CUI [1]
C1706214
G. I try to be creative in the most things that I do.
Description

be creative

Data type

integer

Alias
UMLS CUI [1]
C0010297
H. I think that I will be remembered for a long time after I die.
Description

be remembered

Data type

integer

Alias
UMLS CUI [1]
C0034770
I. I believe that society can not be responsible for providing food and shelter for all homeless people.
Description

society

Data type

integer

Alias
UMLS CUI [1]
C0028762
J. Others would say that I have made unique contributions to society.
Description

contributions to society

Data type

integer

Alias
UMLS CUI [1,1]
C0037455
UMLS CUI [1,2]
C1880177
K. I have important skills that I try to teach others.
Description

important skills

Data type

integer

Alias
UMLS CUI [1]
C0678856
L. I feel that I have done nothing that will survive after I die.
Description

do things that survive

Data type

integer

Alias
UMLS CUI [1]
C3846158
M. In general, my actions do not have a positive effect on others.
Description

positive effect on others

Data type

integer

Alias
UMLS CUI [1,1]
C1446409
UMLS CUI [1,2]
C1280500
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C0027361
N. I feel as though I have done nothing of worth to contribute to others.
Description

contribution to others

Data type

integer

Alias
UMLS CUI [1,1]
C1880177
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0027361
O. I have made many commitments to many different kinds of people, groups and activities in my life.
Description

commitments

Data type

integer

Alias
UMLS CUI [1]
C0870312
P. Other people say I am a very productive person.
Description

productive person

Data type

integer

Alias
UMLS CUI [1]
C0033269
Q. I have a responsibility to improve the neighborhood in which I live.
Description

neighborhood responsibility

Data type

integer

Alias
UMLS CUI [1,1]
C0678341
UMLS CUI [1,2]
C0027569
R. People come to me for advice.
Description

give advice

Data type

integer

Alias
UMLS CUI [1]
C0150600
S. I feel as though my contributions will exist after I die.
Description

contributions survive

Data type

integer

Alias
UMLS CUI [1,1]
C1880177
UMLS CUI [1,2]
C0310255
77 Have you ever had any pain or discomfort in your chest?
Description

If NO, skip to Question 78.

Data type

boolean

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

If NO, skip to Question 77-I.

Data type

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 on the level?
Description

chest pain walking

Data type

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?
Description

chest pain walking

Data type

integer

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0080331
C. If you stand still, what happens to the pain?
Description

chest pain standing still

Data type

integer

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

chest pain localization

Data type

text

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0475264
F. Have you had this pain in the past two weeks?
Description

chest pain past two weeks

Data type

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0332185
If yes, how many times in the past two weeks have you had this pain?
Description

chest pain past two weeks

Data type

integer

Measurement units
  • Times
Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0332185
Times
G. Has there been an increase in frequency or severity in the past two weeks?
Description

chest pain past two weeks frequency increase

Data type

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0332185
UMLS CUI [1,3]
C0439603
H. Have you seen a doctor about this pain?
Description

chest pain seen by doctor

Data type

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0583527
I. Have you ever had a severes pain scross the front of your chest lasting for half an hour or more?
Description

If NO, skip to Question 78.

Data type

boolean

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

If NO, skip to Question 78.

Data type

boolean

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

severe chest pain diagnosis

Data type

integer

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0205082
UMLS CUI [1,3]
C0011900
Specify other:
Description

severe chest pain diagnosis

Data type

text

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0205082
UMLS CUI [1,3]
C0011900
78 Have you had swelling of your feet or ankles since we saw you last year?
Description

If NO or DON'T KNOW, skip to Question 79.

Data type

integer

Alias
UMLS CUI [1]
C0581394
A. Did it tend to come during the day and go down overnight?
Description

swollen feet come during day

Data type

integer

Alias
UMLS CUI [1,1]
C0849969
UMLS CUI [1,2]
C0332271
UMLS CUI [1,3]
C0585022
79 Do you get pain in either leg when walking?
Description

If NO or DON'T KNOW, skip to Question 80.

Data type

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0080331
A. Do you feel this pain in your calf or calves?
Description

leg pain in calves

Data type

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0230445
B. Does this pain ever begin when you are standing still or sitting?
Description

leg pain standing still

Data type

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0231472
C. Do you feel it when you walk uphill or hurry?
Description

leg pain walking uphill

Data type

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?
Description

leg pain walking

Data type

integer

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

leg pain disappears walking

Data type

integer

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

leg pain walking

Data type

integer

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

leg pain standing still

Data type

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0231472
80 Has a doctor ever told you that you have Parkinson's Disease?
Description

If NO or DON'T KNOW, skip to Question 81.

Data type

integer

Alias
UMLS CUI [1]
C0030567
A. Are you currently being treated for Parkinson's Disease?
Description

parkinson treatment

Data type

integer

Alias
UMLS CUI [1,1]
C0030567
UMLS CUI [1,2]
C0087111
B. At what age were you first told that you had Parkinson's disease?
Description

parkinson diagnosis age

Data type

integer

Measurement units
  • years
Alias
UMLS CUI [1,1]
C0242422
UMLS CUI [1,2]
C0011900
UMLS CUI [1,3]
C0001779
years
81 Do you have trouble rising from a chair?
Description

trouble rising from a chair

Data type

integer

Alias
UMLS CUI [1]
C3150484
82 Is your handwriting smaller than it once was?
Description

smaller handwriting

Data type

integer

Alias
UMLS CUI [1,1]
C0018582
UMLS CUI [1,2]
C0547044
83 Do people tell you that your voice is softer than it once was?
Description

softer voice

Data type

integer

Alias
UMLS CUI [1]
C0241700
84 Is your balance poor?
Description

balance

Data type

integer

Alias
UMLS CUI [1]
C0560184
85 Do your feet suddenly seem to freeze in doorways?
Description

freezing feet

Data type

integer

Alias
UMLS CUI [1,1]
C0016504
UMLS CUI [1,2]
C0016701
86 Do people tell you that your face seems less expressive than it once did?
Description

face expression

Data type

integer

Alias
UMLS CUI [1]
C0015457
87 Do your arms or legs shake?
Description

shaking

Data type

integer

Alias
UMLS CUI [1]
C0040822
88 Have you ever taken L-dopa or Sinemet?
Description

l-dopa or sinemet

Data type

integer

Alias
UMLS CUI [1,1]
C0023570
UMLS CUI [1,2]
C0074559
89 Can you take care of yourself, that is, eating, dressing, bathing or using the toilet?
Description

cares for self

Data type

boolean

Alias
UMLS CUI [1]
C3872897
90 Can you walk indoors, such as around your home?
Description

walk indoors

Data type

boolean

Alias
UMLS CUI [1,1]
C0080331
UMLS CUI [1,2]
C0578191
91 Can you walk a block or two on level ground?
Description

walk a block

Data type

boolean

Alias
UMLS CUI [1,1]
C0080331
UMLS CUI [1,2]
C1706084
92 Can you climb a flight of stairs or walk up a hill?
Description

climb flight of stairs

Data type

boolean

Alias
UMLS CUI [1]
C3831081
93 Can you run a short distance?
Description

running

Data type

boolean

Alias
UMLS CUI [1]
C0035953
94 Can you do light work around the house like dusting or washing dishes?
Description

light work

Data type

boolean

Alias
UMLS CUI [1]
C2987220
95 Can you do moderate work around the house like vacuuming, sweeping floors or carrying in groceries?
Description

moderate work

Data type

boolean

Alias
UMLS CUI [1,1]
C0205081
UMLS CUI [1,2]
C0043227
96 Can you do heavy work around the house like scrubbing floors, or lifting or moving heavy furniture?
Description

heavy work

Data type

boolean

Alias
UMLS CUI [1]
C3842658
97 Can you do yardwork like raking leaves, weeding or pushing a power mower?
Description

yard work

Data type

boolean

Alias
UMLS CUI [1]
C2986650
98 Can you have sexual relations?
Description

sexual relations

Data type

boolean

Alias
UMLS CUI [1]
C0871356
99 Can you participate in moderate recreational activities like golf, bowling, doubles tennis, dancing, or throwing a baseball or foootball?
Description

moderate recreational activities

Data type

boolean

Alias
UMLS CUI [1,1]
C0577451
UMLS CUI [1,2]
C0205081
100 Can you participate in strenuous sports like swimming, singles tennis, football, basketball or skiing?
Description

strenuous sports

Data type

boolean

Alias
UMLS CUI [1]
C1514989
101 Have you experienced any of these symptoms in the last year? frequently cold feet
Description

cold feet

Data type

boolean

Alias
UMLS CUI [1]
C0424741
loss of hair on the lower legs
Description

loss of hair on lower legs

Data type

boolean

Alias
UMLS CUI [1]
C2028328
difficulty with wounds healing
Description

wound healing

Data type

boolean

Alias
UMLS CUI [1]
C1320404
foot pain with walking
Description

foot pain walking

Data type

boolean

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0080331
102 Are you currently taking estrogens auch as Premarin, Estrace, Ogen, Prempro, or any other estrogen?
Description

The next set of questions are for women only. Men may skip to end of the questionnaire. FOR WOMEN ONLY: Women sometimes take female homones after menopause. They may be taken for a variety of reasons, including hot flashes or other symptoms, and sometimes for the prevention of bone loss. These hormones are usually estrogens such as Premarin (conjugated estrogens), Estrace (stradiol), Ogen (estrace), or Prempro (estrogen plus progestin). Sometimes women take progestins such as Provera (medoxyprogesterone) or Norlutate (norethindrone). We are interested in whether you are currently using or have used these hormones for any reason. If NO or DON'T KNOW, skip to Question 103.

Data type

integer

Alias
UMLS CUI [1]
C0014939
A. How many days per month do you take estrogen?
Description

days per month estrogen

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C0556971
days
B. Why are you taking estrogen? To prevent hot flashes
Description

estrogen indication hot flashes

Data type

integer

Alias
UMLS CUI [1,1]
C0600142
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
To prevent other postmenopausal symptoms
Description

estrogen indication postmenopausal symptoms

Data type

integer

Alias
UMLS CUI [1,1]
C0206159
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
To prevent osteoporosis or bone loss
Description

estrogen indication osteoporosis

Data type

integer

Alias
UMLS CUI [1,1]
C0029456
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
To prevent heart disease
Description

estrogen indication heart disease

Data type

integer

Alias
UMLS CUI [1,1]
C0018799
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
For other reasons
Description

other estrogen indication

Data type

integer

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
Please specify:
Description

other estrogen indication

Data type

text

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
103 Are you currently taking progestins such as Provera, Norlutate, or Prempro?
Description

progestins

Data type

integer

Alias
UMLS CUI [1]
C0033306
A. How many days per month do you take progestin?
Description

Thank you for volunteering time out of your busy day to participate in the CARDIOVASCULAR HEALTH STUDY. We appreciate all that you hae contributed to the study and are grateful for your commitment and enthusiasm. Again, thank you for your generosity. You are much appreciated.

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C0556971
days
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Similar models

Years 10-11 Medical & Personal History Cardiovascular Health Study (CHS)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Medical & Personal History
C0262926 (UMLS CUI-1)
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)
days in bed because of injury
Item
2 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. If you do not remember the exact number of days, please estimate as closely as possible.)
integer
C0221423 (UMLS CUI [1,1])
C0004910 (UMLS CUI [1,2])
C0439228 (UMLS CUI [1,3])
Item
3 Are you currently involved in any medical studies other than CHS?
integer
C2348568 (UMLS CUI [1])
study participation
Code List
3 Are you currently involved in any medical studies other than CHS?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
study participation
Item
If YES, please name:
text
C2348568 (UMLS CUI [1])
Item
4 Has a doctor told you that you had a new myocardial infarction or heart attack since we spoke with you on the phone about six months ago?
integer
C0027051 (UMLS CUI [1])
study participation
Code List
4 Has a doctor told you that you had a new myocardial infarction or heart attack since we spoke with you on the phone about six months ago?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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. Whar 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])
myocardial infarction date
Item
B. Date of event or diagnosis:
date
C0027051 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
myocardial infarction seen doctor
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
integer
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])
study participation
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
myocardial infarction times hospitalized
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])
hospital admission date
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission date
date
C0806429 (UMLS CUI [1])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital address
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital address, city, state
text
C0019994 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
C1301808 (UMLS CUI [1,4])
myocardial infarction hospitalization days
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
5 Has a doctor 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 months ago?
integer
C0002962 (UMLS CUI [1])
study participation
Code List
5 Has a doctor 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 months ago?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
angina pectoris date
Item
B. Date of event or diagnosis:
date
C0002962 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
angina pectoris seen doctor
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
integer
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 nicht for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0002962 (UMLS CUI [1,2])
study participation
Code List
D. Were you in the hospital at least one nicht for this condition since we last spoke to you?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
angina pectoris times hospitalized
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])
hospital admission date
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission date
date
C0806429 (UMLS CUI [1])
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 address
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital address, city, state
text
C0019994 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
C1301808 (UMLS CUI [1,4])
angina pectoris hospitalization days
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
6 Has a doctor 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 months ago?
integer
C0018801 (UMLS CUI [1])
study participation
Code List
6 Has a doctor 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 months ago?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
heart failure date
Item
B. Date of event or diagnosis:
date
C0018802 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
heart failure seen doctor
Item
C. How many times altogether have you seen a doctor for this condition since we last spoke to you?
integer
C0018801 (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])
C0018801 (UMLS CUI [1,2])
study participation
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
heart failure times hospitalized
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0018801 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
hospital admission date
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission date
date
C0806429 (UMLS CUI [1])
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 address
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital address, city, state
text
C0019994 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
C1301808 (UMLS CUI [1,4])
heart failure hospitalization days
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0018801 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
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])
study participation
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)
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])
intermittent claudication date
Item
B. Date of event or diagnosis:
date
C0021775 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
intermittent claudication seen doctor
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
integer
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])
study participation
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
intermittent claudication times hospitalized
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])
hospital admission date
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission date
date
C0806429 (UMLS CUI [1])
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 address
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital address, city, state
text
C0019994 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
C1301808 (UMLS CUI [1,4])
intermittent claudication hospitalization days
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
8 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])
study participation
Code List
8 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)
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])
cerebrovascular accident date
Item
B. Date of event or diagnosis:
date
C0038454 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
cerebrovascular accident seen doctor
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
integer
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])
study participation
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
cerebrovascular accident times hospitalized
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])
hospital admission date
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission date
date
C0806429 (UMLS CUI [1])
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 address
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital address, city, state
text
C0019994 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
C1301808 (UMLS CUI [1,4])
cerebrovascular accident days hospitalized
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
9 Has a doctor told you that you had a new transient ischemic attack or TIA or silent stroke since we spoke to you on the phone about six months ago?
integer
C0007787 (UMLS CUI [1])
study participation
Code List
9 Has a doctor told you that you had a new transient ischemic attack or TIA or silent stroke since we spoke to you on the phone about six months ago?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
transient ischemic attack date
Item
B. Date of event or diagnosis:
date
C0007787 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
transient ischemic attack doctor seen
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
integer
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])
study participation
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
transient ischemic attack times hospitalized
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])
hospital admission date
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission date
date
C0806429 (UMLS CUI [1])
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 address
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital address, city, state
text
C0019994 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
C1301808 (UMLS CUI [1,4])
transient ischemic attack days hospitalized
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])
Item
10 Have you stayed overnight as a patient in a hospital for any other reasons not repored in Question 4 through 9 since we spoke to you on the phone about six months ago?
integer
C0019993 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
study participation
Code List
10 Have you stayed overnight as a patient in a hospital for any other reasons not repored in Question 4 through 9 since we spoke to you on the phone about six months ago?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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 address
Item
Hospital address:
text
C1442065 (UMLS CUI [1])
date of hospitalization
Item
Date of hospitalization:
date
C0019993 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Length of Stay
Item
Length of Stay
integer
C0023303 (UMLS CUI [1])
Item
11 Have you stayed overnight as a patient in a nursing home or rehabilitation center since we spoke to you on the phone about six months ago?
integer
C0028688 (UMLS CUI [1])
study participation
Code List
11 Have you stayed overnight as a patient in a nursing home or rehabilitation center since we spoke to you on the phone about six months ago?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Reason for admission
Item
Reason for admission
text
C0392360 (UMLS CUI [1,1])
C0809949 (UMLS CUI [1,2])
Item
Nursing home name
integer
C0028688 (UMLS CUI [1])
study participation
Code List
Nursing home name
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
Admission date
Item
Date of admission
date
C1302393 (UMLS CUI [1])
length of hospital stay
Item
Lenght of stay:
integer
C0023303 (UMLS CUI [1])
Item
Are you currently staying in a nursing home?
integer
C0028688 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
study participation
Code List
Are you currently staying in a nursing home?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
12 Have you received any home health care in the past six months?
integer
C0019855 (UMLS CUI [1])
study participation
Code List
12 Have you received any home health care in the past six months?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. What type of care did you receive through home health care? (Check all that apply.) Physical therapy
integer
C0949766 (UMLS CUI [1])
study participation
Code List
A. What type of care did you receive through home health care? (Check all that apply.) Physical therapy
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. What type of care did you receive through home health care? (Check all that apply.) Occupational therapy
integer
C1318464 (UMLS CUI [1])
study participation
Code List
A. What type of care did you receive through home health care? (Check all that apply.) Occupational therapy
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A What type of care did you receive through home health care? (Check all that apply.) Nursing care
integer
C0028678 (UMLS CUI [1])
study participation
Code List
A What type of care did you receive through home health care? (Check all that apply.) Nursing care
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. What type of care did you receive through home health care? (Check all that apply.) Other type of care
integer
C0019855 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
study participation
Code List
A. What type of care did you receive through home health care? (Check all that apply.) Other type of care
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
other type of care
Item
If Other, please specify:
text
C0019855 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
13 Have you had a flu shot isnce we saw you last year?
integer
C0770694 (UMLS CUI [1])
study participation
Code List
13 Have you had a flu shot isnce we saw you last year?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
14 Have you had a shot to prevent pneumonia, sometimes called pneumovax, since we saw you lasr year?
integer
C0071315 (UMLS CUI [1])
study participation
Code List
14 Have you had a shot to prevent pneumonia, sometimes called pneumovax, since we saw you lasr year?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
15 Did a doctor prescribe nitroglycerin for you since we saw you last year?
integer
C0017887 (UMLS CUI [1])
study participation
Code List
15 Did a doctor prescribe nitroglycerin for you since we saw you last year?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
nitroglycerin
Item
If YES, specify reason:
text
C0017887 (UMLS CUI [1])
Item
16 Have you had pneumonia since we saw you last year?
integer
C0032285 (UMLS CUI [1])
study participation
Code List
16 Have you had pneumonia since we saw you last year?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
17 Have you had an attack of bronchitis since we saw you last year?
integer
C0006277 (UMLS CUI [1])
study participation
Code List
17 Have you had an attack of bronchitis since we saw you last year?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
Was this confirmed by a doctor?
integer
C0006277 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
study participation
Code List
Was this confirmed by a doctor?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
18 Has a doctor ever told you that you had any of the following conditions od diseases; and if so, when were you FIRST told that you had the condition? A. High blood pressure
integer
C0020538 (UMLS CUI [1])
high blood pressure
Code List
18 Has a doctor ever told you that you had any of the following conditions od diseases; and if so, when were you FIRST told that you had the condition? A. High blood pressure
CL Item
Never told (0)
CL Item
First told during the past year (1)
CL Item
First told more than one year ago (2)
Item
B. Asthma
integer
C0004096 (UMLS CUI [1])
high blood pressure
Code List
B. Asthma
CL Item
Never told (0)
CL Item
First told during the past year (1)
CL Item
First told more than one year ago (2)
Item
C. Atrial Fibrillation
integer
C0004238 (UMLS CUI [1])
high blood pressure
Code List
C. Atrial Fibrillation
CL Item
Never told (0)
CL Item
First told during the past year (1)
CL Item
First told more than one year ago (2)
Item
D. Deep vein thrombosis (or blood clots in legs)
integer
C0149871 (UMLS CUI [1])
high blood pressure
Code List
D. Deep vein thrombosis (or blood clots in legs)
CL Item
Never told (0)
CL Item
First told during the past year (1)
CL Item
First told more than one year ago (2)
Item
E. Rheumatic fever or heart valve problems
integer
C3536892 (UMLS CUI [1,1])
C0018824 (UMLS CUI [1,2])
high blood pressure
Code List
E. Rheumatic fever or heart valve problems
CL Item
Never told (0)
CL Item
First told during the past year (1)
CL Item
First told more than one year ago (2)
Item
F. Emphysema
integer
C0034067 (UMLS CUI [1])
high blood pressure
Code List
F. Emphysema
CL Item
Never told (0)
CL Item
First told during the past year (1)
CL Item
First told more than one year ago (2)
Item
G. Diabetes
integer
C0011849 (UMLS CUI [1])
high blood pressure
Code List
G. Diabetes
CL Item
Never told (0)
CL Item
First told during the past year (1)
CL Item
First told more than one year ago (2)
diabetes diagnosis date
Item
What month and year were you first told you had diabetes?
partialDate
C0011849 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
19a. Have you ever had any of the following problems? A. Foot ulcers/ sores on feet
integer
C0085119 (UMLS CUI [1,1])
C0863085 (UMLS CUI [1,2])
study participation
Code List
19a. Have you ever had any of the following problems? A. Foot ulcers/ sores on feet
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. High blood sugar
integer
C0020456 (UMLS CUI [1])
study participation
Code List
B. High blood sugar
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Low blood sugar
integer
C0020615 (UMLS CUI [1])
study participation
Code List
C. Low blood sugar
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
D. Fainting or passing out
integer
C0039070 (UMLS CUI [1])
study participation
Code List
D. Fainting or passing out
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
E. Eye problems
integer
C0262477 (UMLS CUI [1])
study participation
Code List
E. Eye problems
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
19b. Has a doctor told you that you had other heart or circulatory problems since we saw you last year?
integer
C0007222 (UMLS CUI [1])
study participation
Code List
19b. Has a doctor 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)
heart or circulatory problems
Item
If YES, specify reason:
text
C0007222 (UMLS CUI [1])
Item
20 Are you currently taking medication prescribed by a doctor for any of the following conditions? A. High blood pressure
integer
C0013227 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
study participation
Code List
20 Are you currently taking medication prescribed by a doctor for any of the following conditions? A. High blood pressure
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Atrial fibrillation
integer
C0013227 (UMLS CUI [1,1])
C0004238 (UMLS CUI [1,2])
study participation
Code List
B. Atrial fibrillation
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Deep vein thrombosis (or blood clots in your legs)
integer
C0013227 (UMLS CUI [1,1])
C0149871 (UMLS CUI [1,2])
study participation
Code List
C. Deep vein thrombosis (or blood clots in your legs)
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
D. Diabetes
integer
C0013227 (UMLS CUI [1,1])
C0011849 (UMLS CUI [1,2])
study participation
Code List
D. Diabetes
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
a. How are you treated for diabetes?
integer
C0087111 (UMLS CUI [1,1])
C0011849 (UMLS CUI [1,2])
diabetes treatment
Code List
a. How are you treated for diabetes?
CL Item
Insulin (1)
CL Item
Oral Hypoglycemic Agent (2)
CL Item
Other (3)
diabetes treatment
Item
If Other, specify:
text
C0087111 (UMLS CUI [1,1])
C0011849 (UMLS CUI [1,2])
Item
21 Have you had coronary angiography or heart catheterization as an outpatient procedure since we last saw you?
integer
C0085532 (UMLS CUI [1])
study participation
Code List
21 Have you had coronary angiography or heart catheterization as an outpatient procedure since we last saw you?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
coronary angiography date
Item
a. Date of Procedure
date
C0085532 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
coronary angiography hospital
Item
b. Where was this procedure done? (doctor, clinic, hospital) Name, Address, City, State
text
C0085532 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C1442065 (UMLS CUI [1,3])
Item
22 Did you have a procedure in or out of the hospital to open up the arteries in either of your legs since we last saw you?
integer
C0397581 (UMLS CUI [1])
study participation
Code List
22 Did you have a procedure in or out of the hospital to open up the arteries in either of your legs since we last saw you?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
arterial procedure date
Item
a. Date of Procedure:
date
C0397581 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
arterial procedure hospital
Item
b. Where was this procedure done? (doctor, clinic, hospital) Name, Address, City, State
text
C0397581 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C1442065 (UMLS CUI [1,3])
Item
23 Have you been told by a doctor that you currently have any of the following? A. Arthritis of the Hands
integer
C0409208 (UMLS CUI [1])
study participation
Code List
23 Have you been told by a doctor that you currently have any of the following? A. Arthritis of the Hands
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Arthritis of the Shoulder
integer
C1298682 (UMLS CUI [1])
study participation
Code List
B. Arthritis of the 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])
study participation
Code List
C. Arthritis of Hips or Knees
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
D. Osteoporosis
integer
C0029456 (UMLS CUI [1])
general health
Code List
D. Osteoporosis
CL Item
Excellent (1)
CL Item
Very good (2)
CL Item
Good (3)
CL Item
Fair (4)
CL Item
Poor (5)
Item
E. Liver Disease, Cirrhosis, or Hepatitis
integer
C0023895 (UMLS CUI [1])
study participation
Code List
E. Liver Disease, Cirrhosis, or Hepatitis
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
F. Kidney (Renal) Disease or Failure
integer
C0022658 (UMLS CUI [1])
study participation
Code List
F. Kidney (Renal) Disease or Failure
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
24. During the last year have you had pain in any bones or joints for at least half the days of a month?
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
study participation
Code List
24. During the last year have you had pain in any bones or joints for at least half the days of a month?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. Hands
integer
C0151825 (UMLS CUI [1,1])
C0018563 (UMLS CUI [1,2])
C0003862 (UMLS CUI [1,3])
study participation
Code List
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 [1,3])
study participation
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 [1,3])
study participation
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 [1,3])
study participation
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 [1,3])
study participation
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 [1,3])
study participation
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 [1,3])
study participation
Code List
G. Shoulders
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
H. Other area
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0220886 (UMLS CUI [1,3])
study participation
Code List
H. Other area
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
pain in other area
Item
Specify other area:
text
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0220886 (UMLS CUI [1,3])
Item
25 Have you been told by a doctor that you currently have cancer?
integer
C0006826 (UMLS CUI [1])
study participation
Code List
25 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])
study participation
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
C0376545 (UMLS CUI [1])
study participation
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])
study participation
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])
study participation
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])
study participation
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])
study participation
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])
study participation
Code List
G. Prostate cancer
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
H. Pancreatic cancer
integer
C0235974 (UMLS CUI [1])
study participation
Code List
H. Pancreatic cancer
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
I. Esophageal cancer
integer
C0014859 (UMLS CUI [1])
study participation
Code List
I. Esophageal cancer
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
J. Other cancer
integer
C1707251 (UMLS CUI [1])
study participation
Code List
J. Other cancer
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
other cancer
Item
Specify other cancer
text
C1707251 (UMLS CUI [1])
Item
26 Have you been treated by a doctor for any of the following since we last saw you? A. Broken hip (fracture)
integer
C0019557 (UMLS CUI [1])
study participation
Code List
26 Have you been treated by a doctor for any of the following since we last saw you? 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])
study participation
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 [1,1])
C0435630 (UMLS CUI [1,2])
C0037006 (UMLS CUI [1,3])
study participation
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])
study participation
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
C3263722 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
study participation
Code List
E. Other injury
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
other injury
Item
Specify other injury:
text
C3263722 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
F. Did you have arthritis that was treated with medication?
integer
C0003864 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
study participation
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
27 Have you had a cold, the flu, a dental infection, or other infections in the last two weeks?
integer
C0009450 (UMLS CUI [1])
infections
Code List
27 Have you had a cold, the flu, a dental infection, or other infections in the last two weeks?
CL Item
Yes, in the past week (1)
CL Item
Yes, 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
28 Have you had any of the following symptoms in the past two weeks? A. Fever or chills
integer
C0015967 (UMLS CUI [1])
infections
Code List
28 Have you had any of the following symptoms in the past two weeks? A. Fever or chills
CL Item
Yes, in the past week (1)
CL Item
Yes, 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Sore throat
integer
C0242429 (UMLS CUI [1])
infections
Code List
B. Sore throat
CL Item
Yes, in the past week (1)
CL Item
Yes, 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Cough
integer
C0010200 (UMLS CUI [1])
infections
Code List
C. Cough
CL Item
Yes, in the past week (1)
CL Item
Yes, 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
D. Sputum or mucous
integer
C0038056 (UMLS CUI [1])
infections
Code List
D. Sputum or mucous
CL Item
Yes, in the past week (1)
CL Item
Yes, 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
E. Runny nose or congestion
integer
C1260880 (UMLS CUI [1])
infections
Code List
E. Runny nose or congestion
CL Item
Yes, in the past week (1)
CL Item
Yes, 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
F. Pain on urination
integer
C0013428 (UMLS CUI [1])
infections
Code List
F. Pain on urination
CL Item
Yes, in the past week (1)
CL Item
Yes, 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
G. Cloudy or discolored urine
integer
C0522153 (UMLS CUI [1])
infections
Code List
G. Cloudy or discolored urine
CL Item
Yes, in the past week (1)
CL Item
Yes, 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
H. Tests showing a urine infection
integer
C0729523 (UMLS CUI [1])
infections
Code List
H. Tests showing a urine infection
CL Item
Yes, in the past week (1)
CL Item
Yes, 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
I. Diarrhea
integer
C0011991 (UMLS CUI [1])
infections
Code List
I. Diarrhea
CL Item
Yes, in the past week (1)
CL Item
Yes, 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
J. Other infection
integer
C0205394 (UMLS CUI [1,1])
C0009450 (UMLS CUI [1,2])
infections
Code List
J. Other infection
CL Item
Yes, in the past week (1)
CL Item
Yes, 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
other infection
Item
If OTHER, specify:
text
C0205394 (UMLS CUI [1,1])
C0009450 (UMLS CUI [1,2])
Item
29 During the past year, have you had spells of dizziness, loss of balance, or sensation of spinning?
integer
C0012833 (UMLS CUI [1])
study participation
Code List
29 During the past year, have you had spells of dizziness, loss of balance, or sensation of spinning?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
30 During the past year, have you had a fall? (Do not include falls during skiing, skating, or other activities that may affect balance.)
integer
C0085639 (UMLS CUI [1])
study participation
Code List
30 During the past year, have you had a fall? (Do not include falls during skiing, skating, or other activities that may affect balance.)
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
falls
Item
A. How many times have you fallen during the past year?
integer
C0085639 (UMLS CUI [1])
Item
31 A. During the past year, have you injured your head?
integer
C0018674 (UMLS CUI [1])
study participation
Code List
31 A. During the past year, have you injured your head?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. During the past year, have you injured your neck?
integer
C0027531 (UMLS CUI [1])
study participation
Code List
B. During the past year, have you injured your neck?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. During the past year, have you ever fainted, lost consciousness, or "blacked out"?
integer
C0039070 (UMLS CUI [1])
study participation
Code List
C. During the past year, have you ever fainted, lost consciousness, or "blacked out"?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
fainting
Item
When did this occur? (Month/Year)
partialDate
C0039070 (UMLS CUI [1])
Item
32 Would you say that your appetite is usually:
integer
C0003618 (UMLS CUI [1])
appetite
Code List
32 Would you say that your appetite is usually:
CL Item
Very good (4)
CL Item
Good (3)
CL Item
Fair (2)
CL Item
Poor (1)
Item
33 During the past year, have you gained or lost more than 10 pounds?
integer
C0005911 (UMLS CUI [1])
weight change
Code List
33 During the past year, have you gained or lost more than 10 pounds?
CL Item
Lost more than 10 pounds (1)
CL Item
Gained more than 10 pounds (2)
CL Item
Both lost and gained more than 10 pounds (3)
CL Item
Little or no change (4)
CL Item
Don't know (9)
Item
A. Were any of the following a major factor in your weight change? Diet
integer
C0012155 (UMLS CUI [1])
study participation
Code List
A. Were any of the following a major factor in your weight change? Diet
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
Surgery, illess or medication
integer
C0221423 (UMLS CUI [1])
study participation
Code List
Surgery, illess or medication
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
Exercise
integer
C0015259 (UMLS CUI [1])
study participation
Code List
Exercise
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
try to lose weight
Item
B. Were you trying to lose weight?
boolean
C0421273 (UMLS CUI [1])
Item
34 Have you had to sleep pn two or more pillows to help you breathe at any time during the past 12 months?
integer
C0035203 (UMLS CUI [1,1])
C0182291 (UMLS CUI [1,2])
study participation
Code List
34 Have you had to sleep pn two or more pillows to help you breathe at any time during the past 12 months?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
35 How often, if ever, have you awakened suddenly with a feeling of gasping, choking or shortness of breath?
integer
C3641913 (UMLS CUI [1,1])
C0240526 (UMLS CUI [1,2])
awakened by trouble breathing
Code List
35 How often, if ever, have you awakened suddenly with a feeling of gasping, choking or shortness of breath?
CL Item
Never (0)
CL Item
Rarely, only once or twice ever (1)
CL Item
Sometimes, a few nights a month under special circumstances (2)
CL Item
At least once weekly, but pattern may not be regular (3)
CL Item
Several (3-5) nights a week (4)
CL Item
Every night or almost nightly (5)
CL Item
Don't know (9)
Item
36 During thw last 30 days, did you start taking any medicine(s)?
integer
C0451613 (UMLS CUI [1,1])
C3845590 (UMLS CUI [1,2])
study participation
Code List
36 During thw last 30 days, did you start taking any medicine(s)?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
medication name
Item
What is (are) the name(s) of the medicine(s)?
text
C2360065 (UMLS CUI [1])
Item
37 During the last 30 days, did you stop taking any medicine(s)?
integer
C0013227 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
C3845590 (UMLS CUI [1,3])
study participation
Code List
37 During the last 30 days, did you stop taking any medicine(s)?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
medication name
Item
What is (are) the name(s) of the medicine(s)?
text
C2360065 (UMLS CUI [1])
Item
38 During the last thirty days, did you change the dosage of any medicine(s)?
integer
C0420247 (UMLS CUI [1])
study participation
Code List
38 During the last thirty days, did you change the dosage of any medicine(s)?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
medication name
Item
What is (are) the name(s) of the medicine(s)? (Use another sheet of paper to list additional medicines.)
text
C2360065 (UMLS CUI [1])
Item
Did the dosage:
integer
C0420247 (UMLS CUI [1])
dosage change
Code List
Did the dosage:
CL Item
Increase (1)
CL Item
Decrease (2)
CL Item
Don't know (3)
Item
39 During the last two weeks, did you take any aspirin or aspirin-containing medicines such as Bufferin, Anacin or Ascriptin?
integer
C0004057 (UMLS CUI [1])
study participation
Code List
39 During the last two weeks, did you take any aspirin or aspirin-containing medicines such as Bufferin, Anacin or Ascriptin?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
What was the reason you took aspirin? headache
integer
C0004057 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0018681 (UMLS CUI [1,3])
study participation
Code List
What was the reason you took aspirin? headache
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
Arthritis
integer
C0004057 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0003864 (UMLS CUI [1,3])
study participation
Code List
Arthritis
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
Cardiovascular protection
integer
C0004057 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0007226 (UMLS CUI [1,3])
C0199176 (UMLS CUI [1,4])
study participation
Code List
Cardiovascular protection
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
Other body aches
integer
C0004057 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
study participation
Code List
Other body aches
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
aspirin for other body aches
Item
Specify other:
text
C0004057 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
aspirin days last 2 weeks
Item
On about how many days did you take it during the last 2 weeks?
integer
C0004057 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
Item
40 Have you smoked cigarettes during the past 30 days?
integer
C0543414 (UMLS CUI [1])
study participation
Code List
40 Have you smoked cigarettes during the past 30 days?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
cigarettes per day
Item
On average, how many cigarettes do you smoke per days?
integer
C3694146 (UMLS CUI [1])
Item
41 Have you smoked a pipe or cigar during the past 30 days?
integer
C0543414 (UMLS CUI [1])
study participation
Code List
41 Have you smoked a pipe or cigar during the past 30 days?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
42 Which of the following best describes your current smoking status?
integer
C1519386 (UMLS CUI [1])
smoking status
Code List
42 Which of the following best describes your current smoking status?
CL Item
Never smoked (1)
CL Item
Former smoker, quit more than 1 year ago (2)
CL Item
Former smoker, quit less than 1 year ago (3)
CL Item
Current smoker (4)
CL Item
Don't know (9)
Item
43 Do you ever use snuff or smokeless tobacco?
integer
C0040338 (UMLS CUI [1])
study participation
Code List
43 Do you ever use snuff or smokeless tobacco?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
44 Do you ever drink beer?
integer
C0559430 (UMLS CUI [1])
study participation
Code List
44 Do you ever drink beer?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. About how often do you drink beer?
integer
C0559430 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
drink beer frequency
Code List
A. About how often do you drink beer?
CL Item
Daily (1)
CL Item
Weekly (2)
CL Item
Monthly (3)
CL Item
Yearly (4)
CL Item
Rarely/Never (9)
bottles of beer
Item
B. How many 12-ounce cans or bottles of beer do you usually drink on one occasion?
integer
C0559430 (UMLS CUI [1,1])
C0179376 (UMLS CUI [1,2])
Item
45 Do you ever drink wine?
integer
C0043188 (UMLS CUI [1])
study participation
Code List
45 Do you ever drink wine?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. About how often do you drink wine?
integer
C0043188 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
drink wine frequency
Code List
A. About how often do you drink wine?
CL Item
Rarely/never (0)
CL Item
Daily (1)
CL Item
Weekly (2)
CL Item
Monthly (3)
CL Item
Yearly (4)
servings of wine
Item
B. How many medium six-ounce glasses of wine do you usually drink on one occasion?
integer
C0043188 (UMLS CUI [1,1])
C0681585 (UMLS CUI [1,2])
Item
46 Do you ever drink liquor?
integer
C0301611 (UMLS CUI [1])
study participation
Code List
46 Do you ever drink liquor?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. About how often do you drink liquor?
integer
C0301611 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
drink liquor frequency
Code List
A. About how often do you drink liquor?
CL Item
Rarely/never (0)
CL Item
Daily (1)
CL Item
Weekly (2)
CL Item
Monthly (3)
CL Item
Yearly (4)
servings of liquor
Item
B. How many drinks, equal to one shot of liquor, do you usually drink on one occassion?
integer
C0301611 (UMLS CUI [1,1])
C0681585 (UMLS CUI [1,2])
Item
47 Can you see well enough to drive (with or without glasses)?
integer
C0042789 (UMLS CUI [1,1])
C4050139 (UMLS CUI [1,2])
see well enough to drive
Code List
47 Can you see well enough to drive (with or without glasses)?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't drive (2)
CL Item
Don't know (9)
Item
48 Can you see well enough to watch TV (with or without glasses)?
integer
C0042789 (UMLS CUI [1,1])
C0871498 (UMLS CUI [1,2])
study participation
Code List
48 Can you see well enough to watch TV (with or without glasses)?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
49 Can you see well enough to recognize someone across the room (with or without glasses)?
integer
C0042789 (UMLS CUI [1,1])
C0558054 (UMLS CUI [1,2])
C1547703 (UMLS CUI [1,3])
study participation
Code List
49 Can you see well enough to recognize someone across the room (with or without glasses)?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
50 Can you see well enough to read the newspaper (with or without glasses)?
integer
C0042789 (UMLS CUI [1,1])
C0027989 (UMLS CUI [1,2])
study participation
Code List
50 Can you see well enough to read the newspaper (with or without glasses)?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
51 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])
study participation
Code List
51 Can you hear well enough to use the telephone (with or without a hearing aid)?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
52 Can you hear well enough to listen to a radio (with or without a hearing aid)?
integer
C0018767 (UMLS CUI [1])
study participation
Code List
52 Can you hear well enough to listen to a radio (with or without a hearing aid)?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
53 Can you hear well enough to carry on a conversation in a crowded room (with or without a hearing aid)?
integer
C0018767 (UMLS CUI [1,1])
C0871703 (UMLS CUI [1,2])
C0010383 (UMLS CUI [1,3])
study participation
Code List
53 Can you hear well enough to carry on a conversation in a crowded room (with or without a hearing aid)?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
walking distance
Item
54 Think about the walking you do outside your home. During the last week, about how many city blocks or miles did you walk
text
C0429886 (UMLS CUI [1])
Item
55 When you walk outside your home, what is your usual pace?
integer
C1821542 (UMLS CUI [1])
walking pace
Code List
55 When you walk outside your home, what is your usual pace?
CL Item
No walking at all (1)
CL Item
Casual strolling (greater than 0 to 2 mph) (2)
CL Item
Average or normal (greater than 2 to 3 mph) (3)
CL Item
Fairly brisk (greater than 3 to 4 mph) (4)
CL Item
Brisk or striding (greater than 4 mph) (5)
CL Item
Unknown (9)
flights of stairs
Item
56 Think about how often you use stairs. Include stairs inside and outside your home, and stairs at other places. In the last weeks, about how many flights of stairs did you climb up? (Ten steps=one flight of stairs)
integer
C3831080 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Item
57 How would you describe your level of activity since we saw you last year?
integer
C0683317 (UMLS CUI [1])
level of activity
Code List
57 How would you describe your level of 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)
CL Item
Unknown (9)
sleep during day
Item
58 In a usual 24-hour period, how many hours do you spend sleeping during the day?
float
C4075948 (UMLS CUI [1])
sleep during night
Item
59 In a usual 24-hour period, how many hours do you spend sleeping during the night?
float
C4054766 (UMLS CUI [1])
hours sitting or lying
Item
60 In a usual 24-hour period, how many hours do you spend seated or lying down during the day (excluding time sleeping)?
float
C0277814 (UMLS CUI [1,1])
C2584317 (UMLS CUI [1,2])
C0439227 (UMLS CUI [1,3])
Item
61 During the past two weeks, have you taken a multople vitamin or any other vitamin supplement?
integer
C0724359 (UMLS CUI [1])
study participation
Code List
61 During the past two weeks, have you taken a multople vitamin or any other vitamin supplement?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
Multiple Vitamin
integer
C0301532 (UMLS CUI [1])
study participation
Code List
Multiple Vitamin
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
days taken multiple vitamin
Item
Days taken
integer
C0301532 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
Item
Vitamin A or beta-carotene
integer
C0042839 (UMLS CUI [1])
study participation
Code List
Vitamin A or beta-carotene
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
days taken vitamin a
Item
Days taken
integer
C0042839 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
Item
Vitamin C
integer
C0003968 (UMLS CUI [1])
study participation
Code List
Vitamin C
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
days taken vitamin c
Item
Days taken
integer
C0003968 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
Item
Vitamin E
integer
C0042874 (UMLS CUI [1])
study participation
Code List
Vitamin E
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
days taken vitamin e
Item
Days taken
integer
C0042874 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
Item
62 Do you have any of the following types of health insurance in addition to Medicare to help pay for your medical bills?
integer
C0021682 (UMLS CUI [1])
health insurance
Code List
62 Do you have any of the following types of health insurance in addition to Medicare to help pay for your medical bills?
CL Item
None (0)
CL Item
Private Insurance (1)
CL Item
Medical Assistance or Medicaid (2)
CL Item
Other (3)
CL Item
Don't know (9)
health insurance
Item
Specify other:
text
C0021682 (UMLS CUI [1])
Item
63 What is your current occupational status?
integer
C0014006 (UMLS CUI [1])
occupational status
Code List
63 What is your current occupational status?
CL Item
Employed at a job for pay, either full- or part-time (1)
CL Item
Homemaking, not working outside the home (2)
CL Item
Homemaking and volunteering (3)
CL Item
Employed, but temporarily away from my regular job (4)
CL Item
Retired from my usual occupation and not working (5)
CL Item
Retired from my usual occupation but working for pay (6)
CL Item
Retired from my usual occupation but volunteering (7)
CL Item
Unemployed and looking for work (8)
CL Item
Unemployed and not looking for work (9)
CL Item
Other (10)
occupational status
Item
Specify other:
text
C0014006 (UMLS CUI [1])
working hours
Item
A. If you work or volunteer, how many hours per month do you do this?
float
C0043227 (UMLS CUI [1,1])
C0439227 (UMLS CUI [1,2])
C0332177 (UMLS CUI [1,3])
Item
64 Do you often have shaking or tremor that you can't control?
integer
C0040822 (UMLS CUI [1])
study participation
Code List
64 Do you often have shaking or tremor that you can't control?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
65 Do other people often tell you that you have a tremor?
integer
C0040822 (UMLS CUI [1])
study participation
Code List
65 Do other people often tell you that you have a tremor?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
66 Has a doctor diagnosed you as havin a familial tremor or a benign essential tremor?
integer
C0040822 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
study participation
Code List
66 Has a doctor diagnosed you as havin a familial tremor or a benign essential tremor?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
67 Do you often have shaking or tremor in you hands or arm that you can't control?
integer
C0040822 (UMLS CUI [1,1])
C1140618 (UMLS CUI [1,2])
tremor in arms
Code List
67 Do you often have shaking or tremor in you hands or arm that you can't control?
CL Item
Yes, right arm (1)
CL Item
Yes, left arm (2)
CL Item
Yes, both arms (3)
CL Item
No (0)
CL Item
Don't know (9)
Item
68 Does your head often shake uncontrollably?
integer
C0040822 (UMLS CUI [1,1])
C0018670 (UMLS CUI [1,2])
study participation
Code List
68 Does your head often shake uncontrollably?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
69 Do you often have an uncontrollable tremor anywhere else in your body (legs, voice, mounth, chin, chest)? A. Nowhere else
integer
C0040822 (UMLS CUI [1])
study participation
Code List
69 Do you often have an uncontrollable tremor anywhere else in your body (legs, voice, mounth, chin, chest)? A. Nowhere else
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Right leg
integer
C0040822 (UMLS CUI [1,1])
C0230415 (UMLS CUI [1,2])
study participation
Code List
B. Right leg
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Left leg
integer
C0040822 (UMLS CUI [1,1])
C0230416 (UMLS CUI [1,2])
study participation
Code List
C. Left leg
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
D. Voice
integer
C0042939 (UMLS CUI [1])
study participation
Code List
D. Voice
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
E. Mouth or chin
integer
C0040822 (UMLS CUI [1,1])
C0230028 (UMLS CUI [1,2])
study participation
Code List
E. Mouth or chin
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
F. Chest or stomach
integer
C0040822 (UMLS CUI [1,1])
C0817096 (UMLS CUI [1,2])
C0038351 (UMLS CUI [1,3])
study participation
Code List
F. Chest or stomach
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
G. Other
integer
C0040822 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
study participation
Code List
G. Other
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
70 Does your voice almost always tremble when you talk?
integer
C0042939 (UMLS CUI [1,1])
C0234369 (UMLS CUI [1,2])
study participation
Code List
70 Does your voice almost always tremble when you talk?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
71 Does your hand usually tremble when you hod a pen or write yoour name?
integer
C0234369 (UMLS CUI [1,1])
C0018563 (UMLS CUI [1,2])
study participation
Code List
71 Does your hand usually tremble when you hod a pen or write yoour name?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
72 Do you have a problem because your hand shakes when you drink or pour from a cup or a glass?
integer
C0018563 (UMLS CUI [1,1])
C0040822 (UMLS CUI [1,2])
study participation
Code List
72 Do you have a problem because your hand shakes when you drink or pour from a cup or a glass?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
73 Do you have a problem because your hand shakes when you hold a fork, spoon or knife?
integer
C0018563 (UMLS CUI [1,1])
C0040822 (UMLS CUI [1,2])
study participation
Code List
73 Do you have a problem because your hand shakes when you hold a fork, spoon or knife?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
74 Does shaking or tremor make you spill when drinking from a cup or eating soup with a spoon?
integer
C0040822 (UMLS CUI [1,1])
C0452428 (UMLS CUI [1,2])
study participation
Code List
74 Does shaking or tremor make you spill when drinking from a cup or eating soup with a spoon?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
75 Do your hands tremble uncontrollably when you button your shirt? (This is not the same as having difficulty buttoning.)
integer
C0234369 (UMLS CUI [1,1])
C0018563 (UMLS CUI [1,2])
study participation
Code List
75 Do your hands tremble uncontrollably when you button your shirt? (This is not the same as having difficulty buttoning.)
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
76 To what extent does each of the following statements describe you? A. I try to pass along the knowledge I have gained through my experiences.
integer
C0376554 (UMLS CUI [1])
pass along knowledge
Code List
76 To what extent does each of the following statements describe you? A. I try to pass along the knowledge I have gained through my experiences.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
B. I do not feel that other people need me.
integer
C4034795 (UMLS CUI [1])
pass along knowledge
Code List
B. I do not feel that other people need me.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
C. I think I would like the work of a teacher.
integer
C0221457 (UMLS CUI [1,1])
C0043227 (UMLS CUI [1,2])
pass along knowledge
Code List
C. I think I would like the work of a teacher.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
D. I feel as though I have made a difference to many people.
integer
C3846158 (UMLS CUI [1])
pass along knowledge
Code List
D. I feel as though I have made a difference to many people.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
E. I do not volunteer to work for a charity.
integer
C2367294 (UMLS CUI [1])
pass along knowledge
Code List
E. I do not volunteer to work for a charity.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
F. I have made and created thingd that have had an mpact on other people.
integer
C1706214 (UMLS CUI [1])
pass along knowledge
Code List
F. I have made and created thingd that have had an mpact on other people.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
G. I try to be creative in the most things that I do.
integer
C0010297 (UMLS CUI [1])
pass along knowledge
Code List
G. I try to be creative in the most things that I do.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
H. I think that I will be remembered for a long time after I die.
integer
C0034770 (UMLS CUI [1])
pass along knowledge
Code List
H. I think that I will be remembered for a long time after I die.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
I. I believe that society can not be responsible for providing food and shelter for all homeless people.
integer
C0028762 (UMLS CUI [1])
pass along knowledge
Code List
I. I believe that society can not be responsible for providing food and shelter for all homeless people.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
J. Others would say that I have made unique contributions to society.
integer
C0037455 (UMLS CUI [1,1])
C1880177 (UMLS CUI [1,2])
pass along knowledge
Code List
J. Others would say that I have made unique contributions to society.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
K. I have important skills that I try to teach others.
integer
C0678856 (UMLS CUI [1])
pass along knowledge
Code List
K. I have important skills that I try to teach others.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
L. I feel that I have done nothing that will survive after I die.
integer
C3846158 (UMLS CUI [1])
pass along knowledge
Code List
L. I feel that I have done nothing that will survive after I die.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
M. In general, my actions do not have a positive effect on others.
integer
C1446409 (UMLS CUI [1,1])
C1280500 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C0027361 (UMLS CUI [1,4])
pass along knowledge
Code List
M. In general, my actions do not have a positive effect on others.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
N. I feel as though I have done nothing of worth to contribute to others.
integer
C1880177 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0027361 (UMLS CUI [1,3])
pass along knowledge
Code List
N. I feel as though I have done nothing of worth to contribute to others.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
O. I have made many commitments to many different kinds of people, groups and activities in my life.
integer
C0870312 (UMLS CUI [1])
pass along knowledge
Code List
O. I have made many commitments to many different kinds of people, groups and activities in my life.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
P. Other people say I am a very productive person.
integer
C0033269 (UMLS CUI [1])
pass along knowledge
Code List
P. Other people say I am a very productive person.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
Q. I have a responsibility to improve the neighborhood in which I live.
integer
C0678341 (UMLS CUI [1,1])
C0027569 (UMLS CUI [1,2])
pass along knowledge
Code List
Q. I have a responsibility to improve the neighborhood in which I live.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
R. People come to me for advice.
integer
C0150600 (UMLS CUI [1])
pass along knowledge
Code List
R. People come to me for advice.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
Item
S. I feel as though my contributions will exist after I die.
integer
C1880177 (UMLS CUI [1,1])
C0310255 (UMLS CUI [1,2])
pass along knowledge
Code List
S. I feel as though my contributions will exist after I die.
CL Item
A lot (1)
CL Item
Some (2)
CL Item
A little (3)
CL Item
Not at all (0)
chest pain
Item
77 Have you ever had any pain or discomfort in your chest?
boolean
C0008031 (UMLS CUI [1])
Item
A. Do you feel the 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 the pain when you walk uphill or hurry?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Never walk uphill or hurry (9)
chest pain walking
Item
B. Do you feel the pain when you walk at an ordinary pace on the 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 [1,1])
C0080331 (UMLS CUI [1,2])
chest pain walking
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 nitroglycerin (1)
CL Item
Continue at same pace (2)
Item
C. If you stand still, what happens to the pain?
integer
C0008031 (UMLS CUI [1,1])
C0035253 (UMLS CUI [1,2])
chest pain standing still
Code List
C. 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 (9)
chest pain localization
Item
E. Where do you get this pain or discomfort?
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 [1,1])
C0332185 (UMLS CUI [1,2])
chest pain past two weeks
Item
If yes, how many times in the past two weeks have you had this pain?
integer
C0008031 (UMLS CUI [1,1])
C0332185 (UMLS CUI [1,2])
chest pain past two weeks frequency increase
Item
G. Has there been an increase in 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 ever had a severes pain scross 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])
Item
K. If you saw a doctor, what did your doctor say it was?
integer
C0008031 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,3])
severe chest pain diagnosis
Code List
K. 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)
severe chest pain diagnosis
Item
Specify other:
text
C0008031 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,3])
Item
78 Have you had swelling of your feet or ankles since we saw you last year?
integer
C0581394 (UMLS CUI [1])
study participation
Code List
78 Have you had swelling of your feet or ankles since we saw you last year?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. Did it tend to come during the day and go down overnight?
integer
C0849969 (UMLS CUI [1,1])
C0332271 (UMLS CUI [1,2])
C0585022 (UMLS CUI [1,3])
study participation
Code List
A. Did it tend to come during the day and go down overnight?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
79 Do you get pain in either leg when walking?
integer
C0023222 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
study participation
Code List
79 Do you get pain in either leg when walking?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. Do you feel this pain in your calf or calves?
integer
C0023222 (UMLS CUI [1,1])
C0230445 (UMLS CUI [1,2])
study participation
Code List
A. Do you feel this pain in your calf or calves?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Does this pain ever begin when you are standing still or sitting?
integer
C0023222 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
study participation
Code List
B. Does this pain ever begin when you are standing still or sitting?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Do you feel it when you walk uphill or hurry?
integer
C0023222 (UMLS CUI [1,1])
C3842654 (UMLS CUI [1,2])
study participation
Code List
C. Do you feel it when you walk uphill or hurry?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
D. Do you feel it when you walk at an ordinary pace on the level?
integer
C0023222 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
study participation
Code List
D. Do you feel it when you walk at an ordinary pace on the level?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
E. Does this pain ever disappear while you are walking?
integer
C0023222 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
C2746065 (UMLS CUI [1,3])
study participation
Code List
E. Does this pain ever disappear while you are walking?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
F. What do you do if you feel it while you are walking?
integer
C0023222 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
leg pain walking
Code List
F. What do you do if you feel 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 standing still
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 (9)
Item
80 Has a doctor ever told you that you have Parkinson's Disease?
integer
C0030567 (UMLS CUI [1])
study participation
Code List
80 Has a doctor ever told you that you have Parkinson's Disease?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. Are you currently being treated for Parkinson's Disease?
integer
C0030567 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
study participation
Code List
A. Are you currently being treated for Parkinson's Disease?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
parkinson diagnosis age
Item
B. At what age were you first told that you had Parkinson's disease?
integer
C0242422 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
Item
81 Do you have trouble rising from a chair?
integer
C3150484 (UMLS CUI [1])
study participation
Code List
81 Do you have trouble rising from a chair?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
82 Is your handwriting smaller than it once was?
integer
C0018582 (UMLS CUI [1,1])
C0547044 (UMLS CUI [1,2])
study participation
Code List
82 Is your handwriting smaller than it once was?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
83 Do people tell you that your voice is softer than it once was?
integer
C0241700 (UMLS CUI [1])
study participation
Code List
83 Do people tell you that your voice is softer than it once was?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
84 Is your balance poor?
integer
C0560184 (UMLS CUI [1])
study participation
Code List
84 Is your balance poor?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
85 Do your feet suddenly seem to freeze in doorways?
integer
C0016504 (UMLS CUI [1,1])
C0016701 (UMLS CUI [1,2])
study participation
Code List
85 Do your feet suddenly seem to freeze in doorways?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
86 Do people tell you that your face seems less expressive than it once did?
integer
C0015457 (UMLS CUI [1])
study participation
Code List
86 Do people tell you that your face seems less expressive than it once did?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
87 Do your arms or legs shake?
integer
C0040822 (UMLS CUI [1])
study participation
Code List
87 Do your arms or legs shake?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
88 Have you ever taken L-dopa or Sinemet?
integer
C0023570 (UMLS CUI [1,1])
C0074559 (UMLS CUI [1,2])
study participation
Code List
88 Have you ever taken L-dopa or Sinemet?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
cares for self
Item
89 Can you take care of yourself, that is, eating, dressing, bathing or using the toilet?
boolean
C3872897 (UMLS CUI [1])
walk indoors
Item
90 Can you walk indoors, such as around your home?
boolean
C0080331 (UMLS CUI [1,1])
C0578191 (UMLS CUI [1,2])
walk a block
Item
91 Can you walk a block or two on level ground?
boolean
C0080331 (UMLS CUI [1,1])
C1706084 (UMLS CUI [1,2])
climb flight of stairs
Item
92 Can you climb a flight of stairs or walk up a hill?
boolean
C3831081 (UMLS CUI [1])
running
Item
93 Can you run a short distance?
boolean
C0035953 (UMLS CUI [1])
light work
Item
94 Can you do light work around the house like dusting or washing dishes?
boolean
C2987220 (UMLS CUI [1])
moderate work
Item
95 Can you do moderate work around the house like vacuuming, sweeping floors or carrying in groceries?
boolean
C0205081 (UMLS CUI [1,1])
C0043227 (UMLS CUI [1,2])
heavy work
Item
96 Can you do heavy work around the house like scrubbing floors, or lifting or moving heavy furniture?
boolean
C3842658 (UMLS CUI [1])
yard work
Item
97 Can you do yardwork like raking leaves, weeding or pushing a power mower?
boolean
C2986650 (UMLS CUI [1])
sexual relations
Item
98 Can you have sexual relations?
boolean
C0871356 (UMLS CUI [1])
moderate recreational activities
Item
99 Can you participate in moderate recreational activities like golf, bowling, doubles tennis, dancing, or throwing a baseball or foootball?
boolean
C0577451 (UMLS CUI [1,1])
C0205081 (UMLS CUI [1,2])
strenuous sports
Item
100 Can you participate in strenuous sports like swimming, singles tennis, football, basketball or skiing?
boolean
C1514989 (UMLS CUI [1])
cold feet
Item
101 Have you experienced any of these symptoms in the last year? frequently cold feet
boolean
C0424741 (UMLS CUI [1])
loss of hair on lower legs
Item
loss of hair on the lower legs
boolean
C2028328 (UMLS CUI [1])
wound healing
Item
difficulty with wounds healing
boolean
C1320404 (UMLS CUI [1])
foot pain walking
Item
foot pain with walking
boolean
C0023222 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
Item
102 Are you currently taking estrogens auch as Premarin, Estrace, Ogen, Prempro, or any other estrogen?
integer
C0014939 (UMLS CUI [1])
study participation
Code List
102 Are you currently taking estrogens auch as Premarin, Estrace, Ogen, Prempro, or any other estrogen?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
days per month estrogen
Item
A. How many days per month do you take estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
Item
B. 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])
study participation
Code List
B. Why are you taking estrogen? To prevent hot flashes
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
To prevent other postmenopausal symptoms
integer
C0206159 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
study participation
Code List
To prevent other postmenopausal symptoms
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
To prevent osteoporosis or bone loss
integer
C0029456 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
study participation
Code List
To prevent osteoporosis or bone loss
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
To prevent heart disease
integer
C0018799 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
study participation
Code List
To prevent heart disease
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
For other reasons
integer
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
study participation
Code List
For other reasons
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
other estrogen indication
Item
Please specify:
text
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
103 Are you currently taking progestins such as Provera, Norlutate, or Prempro?
integer
C0033306 (UMLS CUI [1])
study participation
Code List
103 Are you currently taking progestins such as Provera, Norlutate, or Prempro?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
days per month progestin
Item
A. How many days per month do you take progestin?
integer
C0033306 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
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