ID

42932

Beschrijving

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/

Trefwoorden

Versies (2)
  1. 27-08-17 27-08-17 -
  2. 17-09-21 17-09-21 -
Houder van rechten

National Heart, Lung and Blood Institute (NHLBI)

Geüploaded op

17 september 2021

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

  • Nieuwste
  • Oudste
  • Populair
  • Nieuwste
    • Nieuwste
    • Oudste
    • Populair

Geen commentaren

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

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

Engels

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

1 Formulieren  
Medical & Personal History
Beschrijving

Medical & Personal History

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

general health

Datatype

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.)
Beschrijving

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

Datatype

integer

Maateenheden
  • 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?
Beschrijving

study participation

Datatype

integer

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

study participation

Datatype

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?
Beschrijving

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.

Datatype

integer

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

doctor

Datatype

text

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

doctor address

Datatype

text

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

doctor city

Datatype

text

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

doctor state

Datatype

text

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

myocardial infarction date

Datatype

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?
Beschrijving

myocardial infarction seen doctor

Datatype

integer

Maateenheden
  • 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?
Beschrijving

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

Datatype

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?
Beschrijving

myocardial infarction times hospitalized

Datatype

integer

Maateenheden
  • 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
Beschrijving

hospital admission date

Datatype

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
Beschrijving

hospital name

Datatype

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
Beschrijving

hospital address

Datatype

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?
Beschrijving

myocardial infarction hospitalization days

Datatype

integer

Maateenheden
  • 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?
Beschrijving

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

Datatype

integer

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

doctor

Datatype

text

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

doctor address

Datatype

text

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

doctor city

Datatype

text

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

doctor state

Datatype

text

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

angina pectoris date

Datatype

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?
Beschrijving

angina pectoris seen doctor

Datatype

integer

Maateenheden
  • 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?
Beschrijving

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

Datatype

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?
Beschrijving

angina pectoris times hospitalized

Datatype

integer

Maateenheden
  • 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
Beschrijving

hospital admission date

Datatype

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
Beschrijving

hospital name

Datatype

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
Beschrijving

hospital address

Datatype

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?
Beschrijving

angina pectoris hospitalization days

Datatype

integer

Maateenheden
  • 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?
Beschrijving

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

Datatype

integer

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

doctor

Datatype

text

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

doctor address

Datatype

text

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

doctor city

Datatype

text

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

doctor state

Datatype

text

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

heart failure date

Datatype

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?
Beschrijving

heart failure seen doctor

Datatype

integer

Maateenheden
  • 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?
Beschrijving

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

Datatype

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?
Beschrijving

heart failure times hospitalized

Datatype

integer

Maateenheden
  • 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
Beschrijving

hospital admission date

Datatype

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
Beschrijving

hospital name

Datatype

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
Beschrijving

hospital address

Datatype

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?
Beschrijving

heart failure hospitalization days

Datatype

integer

Maateenheden
  • 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?
Beschrijving

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

Datatype

integer

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

doctor

Datatype

text

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

doctor address

Datatype

text

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

doctor city

Datatype

text

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

doctor state

Datatype

text

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

intermittent claudication date

Datatype

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?
Beschrijving

intermittent claudication seen doctor

Datatype

integer

Maateenheden
  • 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?
Beschrijving

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

Datatype

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?
Beschrijving

intermittent claudication times hospitalized

Datatype

integer

Maateenheden
  • 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
Beschrijving

hospital admission date

Datatype

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
Beschrijving

hospital name

Datatype

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
Beschrijving

hospital address

Datatype

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?
Beschrijving

intermittent claudication hospitalization days

Datatype

integer

Maateenheden
  • 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?
Beschrijving

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

Datatype

integer

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

doctor

Datatype

text

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

doctor address

Datatype

text

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

doctor city

Datatype

text

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

doctor state

Datatype

text

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

cerebrovascular accident date

Datatype

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?
Beschrijving

cerebrovascular accident seen doctor

Datatype

integer

Maateenheden
  • 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?
Beschrijving

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

Datatype

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?
Beschrijving

cerebrovascular accident times hospitalized

Datatype

integer

Maateenheden
  • 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
Beschrijving

hospital admission date

Datatype

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
Beschrijving

hospital name

Datatype

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
Beschrijving

hospital address

Datatype

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?
Beschrijving

cerebrovascular accident days hospitalized

Datatype

integer

Maateenheden
  • 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?
Beschrijving

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

Datatype

integer

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

doctor

Datatype

text

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

doctor address

Datatype

text

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

doctor city

Datatype

text

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

doctor state

Datatype

text

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

transient ischemic attack date

Datatype

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?
Beschrijving

transient ischemic attack doctor seen

Datatype

integer

Maateenheden
  • 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?
Beschrijving

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

Datatype

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?
Beschrijving

transient ischemic attack times hospitalized

Datatype

integer

Maateenheden
  • 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
Beschrijving

hospital admission date

Datatype

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
Beschrijving

hospital name

Datatype

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
Beschrijving

hospital address

Datatype

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?
Beschrijving

transient ischemic attack days hospitalized

Datatype

integer

Maateenheden
  • 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?
Beschrijving

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.

Datatype

integer

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

reason for hospitalization

Datatype

text

Alias
UMLS CUI [1]
C1830395
Hospital name
Beschrijving

hospital name

Datatype

text

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

hospital address

Datatype

text

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

date of hospitalization

Datatype

date

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

Length of Stay

Datatype

integer

Maateenheden
  • 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?
Beschrijving

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.

Datatype

integer

Alias
UMLS CUI [1]
C0028688
Reason for admission
Beschrijving

Reason for admission

Datatype

text

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

nursing home

Datatype

integer

Alias
UMLS CUI [1]
C0028688
City:
Beschrijving

nursing home city

Datatype

text

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

nursing home state

Datatype

text

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

Admission date

Datatype

date

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

length of hospital stay

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1]
C0023303
days
Are you currently staying in a nursing home?
Beschrijving

currently in nursing home

Datatype

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?
Beschrijving

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

Datatype

integer

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

physical therapy

Datatype

integer

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

occupational therapy

Datatype

integer

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

nursing care

Datatype

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
Beschrijving

other type of care

Datatype

integer

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

other type of care

Datatype

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?
Beschrijving

flu shot

Datatype

integer

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

pneumovax

Datatype

integer

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

nitroglycerin

Datatype

integer

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

nitroglycerin

Datatype

text

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

pneumonia

Datatype

integer

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

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

Datatype

integer

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

bronchitis confirmed by doctor

Datatype

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
Beschrijving

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".

Datatype

integer

Alias
UMLS CUI [1]
C0020538
B. Asthma
Beschrijving

asthma

Datatype

integer

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

atrial fibrillation

Datatype

integer

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

deep vein thrombosis

Datatype

integer

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

rheumativ fever or heart valve problems

Datatype

integer

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

emphysema

Datatype

integer

Alias
UMLS CUI [1]
C0034067
G. Diabetes
Beschrijving

diabetes

Datatype

integer

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

diabetes diagnosis date

Datatype

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
Beschrijving

foot ulcers

Datatype

integer

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

high blood sugar

Datatype

integer

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

low blood sugar

Datatype

integer

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

fainting

Datatype

integer

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

eye problems

Datatype

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?
Beschrijving

heart or circulatory problems

Datatype

integer

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

heart or circulatory problems

Datatype

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
Beschrijving

high blood pressure medication

Datatype

integer

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

atrial fibrillation medication

Datatype

integer

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

deep vein thrombosis medication

Datatype

integer

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

diabetes medication

Datatype

integer

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

diabetes treatment

Datatype

integer

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

diabetes treatment

Datatype

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?
Beschrijving

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

Datatype

integer

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

coronary angiography date

Datatype

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
Beschrijving

coronary angiography hospital

Datatype

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?
Beschrijving

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

Datatype

integer

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

arterial procedure date

Datatype

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
Beschrijving

arterial procedure hospital

Datatype

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
Beschrijving

arthritis of hands

Datatype

integer

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

arthritis of shoulder

Datatype

integer

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

arthritis of hips or knees

Datatype

integer

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

osteoporosis

Datatype

integer

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

liver disease

Datatype

integer

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

kidney disease

Datatype

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?
Beschrijving

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

Datatype

integer

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

pain in hands

Datatype

integer

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

pain in feet

Datatype

integer

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

pain in knees

Datatype

integer

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

pain in hips

Datatype

integer

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

pain in neck

Datatype

integer

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

pain in back

Datatype

integer

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

pain in shoulders

Datatype

integer

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

pain in other area

Datatype

integer

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

pain in other area

Datatype

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?
Beschrijving

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

Datatype

integer

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

breast cancer

Datatype

integer

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

blood cancer

Datatype

integer

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

colon cancer

Datatype

integer

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

lung cancer

Datatype

integer

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

malignant melanoma

Datatype

integer

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

skin cancer

Datatype

integer

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

prostate cancer

Datatype

integer

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

pancreatic cancer

Datatype

integer

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

esophageal cancer

Datatype

integer

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

other cancer

Datatype

integer

Alias
UMLS CUI [1]
C1707251
Specify other cancer
Beschrijving

other cancer

Datatype

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)
Beschrijving

broken hip

Datatype

integer

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

broken lower leg

Datatype

integer

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

broken arm

Datatype

integer

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

spine compression fracture

Datatype

integer

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

other injury

Datatype

integer

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

other injury

Datatype

text

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

arthritis treated with medication

Datatype

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?
Beschrijving

infections

Datatype

integer

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

fever

Datatype

integer

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

sore throat

Datatype

integer

Alias
UMLS CUI [1]
C0242429
C. Cough
Beschrijving

cough

Datatype

integer

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

sputum

Datatype

integer

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

runny nose

Datatype

integer

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

urination pain

Datatype

integer

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

cloudy or discolored urine

Datatype

integer

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

urine infection

Datatype

integer

Alias
UMLS CUI [1]
C0729523
I. Diarrhea
Beschrijving

diarrhea

Datatype

integer

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

other infection

Datatype

integer

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

other infection

Datatype

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?
Beschrijving

dizziness

Datatype

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.)
Beschrijving

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

Datatype

integer

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

falls

Datatype

integer

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

head injury

Datatype

integer

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

neck injury

Datatype

integer

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

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

Datatype

integer

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

fainting

Datatype

partialDate

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

appetite

Datatype

integer

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

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

Datatype

integer

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

diet

Datatype

integer

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

illness

Datatype

integer

Alias
UMLS CUI [1]
C0221423
Exercise
Beschrijving

exercise

Datatype

integer

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

try to lose weight

Datatype

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?
Beschrijving

pillows

Datatype

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?
Beschrijving

awakened by trouble breathing

Datatype

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)?
Beschrijving

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

Datatype

integer

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

medication name

Datatype

text

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

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

Datatype

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)?
Beschrijving

medication name

Datatype

text

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

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

Datatype

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.)
Beschrijving

medication name

Datatype

text

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

dosage change

Datatype

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?
Beschrijving

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

Datatype

integer

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

aspirin for headache

Datatype

integer

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

aspirin for arthritis

Datatype

integer

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

aspirin for cardiovascular protection

Datatype

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
Beschrijving

aspirin for other body aches

Datatype

integer

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

aspirin for other body aches

Datatype

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?
Beschrijving

aspirin days last 2 weeks

Datatype

integer

Maateenheden
  • 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?
Beschrijving

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

Datatype

integer

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

cigarettes per day

Datatype

integer

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

smoking

Datatype

integer

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

smoking status

Datatype

integer

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

smokeless tobacco

Datatype

integer

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

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

Datatype

integer

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

drink beer frequency

Datatype

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?
Beschrijving

bottles of beer

Datatype

integer

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

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

Datatype

integer

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

drink wine frequency

Datatype

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?
Beschrijving

servings of wine

Datatype

integer

Maateenheden
  • glasses
Alias
UMLS CUI [1,1]
C0043188
UMLS CUI [1,2]
C0681585
glasses
46 Do you ever drink liquor?
Beschrijving

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

Datatype

integer

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

drink liquor frequency

Datatype

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?
Beschrijving

servings of liquor

Datatype

integer

Maateenheden
  • 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)?
Beschrijving

see well enough to drive

Datatype

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)?
Beschrijving

see well enough to watch tv

Datatype

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)?
Beschrijving

recognize someone across the room

Datatype

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)?
Beschrijving

see well enough to read

Datatype

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)?
Beschrijving

hear well enough to use telephone

Datatype

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)?
Beschrijving

listen to radio

Datatype

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)?
Beschrijving

hear well enough to carry a conversation in a crowded room

Datatype

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
Beschrijving

walking distance

Datatype

text

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

walking pace

Datatype

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)
Beschrijving

flights of stairs

Datatype

integer

Maateenheden
  • 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?
Beschrijving

level of activity

Datatype

integer

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

sleep during day

Datatype

float

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

sleep during night

Datatype

float

Maateenheden
  • 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)?
Beschrijving

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

Datatype

float

Maateenheden
  • 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?
Beschrijving

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

Datatype

integer

Alias
UMLS CUI [1]
C0724359
Multiple Vitamin
Beschrijving

multiple vitamin

Datatype

integer

Alias
UMLS CUI [1]
C0301532
Days taken
Beschrijving

days taken multiple vitamin

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0301532
UMLS CUI [1,2]
C0439228
days
Vitamin A or beta-carotene
Beschrijving

vitamin a

Datatype

integer

Alias
UMLS CUI [1]
C0042839
Days taken
Beschrijving

days taken vitamin a

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0042839
UMLS CUI [1,2]
C0439228
days
Vitamin C
Beschrijving

vitamin c

Datatype

integer

Alias
UMLS CUI [1]
C0003968
Days taken
Beschrijving

days taken vitamin c

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0003968
UMLS CUI [1,2]
C0439228
days
Vitamin E
Beschrijving

vitamin e

Datatype

integer

Alias
UMLS CUI [1]
C0042874
Days taken
Beschrijving

days taken vitamin e

Datatype

integer

Maateenheden
  • 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?
Beschrijving

health insurance

Datatype

integer

Alias
UMLS CUI [1]
C0021682
Specify other:
Beschrijving

health insurance

Datatype

text

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

occupational status

Datatype

integer

Alias
UMLS CUI [1]
C0014006
Specify other:
Beschrijving

occupational status

Datatype

text

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

working hours

Datatype

float

Maateenheden
  • 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?
Beschrijving

tremor

Datatype

integer

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

tremor

Datatype

integer

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

diagnosed tremor

Datatype

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?
Beschrijving

tremor in arms

Datatype

integer

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

shaking head

Datatype

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
Beschrijving

uncontrollable tremor

Datatype

integer

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

uncontrollable tremor right leg

Datatype

integer

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

uncontrollable tremor left leg

Datatype

integer

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

uncontrollable tremor voice

Datatype

integer

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

uncontrollable tremor mouth

Datatype

integer

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

uncontrollable tremor chest or stomach

Datatype

integer

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

other uncontrollable tremor

Datatype

integer

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

trembling voice

Datatype

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?
Beschrijving

trembling hand

Datatype

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?
Beschrijving

hand shaking

Datatype

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?
Beschrijving

hand shaking

Datatype

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?
Beschrijving

spilling because of tremor

Datatype

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.)
Beschrijving

trembling hands

Datatype

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.
Beschrijving

pass along knowledge

Datatype

integer

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

feel needed

Datatype

integer

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

like work of teacher

Datatype

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.
Beschrijving

make a difference

Datatype

integer

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

volunteer work

Datatype

integer

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

create things

Datatype

integer

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

be creative

Datatype

integer

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

be remembered

Datatype

integer

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

society

Datatype

integer

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

contributions to society

Datatype

integer

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

important skills

Datatype

integer

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

do things that survive

Datatype

integer

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

positive effect on others

Datatype

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.
Beschrijving

contribution to others

Datatype

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.
Beschrijving

commitments

Datatype

integer

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

productive person

Datatype

integer

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

neighborhood responsibility

Datatype

integer

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

give advice

Datatype

integer

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

contributions survive

Datatype

integer

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

If NO, skip to Question 78.

Datatype

boolean

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

If NO, skip to Question 77-I.

Datatype

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?
Beschrijving

chest pain walking

Datatype

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?
Beschrijving

chest pain walking

Datatype

integer

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

chest pain standing still

Datatype

integer

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

chest pain localization

Datatype

text

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

chest pain past two weeks

Datatype

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?
Beschrijving

chest pain past two weeks

Datatype

integer

Maateenheden
  • 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?
Beschrijving

chest pain past two weeks frequency increase

Datatype

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?
Beschrijving

chest pain seen by doctor

Datatype

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?
Beschrijving

If NO, skip to Question 78.

Datatype

boolean

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

If NO, skip to Question 78.

Datatype

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?
Beschrijving

severe chest pain diagnosis

Datatype

integer

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

severe chest pain diagnosis

Datatype

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?
Beschrijving

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

Datatype

integer

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

swollen feet come during day

Datatype

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?
Beschrijving

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

Datatype

integer

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

leg pain in calves

Datatype

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?
Beschrijving

leg pain standing still

Datatype

integer

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

leg pain walking uphill

Datatype

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?
Beschrijving

leg pain walking

Datatype

integer

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

leg pain disappears walking

Datatype

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?
Beschrijving

leg pain walking

Datatype

integer

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

leg pain standing still

Datatype

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?
Beschrijving

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

Datatype

integer

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

parkinson treatment

Datatype

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?
Beschrijving

parkinson diagnosis age

Datatype

integer

Maateenheden
  • 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?
Beschrijving

trouble rising from a chair

Datatype

integer

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

smaller handwriting

Datatype

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?
Beschrijving

softer voice

Datatype

integer

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

balance

Datatype

integer

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

freezing feet

Datatype

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?
Beschrijving

face expression

Datatype

integer

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

shaking

Datatype

integer

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

l-dopa or sinemet

Datatype

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?
Beschrijving

cares for self

Datatype

boolean

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

walk indoors

Datatype

boolean

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

walk a block

Datatype

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?
Beschrijving

climb flight of stairs

Datatype

boolean

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

running

Datatype

boolean

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

light work

Datatype

boolean

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

moderate work

Datatype

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?
Beschrijving

heavy work

Datatype

boolean

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

yard work

Datatype

boolean

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

sexual relations

Datatype

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?
Beschrijving

moderate recreational activities

Datatype

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?
Beschrijving

strenuous sports

Datatype

boolean

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

cold feet

Datatype

boolean

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

loss of hair on lower legs

Datatype

boolean

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

wound healing

Datatype

boolean

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

foot pain walking

Datatype

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?
Beschrijving

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.

Datatype

integer

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

days per month estrogen

Datatype

integer

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

estrogen indication hot flashes

Datatype

integer

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

estrogen indication postmenopausal symptoms

Datatype

integer

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

estrogen indication osteoporosis

Datatype

integer

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

estrogen indication heart disease

Datatype

integer

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

other estrogen indication

Datatype

integer

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

other estrogen indication

Datatype

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?
Beschrijving

progestins

Datatype

integer

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

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.

Datatype

integer

Maateenheden
  • days
Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C0556971
days
Terug naar het begin van de pagina

Similar models

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

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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])
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial