ID

43702

Descrição

Documentation part: Record 58 New Cohort Perosnal 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/

Palavras-chave

Versões (2)
  1. 15/06/2017 15/06/2017 -
  2. 20/09/2021 20/09/2021 -
Transferido a

20 de setembro de 2021

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0
Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Voltar para os comentários do modelo
Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

New Cohort Personal History Cardiovascular Health Study (CHS)

Inglês

New Cohort Personal History Cardiovascular Health Study (CHS)

1 Formulários  
New Cohort Personal History
Descrição

New Cohort Personal History

Alias
UMLS CUI-1
C0424945
1. During the last year, have you gained or lost more than 10 pounds?
Descrição

If you answered NO CHANGE or DON'T KNOW, please skip to Question 2 on page 2. Leave the remainder of Question 1 blank.

Tipo de dados

integer

Alias
UMLS CUI [1]
C0005911
A. Was diet for the purpose of losing or gaining weight a major factor in your weight change?
Descrição

diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C0012155
B. Was surgery, illness or medication a major factor in your weight change?
Descrição

weight change because of illness

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0221423
UMLS CUI [1,2]
C0005911
C. Was exercise a major factor in your weight change?
Descrição

weight change because of exercise

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0015259
UMLS CUI [1,2]
C0005911
2. What was your usual weight at age 50?
Descrição

usual weight

Tipo de dados

float

Unidades de medida
  • pounds
Alias
UMLS CUI [1,1]
C0005910
UMLS CUI [1,2]
C0001779
pounds
3. In your early teens (11-14 years), were you heavier than average, about average, or thinner than average?
Descrição

body weight in teens

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0005910
UMLS CUI [1,2]
C1521910
4. Are you following a special diet?
Descrição

If you answered NO or DON'T KNOW, please skip to Question 5 on page 4. Leave the remainder of Question 4 blank.

Tipo de dados

integer

Alias
UMLS CUI [1]
C3164710
A. What was the purpose of the diet? To lose weight
Descrição

diet to lose weight

Tipo de dados

integer

Alias
UMLS CUI [1]
C0012167
A. What was the purpose of the diet? To gain weight
Descrição

diet to gain weight

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0043094
UMLS CUI [1,2]
C3164710
A. What was the purpose of the diet? For diabetes
Descrição

diet for diabetes

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0011849
UMLS CUI [1,2]
C3164710
A. What was the purpose of the diet? For kidney failure
Descrição

diet for kidney failure

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0035078
UMLS CUI [1,2]
C3164710
A. What was the purpose of the diet? For ulcers
Descrição

diet for ulcers

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0041582
UMLS CUI [1,2]
C3164710
A. What was the purpose of the diet? For diverticulitis
Descrição

diet for diverticulitis

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0012813
UMLS CUI [1,2]
C3164710
A. What was the purpose of the diet? For allergies
Descrição

diet for allergies

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C3164710
A. What was the purpose of the diet? For heart trouble
Descrição

diet for heart trouble

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0018799
UMLS CUI [1,2]
C3164710
A. What was the purpose of the diet? For high blood pressure
Descrição

diet for high blood pressure

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0020538
UMLS CUI [1,2]
C3164710
A. What was the purpose of the diet? For other reasons
Descrição

diet for other reasons

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C3164710
If OTHER REASONS, please specify:
Descrição

diet for other reasons

Tipo de dados

text

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C3164710
B. What kind of diet is it? Low Calorie
Descrição

low calorie diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C2930544
B. What kind of diet is it? High calorie
Descrição

high calorie diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C0301590
B. What kind of diet is it? Low protein
Descrição

low protein diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C0242972
B. What kind of diet is it? High protein
Descrição

high protein diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C0425403
B. What kind of diet is it? Low fat
Descrição

low fat diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C0242970
B. What kind of diet is it? High fat
Descrição

high fat diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C0521974
B. What kind of diet is it? Low carbohydrate
Descrição

low carbohydrate diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C0259836
B. What kind of diet is it? High carbohydrate
Descrição

high carbohydrate diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C0259835
B. What kind of diet is it? Low sugar
Descrição

low sugar diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C0452316
B. What kind of diet is it? Low salt
Descrição

low salt diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C0012169
B. What kind of diet is it? Low cholesterol
Descrição

low cholesterol diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C2243019
B. What kind of diet is it? Low fiber
Descrição

low fiber diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C0344356
B. What kind of diet is it? High fiber
Descrição

high fiber diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C0301568
B. What kind of diet is it? Bland diet
Descrição

bland diet

Tipo de dados

integer

Alias
UMLS CUI [1]
C0301572
B. What kind of diet is it? Other diet
Descrição

other diet

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0205394
If OTHER DIET, please specify:
Descrição

other diet

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0205394
C. About how long have you been following this diet? YEARS
Descrição

diet duration

Tipo de dados

integer

Unidades de medida
  • years
Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0449238
years
C. About how long have you been following this diet? MONTHS
Descrição

diet duration

Tipo de dados

integer

Unidades de medida
  • months
Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0449238
months
D. Was this diet recomended by your physician?
Descrição

diet recommended by physician

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0583555
5. During the past two weeks, have you taken a multiple vitamin or any other vitamin supplements?
Descrição

If you answere NO or DON'T KNOW, please skip to Question 6 on page 5. Leave the remainder of Question 5 blank. If you answered YES, please indicate which vitamins you took and the number of days you took the vitamin during the past two weeks.

Tipo de dados

integer

Alias
UMLS CUI [1]
C0724359
A. Multiple vitamin
Descrição

multiple vitamin

Tipo de dados

integer

Alias
UMLS CUI [1]
C0301532
If you answered YES, how many days during the past two weeks did you take a multiple vitamin?
Descrição

multiple vitamin duration

Tipo de dados

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0301532
UMLS CUI [1,2]
C0449238
days
B. Vitamin A or beta-carotene
Descrição

Vitamin A or beta-carotene

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0042839
UMLS CUI [1,2]
C0053396
If you answered YES, how many day during the past two weeks did you take vitamin A or beta-carotene?
Descrição

vitamin A or beta-carotene duration

Tipo de dados

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0042839
UMLS CUI [1,2]
C0449238
UMLS CUI [1,3]
C0053396
days
C. Vitamin C
Descrição

vitamin C

Tipo de dados

integer

Alias
UMLS CUI [1]
C0003968
If YES, how many days during the past two weeks did you take vitamin C?
Descrição

vitamin C duration

Tipo de dados

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0003968
UMLS CUI [1,2]
C0449238
days
D. Vitamin E
Descrição

vitamin E

Tipo de dados

integer

Alias
UMLS CUI [1]
C0042874
If YES, how many days during the past two weeks did you take vitamin E?
Descrição

vitamin E duration

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0042874
UMLS CUI [1,2]
C0449238
6. Are you usually sleepy in the daytime? (Do not include a d´regular daily nap as "feeling sleepy".)
Descrição

sleepy in the daytime

Tipo de dados

integer

Alias
UMLS CUI [1]
C0013144
7. Do you feel groggy and unfreshed for more than half an hour after waking up in the morning?
Descrição

groggy in the morning

Tipo de dados

integer

Alias
UMLS CUI [1]
C0541994
8. Has your spouse or roommate complained about loud snoring?
Descrição

snoring

Tipo de dados

integer

Alias
UMLS CUI [1]
C0037384
9. Has anyone observed you while sleeping to have episodes where you stop breathing for a while and then snore or snort loundly
Descrição

sleep apnea

Tipo de dados

integer

Alias
UMLS CUI [1]
C0037315
10. Do you usually have trouble falling asleep?
Descrição

trouble falling asleep

Tipo de dados

integer

Alias
UMLS CUI [1]
C0150079
11. Do you usually wake up several times at night?
Descrição

wake up at night

Tipo de dados

integer

Alias
UMLS CUI [1]
C1170730
12. Do you usually wake up far too early?
Descrição

wake up early

Tipo de dados

integer

Alias
UMLS CUI [1]
C0541798
13. Can you see well enough to drive, with our without glasses?
Descrição

see well enough to drive

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0042789
UMLS CUI [1,2]
C4050139
14. Can you see well enough to watch TV, with or without glasses?
Descrição

see well enough to watch TV

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0042789
UMLS CUI [1,2]
C0871498
15. Can you see well enough to recognize someone across the room, with or without glasses?
Descrição

recognize someone across the room

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0042789
UMLS CUI [1,2]
C0558054
UMLS CUI [1,3]
C1547703
16. Can you see well enough to read the newspaper, with or without glasses?
Descrição

see well enough to read

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0042789
UMLS CUI [1,2]
C0027989
17. Can you hear well enough to use the telephone, with or without a hearing aid?
Descrição

hear well enough to use telephone

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0018767
UMLS CUI [1,2]
C0577446
18. Can you hear well enough to listen to a radio, with or without a hearing aid?
Descrição

listen to radio

Tipo de dados

integer

Alias
UMLS CUI [1]
C0018767
19. Can you hear well enough to carry a conversation in a crowded room, with or without a hearing aid?
Descrição

hear well enough to carry a conversation in a crowded room

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0018767
UMLS CUI [1,2]
C0871703
UMLS CUI [1,3]
C0010383
20. Have you smoked more than 100 cigarettes or 5 packs of cigarettes in your lifetime?
Descrição

If you answered NO or DON'T KNOW, please skip to Question 21 on page 7. Leave the remainder of Question 20 blank.

Tipo de dados

integer

Alias
UMLS CUI [1]
C3172644
A. Have you smoked cigarettes during the last 30 days?
Descrição

smoked last 30 days

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C1547058
B. How old were you when you first started to smoke cigarettes?
Descrição

start smoking age

Tipo de dados

integer

Unidades de medida
  • years old
Alias
UMLS CUI [1]
C3260575
years old
C. If you have stopped smoking cigarettes completely, how old were you when you stopped? (If you still smoke, leave this question blank.)
Descrição

stop smoking age

Tipo de dados

integer

Unidades de medida
  • years old
Alias
UMLS CUI [1,1]
C0037369
UMLS CUI [1,2]
C2746065
UMLS CUI [1,3]
C0001779
years old
D. On the average of the entire time you smoked, how many cigarettes did you smoke per day?
Descrição

cigarettes per day

Tipo de dados

integer

Unidades de medida
  • cigarettes a day
Alias
UMLS CUI [1]
C3694146
cigarettes a day
21. Does anyone living with you smoke cigarettes regularly?
Descrição

living with smoker

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0020052
22. Have you ever lived for at least one year in the same household with someone (including parent or spouse) who smoked cigarettes regularly?
Descrição

If you answered NO or DON'T KNOW, skip to Question 23 on page 8. Leave the remainder of Question 22 blank.

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0020052
A. For how many years in total have you lived with someone who smoked cigarettes regularly?
Descrição

years lived in household with smoker

Tipo de dados

float

Unidades de medida
  • years
Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0020052
UMLS CUI [1,3]
C0449238
years
B. During what time periods in your life were you living with a regular smoker? As a child/ teenager
Descrição

lived with smoker as a child

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0020052
UMLS CUI [1,3]
C0231335
B. During what time periods in your life were you living with a regular smoker? Between the ages of 20 to 50
Descrição

lived with smoker between 20 and 50

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0020052
UMLS CUI [1,3]
C0001779
B. During what time periods in your life were you living with a regular smoker? After age 50
Descrição

lived with smoker after 50

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0020052
UMLS CUI [1,3]
C0001779
23. Do you ever use snuff or smokeless tobacco?
Descrição

smokeless tobacco

Tipo de dados

integer

Alias
UMLS CUI [1]
C0040338
24. Have you ever accidentally lost control of your urine (wet yourself) more than one time in a month?
Descrição

lost control of bladder

Tipo de dados

integer

Alias
UMLS CUI [1]
C3831336
25. Do you wake up to urinate more than three nights per week?
Descrição

wake up to urinate

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C1170730
UMLS CUI [1,2]
C0085606
26. During the last year, have you had a fall? (Do not include falls during skiing, skating or other activities that may affect balance.)
Descrição

If you answered NO or DON'T KNOW, skip to Question 27. Leave the remainder of Question 26 blank.

Tipo de dados

integer

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

fall

Tipo de dados

integer

Unidades de medida
  • times
Alias
UMLS CUI [1]
C0085639
times
27. Is your natural mother still living?
Descrição

mother alive

Tipo de dados

integer

Alias
UMLS CUI [1]
C2321272
If YES, how old is she?
Descrição

mother age

Tipo de dados

integer

Unidades de medida
  • years old
Alias
UMLS CUI [1,1]
C0026591
UMLS CUI [1,2]
C0001779
years old
If NO, how old was she when she died?
Descrição

mother age at death

Tipo de dados

integer

Unidades de medida
  • years old
Alias
UMLS CUI [1,1]
C1546180
UMLS CUI [1,2]
C0026591
years old
28. Is your natural father still living?
Descrição

father alive

Tipo de dados

integer

Alias
UMLS CUI [1]
C2321271
If YES, how old is he?
Descrição

father age

Tipo de dados

integer

Unidades de medida
  • years old
Alias
UMLS CUI [1,1]
C0015671
UMLS CUI [1,2]
C0001779
years old
If NO, how old was he when he died?
Descrição

father age at death

Tipo de dados

integer

Unidades de medida
  • years old
Alias
UMLS CUI [1,1]
C1546180
UMLS CUI [1,2]
C0015671
years old
34. Have you ever had your blood cholesterol measured?
Descrição

If you answered NO or DON'T KNOW, skip to Question 35. Leave the remainder of Question 34 blank.

Tipo de dados

integer

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

blood cholesterol measurement place

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0444706
UMLS CUI [1,3]
C0518017
If "other", specify:
Descrição

blood cholesterol measurement place

Tipo de dados

text

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

blood cholesterol measurement reason

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0518017
UMLS CUI [1,2]
C0444706
UMLS CUI [1,3]
C0392360
If "other", specify:
Descrição

blood cholesterol measurement reason

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0518017
UMLS CUI [1,2]
C0444706
UMLS CUI [1,3]
C0392360
35. Are you currently involved in any medical studies other than CHS?
Descrição

study participation

Tipo de dados

integer

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

The remainder of this form is to be completed by WOMEN ONLY. Men, thank you for your participation in the Cardiovascular Health Study. Be sure to bring this packet with you when you come for your examination.

Tipo de dados

text

Alias
UMLS CUI [1]
C2348568
36. Are you currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen?
Descrição

WOMEN ONLY: Women sometimes take female hormones after menopause. They may be taken for a variety of reasons, including hot flashes or othr symptoms, and sometimes for the prevention of bone loss in women. These hormones are usually estrogens such as Premarin (conjugated estrogens), Estrace (estradiol) or Ogen (estrace). Sometimes women take progestins such as Provera (medoxyprogesterone) or Norlutate (norethindrone). We are interested in whether you are currently using or did use these homones for any reason. If you answered NO or DON'T KNOW, please skip to Question 37 on page 12. Leave the remainder of Question 36 blank.

Tipo de dados

integer

Alias
UMLS CUI [1]
C3541386
A. How many days per month do you take estrogen?
Descrição

days per month estrogen

Tipo de dados

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C0556971
days
B. For how long have you been taking estrogen?
Descrição

estrogen duration

Tipo de dados

text

Unidades de medida
  • years/months
Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C0449238
years/months
C. Why are you taking estrogen? To prevent hot flashes
Descrição

estrogen indication

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0600142
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
C. Why are you taking estrogen? To prevent other postmenopausal symptoms
Descrição

estrogen indication postmenopausal symptoms

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0206159
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
C. Why are you taking estrogen? To prevent osteoporosis or bone loss
Descrição

estrogen indication osteoporosis

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0029456
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
C. Why are you taking estrogen? To prevent heart disease
Descrição

estrogen indication heart disease

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0018799
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
C. Why are you taking estrogen? For other reasons
Descrição

other estrogen indication

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
If OTHER REASONS, please specify:
Descrição

If you are currently taking estrogens, please skip to Question 38 on page 13. Leave Question 37 blank.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
37. If you are NOT currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen, have you taken estrogen in the past?
Descrição

If you answered NO or DON'T KNOW, please skip to Question 38 on page 13. Leave the remainder of Question 37 blank.

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C1444637
A. How many days per month did you take estrogen?
Descrição

days per month estrogen in the past

Tipo de dados

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C1444637
UMLS CUI [1,3]
C0556971
days
B. When did you stop? (State year OR age when stopped.)
Descrição

estrogen stopped

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C2746065
C. For how long did you take estrogen?
Descrição

estrogen duration

Tipo de dados

text

Unidades de medida
  • years/months
Alias
UMLS CUI [1,1]
C0014939
UMLS CUI [1,2]
C0449238
years/months
D. Why did you take estrogen? To prevent hot flashes
Descrição

estrogen indication hot flashes

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0600142
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
D. Why did you take estrogen? To prevent other postmenopausal symptoms
Descrição

estrogen indication postmenopausal symtoms

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0206159
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
D. Why did you take estrogen? To prevent osteoporosis or bone loss
Descrição

estrogen indication osteoporosis

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0029456
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
D. Why did you take estrogen? To prevent heart disease
Descrição

estrogen indication heart disease

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0018799
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
D. Why did you take estrogen? For other reasons
Descrição

other estrogen indication

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
If OTHER REASONS, please specify:
Descrição

other estrogen indication

Tipo de dados

text

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C0014939
UMLS CUI [1,3]
C0392360
38. Are you currently taking progestins such as Provera or Norlutate?
Descrição

If you answered NO or DON'T KNOW, please skip to Question 39. Leave the remainder of Question 38 blank.

Tipo de dados

integer

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

days per month progestin

Tipo de dados

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C0556971
days
B. For how long have you been taking progestin?
Descrição

If you are currently taking progestin, leave Question 38 blank. Thank you for your participation in the Cardiovascular Health Study.

Tipo de dados

text

Unidades de medida
  • years/months
Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C0449238
years/months
39. If you are not currently taking progestin such as Provera or Norlutate, have you taken progestin in the past?
Descrição

If you answered NO or DON'T KNOW, leave the remainder of Question 39 blank. Thank you for your participation in the Cardiovascular Health Study.

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C1444637
A. If you answered YES, how many days per month did you take progestin?
Descrição

days per month progestin

Tipo de dados

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C0556971
days
B. When did you stop? (State year OR age when stopped.)
Descrição

progestins stopped

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C2746065
C. For how long did you take progestin?
Descrição

Thank you for your participation in the Cardiovascular Health Study.

Tipo de dados

text

Unidades de medida
  • years/months
Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C0449238
years/months
Siblings
Descrição

Siblings

Alias
UMLS CUI-1
C0037047
29. In the table below, write the first names of all your brothers, then all your sisters, including those who have died or with whom you have lost touch, in the column labeled FIRST NAME. Circle the appropriate gender for each (M=male, F=female).
Descrição

siblings

Tipo de dados

text

Alias
UMLS CUI [1]
C0037047
Sibling's gender
Descrição

siblings gender

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0037047
UMLS CUI [1,2]
C0079399
30. Next, in the column labeled YEAR OF BIRTH, write the year in which each was born.
Descrição

siblings year of birth

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0037047
UMLS CUI [1,2]
C2826771
31. Record whether each is still alive by circling the apropriate answer in the STILL ALIVE column (Y=yes, N=no, D=don't know). If no longer alive, write age at death in the AGE column.
Descrição

siblings alive

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0037047
UMLS CUI [1,2]
C2584946
Sibling's age at death
Descrição

siblings age of death

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0037047
UMLS CUI [1,2]
C1546180
32. Record whether any of your brochters or sisters have ever had a heart attack by circling the appropriate answer in the HEART ATTACK column (Y=yes, N=no, D=don't know). If they had a heart attack, please write their age at first heart attack in the AGE collumn.
Descrição

siblings heart attack

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0037047
UMLS CUI [1,2]
C0027051
Sibling's age at first heart attack
Descrição

siblings age at heart attack

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0037047
UMLS CUI [1,2]
C0027051
UMLS CUI [1,3]
C0001779
33. Please record whether any of your brothers or sisters have ever had a stroke by circling the appropriate answer in the STROKE column (Y=yes, N=no, D=don't know). If they had a stroke, please write their age at first stroke in the AGE column.
Descrição

siblings stroke

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0037047
UMLS CUI [1,2]
C0038454
Sibling's age at first stroke
Descrição

siblings age at stroke

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0037047
UMLS CUI [1,2]
C0038454
UMLS CUI [1,3]
C0001779
Voltar ao início da página

Similar models

New Cohort Personal History Cardiovascular Health Study (CHS)

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
New Cohort Personal History
C0424945 (UMLS CUI-1)
Item
1. During the last year, have you gained or lost more than 10 pounds?
integer
C0005911 (UMLS CUI [1])
body weight
Code List
1. During the last 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
no change (4)
CL Item
don't know (9)
Item
A. Was diet for the purpose of losing or gaining weight a major factor in your weight change?
integer
C0012155 (UMLS CUI [1])
diet
Code List
A. Was diet for the purpose of losing or gaining weight a major factor in your weight change?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. Was surgery, illness or medication a major factor in your weight change?
integer
C0221423 (UMLS CUI [1,1])
C0005911 (UMLS CUI [1,2])
diet
Code List
B. Was surgery, illness or medication a major factor in your weight change?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
C. Was exercise a major factor in your weight change?
integer
C0015259 (UMLS CUI [1,1])
C0005911 (UMLS CUI [1,2])
diet
Code List
C. Was exercise a major factor in your weight change?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
usual weight
Item
2. What was your usual weight at age 50?
float
C0005910 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
Item
3. In your early teens (11-14 years), were you heavier than average, about average, or thinner than average?
integer
C0005910 (UMLS CUI [1,1])
C1521910 (UMLS CUI [1,2])
body weight in teens
Code List
3. In your early teens (11-14 years), were you heavier than average, about average, or thinner than average?
CL Item
heavier than average (1)
CL Item
about average (2)
CL Item
thinner than average (3)
CL Item
don't know (4)
Item
4. Are you following a special diet?
integer
C3164710 (UMLS CUI [1])
diet
Code List
4. Are you following a special diet?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
A. What was the purpose of the diet? To lose weight
integer
C0012167 (UMLS CUI [1])
diet
Code List
A. What was the purpose of the diet? To lose weight
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
A. What was the purpose of the diet? To gain weight
integer
C0043094 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
diet
Code List
A. What was the purpose of the diet? To gain weight
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
A. What was the purpose of the diet? For diabetes
integer
C0011849 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
diet
Code List
A. What was the purpose of the diet? For diabetes
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
A. What was the purpose of the diet? For kidney failure
integer
C0035078 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
diet
Code List
A. What was the purpose of the diet? For kidney failure
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
A. What was the purpose of the diet? For ulcers
integer
C0041582 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
diet
Code List
A. What was the purpose of the diet? For ulcers
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
A. What was the purpose of the diet? For diverticulitis
integer
C0012813 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
diet
Code List
A. What was the purpose of the diet? For diverticulitis
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
A. What was the purpose of the diet? For allergies
integer
C0020517 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
diet
Code List
A. What was the purpose of the diet? For allergies
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
A. What was the purpose of the diet? For heart trouble
integer
C0018799 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
diet
Code List
A. What was the purpose of the diet? For heart trouble
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
A. What was the purpose of the diet? For high blood pressure
integer
C0020538 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
diet
Code List
A. What was the purpose of the diet? For high blood pressure
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
A. What was the purpose of the diet? For other reasons
integer
C3840932 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
diet
Code List
A. What was the purpose of the diet? For other reasons
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
diet for other reasons
Item
If OTHER REASONS, please specify:
text
C3840932 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Item
B. What kind of diet is it? Low Calorie
integer
C2930544 (UMLS CUI [1])
diet
Code List
B. What kind of diet is it? Low Calorie
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. What kind of diet is it? High calorie
integer
C0301590 (UMLS CUI [1])
diet
Code List
B. What kind of diet is it? High calorie
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. What kind of diet is it? Low protein
integer
C0242972 (UMLS CUI [1])
diet
Code List
B. What kind of diet is it? Low protein
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. What kind of diet is it? High protein
integer
C0425403 (UMLS CUI [1])
diet
Code List
B. What kind of diet is it? High protein
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. What kind of diet is it? Low fat
integer
C0242970 (UMLS CUI [1])
diet
Code List
B. What kind of diet is it? Low fat
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. What kind of diet is it? High fat
integer
C0521974 (UMLS CUI [1])
diet
Code List
B. What kind of diet is it? High fat
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. What kind of diet is it? Low carbohydrate
integer
C0259836 (UMLS CUI [1])
diet
Code List
B. What kind of diet is it? Low carbohydrate
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. What kind of diet is it? High carbohydrate
integer
C0259835 (UMLS CUI [1])
diet
Code List
B. What kind of diet is it? High carbohydrate
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. What kind of diet is it? Low sugar
integer
C0452316 (UMLS CUI [1])
diet
Code List
B. What kind of diet is it? Low sugar
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. What kind of diet is it? Low salt
integer
C0012169 (UMLS CUI [1])
diet
Code List
B. What kind of diet is it? Low salt
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. What kind of diet is it? Low cholesterol
integer
C2243019 (UMLS CUI [1])
diet
Code List
B. What kind of diet is it? Low cholesterol
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. What kind of diet is it? Low fiber
integer
C0344356 (UMLS CUI [1])
diet
Code List
B. What kind of diet is it? Low fiber
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. What kind of diet is it? High fiber
integer
C0301568 (UMLS CUI [1])
diet
Code List
B. What kind of diet is it? High fiber
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. What kind of diet is it? Bland diet
integer
C0301572 (UMLS CUI [1])
diet
Code List
B. What kind of diet is it? Bland diet
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. What kind of diet is it? Other diet
integer
C0012155 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
diet
Code List
B. What kind of diet is it? Other diet
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
other diet
Item
If OTHER DIET, please specify:
text
C0012155 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
diet duration
Item
C. About how long have you been following this diet? YEARS
integer
C0012155 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
diet duration
Item
C. About how long have you been following this diet? MONTHS
integer
C0012155 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
D. Was this diet recomended by your physician?
integer
C0012155 (UMLS CUI [1,1])
C0583555 (UMLS CUI [1,2])
diet
Code List
D. Was this diet recomended by your physician?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
5. During the past two weeks, have you taken a multiple vitamin or any other vitamin supplements?
integer
C0724359 (UMLS CUI [1])
diet
Code List
5. During the past two weeks, have you taken a multiple vitamin or any other vitamin supplements?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
A. Multiple vitamin
integer
C0301532 (UMLS CUI [1])
diet
Code List
A. Multiple vitamin
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
multiple vitamin duration
Item
If you answered YES, how many days during the past two weeks did you take a multiple vitamin?
integer
C0301532 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
B. Vitamin A or beta-carotene
integer
C0042839 (UMLS CUI [1,1])
C0053396 (UMLS CUI [1,2])
diet
Code List
B. Vitamin A or beta-carotene
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
vitamin A or beta-carotene duration
Item
If you answered YES, how many day during the past two weeks did you take vitamin A or beta-carotene?
integer
C0042839 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0053396 (UMLS CUI [1,3])
Item
C. Vitamin C
integer
C0003968 (UMLS CUI [1])
diet
Code List
C. Vitamin C
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
vitamin C duration
Item
If YES, how many days during the past two weeks did you take vitamin C?
integer
C0003968 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
D. Vitamin E
integer
C0042874 (UMLS CUI [1])
diet
Code List
D. Vitamin E
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
If YES, how many days during the past two weeks did you take vitamin E?
integer
C0042874 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
diet
Code List
If YES, how many days during the past two weeks did you take vitamin E?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
6. Are you usually sleepy in the daytime? (Do not include a d´regular daily nap as "feeling sleepy".)
integer
C0013144 (UMLS CUI [1])
diet
Code List
6. Are you usually sleepy in the daytime? (Do not include a d´regular daily nap as "feeling sleepy".)
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
7. Do you feel groggy and unfreshed for more than half an hour after waking up in the morning?
integer
C0541994 (UMLS CUI [1])
diet
Code List
7. Do you feel groggy and unfreshed for more than half an hour after waking up in the morning?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
8. Has your spouse or roommate complained about loud snoring?
integer
C0037384 (UMLS CUI [1])
diet
Code List
8. Has your spouse or roommate complained about loud snoring?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
9. Has anyone observed you while sleeping to have episodes where you stop breathing for a while and then snore or snort loundly
integer
C0037315 (UMLS CUI [1])
diet
Code List
9. Has anyone observed you while sleeping to have episodes where you stop breathing for a while and then snore or snort loundly
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
10. Do you usually have trouble falling asleep?
integer
C0150079 (UMLS CUI [1])
diet
Code List
10. Do you usually have trouble falling asleep?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
11. Do you usually wake up several times at night?
integer
C1170730 (UMLS CUI [1])
diet
Code List
11. Do you usually wake up several times at night?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
12. Do you usually wake up far too early?
integer
C0541798 (UMLS CUI [1])
diet
Code List
12. Do you usually wake up far too early?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
13. Can you see well enough to drive, with our without glasses?
integer
C0042789 (UMLS CUI [1,1])
C4050139 (UMLS CUI [1,2])
see well enough to drive
Code List
13. Can you see well enough to drive, with our without glasses?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't drive (3)
CL Item
don't know (9)
Item
14. Can you see well enough to watch TV, with or without glasses?
integer
C0042789 (UMLS CUI [1,1])
C0871498 (UMLS CUI [1,2])
diet
Code List
14. Can you see well enough to watch TV, with or without glasses?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
15. 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])
diet
Code List
15. Can you see well enough to recognize someone across the room, with or without glasses?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
16. Can you see well enough to read the newspaper, with or without glasses?
integer
C0042789 (UMLS CUI [1,1])
C0027989 (UMLS CUI [1,2])
diet
Code List
16. Can you see well enough to read the newspaper, with or without glasses?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
17. 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])
diet
Code List
17. Can you hear well enough to use the telephone, with or without a hearing aid?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
18. Can you hear well enough to listen to a radio, with or without a hearing aid?
integer
C0018767 (UMLS CUI [1])
diet
Code List
18. Can you hear well enough to listen to a radio, with or without a hearing aid?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
19. Can you hear well enough to carry 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])
diet
Code List
19. Can you hear well enough to carry a conversation in a crowded room, with or without a hearing aid?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
20. Have you smoked more than 100 cigarettes or 5 packs of cigarettes in your lifetime?
integer
C3172644 (UMLS CUI [1])
diet
Code List
20. Have you smoked more than 100 cigarettes or 5 packs of cigarettes in your lifetime?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
A. Have you smoked cigarettes during the last 30 days?
integer
C0543414 (UMLS CUI [1,1])
C1547058 (UMLS CUI [1,2])
diet
Code List
A. Have you smoked cigarettes during the last 30 days?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
start smoking age
Item
B. How old were you when you first started to smoke cigarettes?
integer
C3260575 (UMLS CUI [1])
stop smoking age
Item
C. If you have stopped smoking cigarettes completely, how old were you when you stopped? (If you still smoke, leave this question blank.)
integer
C0037369 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
cigarettes per day
Item
D. On the average of the entire time you smoked, how many cigarettes did you smoke per day?
integer
C3694146 (UMLS CUI [1])
Item
21. Does anyone living with you smoke cigarettes regularly?
integer
C0543414 (UMLS CUI [1,1])
C0020052 (UMLS CUI [1,2])
diet
Code List
21. Does anyone living with you smoke cigarettes regularly?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
22. Have you ever lived for at least one year in the same household with someone (including parent or spouse) who smoked cigarettes regularly?
integer
C0543414 (UMLS CUI [1,1])
C0020052 (UMLS CUI [1,2])
diet
Code List
22. Have you ever lived for at least one year in the same household with someone (including parent or spouse) who smoked cigarettes regularly?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
years lived in household with smoker
Item
A. For how many years in total have you lived with someone who smoked cigarettes regularly?
float
C0543414 (UMLS CUI [1,1])
C0020052 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
Item
B. During what time periods in your life were you living with a regular smoker? As a child/ teenager
integer
C0543414 (UMLS CUI [1,1])
C0020052 (UMLS CUI [1,2])
C0231335 (UMLS CUI [1,3])
diet
Code List
B. During what time periods in your life were you living with a regular smoker? As a child/ teenager
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. During what time periods in your life were you living with a regular smoker? Between the ages of 20 to 50
integer
C0543414 (UMLS CUI [1,1])
C0020052 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
diet
Code List
B. During what time periods in your life were you living with a regular smoker? Between the ages of 20 to 50
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
B. During what time periods in your life were you living with a regular smoker? After age 50
integer
C0543414 (UMLS CUI [1,1])
C0020052 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
diet
Code List
B. During what time periods in your life were you living with a regular smoker? After age 50
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
23. Do you ever use snuff or smokeless tobacco?
integer
C0040338 (UMLS CUI [1])
diet
Code List
23. Do you ever use snuff or smokeless tobacco?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
24. Have you ever accidentally lost control of your urine (wet yourself) more than one time in a month?
integer
C3831336 (UMLS CUI [1])
diet
Code List
24. Have you ever accidentally lost control of your urine (wet yourself) more than one time in a month?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
25. Do you wake up to urinate more than three nights per week?
integer
C1170730 (UMLS CUI [1,1])
C0085606 (UMLS CUI [1,2])
diet
Code List
25. Do you wake up to urinate more than three nights per week?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
26. During the last 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])
diet
Code List
26. During the last 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 (2)
CL Item
don't know (3)
fall
Item
A. How many times have you fallen in the last year?
integer
C0085639 (UMLS CUI [1])
Item
27. Is your natural mother still living?
integer
C2321272 (UMLS CUI [1])
diet
Code List
27. Is your natural mother still living?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
mother age
Item
If YES, how old is she?
integer
C0026591 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
mother age at death
Item
If NO, how old was she when she died?
integer
C1546180 (UMLS CUI [1,1])
C0026591 (UMLS CUI [1,2])
Item
28. Is your natural father still living?
integer
C2321271 (UMLS CUI [1])
diet
Code List
28. Is your natural father still living?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
father age
Item
If YES, how old is he?
integer
C0015671 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
father age at death
Item
If NO, how old was he when he died?
integer
C1546180 (UMLS CUI [1,1])
C0015671 (UMLS CUI [1,2])
Item
34. Have you ever had your blood cholesterol measured?
integer
C0518017 (UMLS CUI [1,1])
C0444706 (UMLS CUI [1,2])
diet
Code List
34. Have you ever had your blood cholesterol measured?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
A. Where did you have it measured?
integer
C0018704 (UMLS CUI [1,1])
C0444706 (UMLS CUI [1,2])
C0518017 (UMLS CUI [1,3])
blood cholesterol measurement place
Code List
A. Where did you have it measured?
CL Item
Doctor's office or hospital, at the request of your doctor (1)
CL Item
Health fair or other health screening not related to your doctor (2)
CL Item
Other (3)
CL Item
Don't know (9)
blood cholesterol measurement place
Item
If "other", specify:
text
C0018704 (UMLS CUI [1,1])
C0444706 (UMLS CUI [1,2])
C0518017 (UMLS CUI [1,3])
Item
B. Why did you have it measured?
integer
C0518017 (UMLS CUI [1,1])
C0444706 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
blood cholesterol measurement reason
Code List
B. Why did you have it measured?
CL Item
Recommended by your doctor (1)
CL Item
Requested by you or a family member (2)
CL Item
Other (3)
blood cholesterol measurement reason
Item
If "other", specify:
text
C0518017 (UMLS CUI [1,1])
C0444706 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
35. Are you currently involved in any medical studies other than CHS?
integer
C2348568 (UMLS CUI [1])
diet
Code List
35. Are you currently involved in any medical studies other than CHS?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
study participation
Item
If YES, please name:
text
C2348568 (UMLS CUI [1])
Item
36. Are you currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen?
integer
C3541386 (UMLS CUI [1])
diet
Code List
36. Are you currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
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])
estrogen duration
Item
B. For how long have you been taking estrogen?
text
C0014939 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
C. Why are you taking estrogen? To prevent hot flashes
integer
C0600142 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
diet
Code List
C. Why are you taking estrogen? To prevent hot flashes
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
C. Why are you taking estrogen? To prevent other postmenopausal symptoms
integer
C0206159 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
diet
Code List
C. Why are you taking estrogen? To prevent other postmenopausal symptoms
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
C. Why are you taking estrogen? To prevent osteoporosis or bone loss
integer
C0029456 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
diet
Code List
C. Why are you taking estrogen? To prevent osteoporosis or bone loss
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
C. Why are you taking estrogen? To prevent heart disease
integer
C0018799 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
diet
Code List
C. Why are you taking estrogen? To prevent heart disease
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
C. Why are you taking estrogen? For other reasons
integer
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
diet
Code List
C. Why are you taking estrogen? For other reasons
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
other estrogen indication
Item
If OTHER REASONS, please specify:
text
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
37. If you are NOT currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen, have you taken estrogen in the past?
integer
C0014939 (UMLS CUI [1,1])
C1444637 (UMLS CUI [1,2])
diet
Code List
37. If you are NOT currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen, have you taken estrogen in the past?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
days per month estrogen in the past
Item
A. How many days per month did you take estrogen?
integer
C0014939 (UMLS CUI [1,1])
C1444637 (UMLS CUI [1,2])
C0556971 (UMLS CUI [1,3])
estrogen stopped
Item
B. When did you stop? (State year OR age when stopped.)
integer
C0014939 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
estrogen duration
Item
C. For how long did you take estrogen?
text
C0014939 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
D. Why did you take estrogen? To prevent hot flashes
integer
C0600142 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
diet
Code List
D. Why did you take estrogen? To prevent hot flashes
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
D. Why did you take estrogen? To prevent other postmenopausal symptoms
integer
C0206159 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
diet
Code List
D. Why did you take estrogen? To prevent other postmenopausal symptoms
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
D. Why did you take estrogen? To prevent osteoporosis or bone loss
integer
C0029456 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
diet
Code List
D. Why did you take estrogen? To prevent osteoporosis or bone loss
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
D. Why did you take estrogen? To prevent heart disease
integer
C0018799 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
diet
Code List
D. Why did you take estrogen? To prevent heart disease
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
Item
D. Why did you take estrogen? For other reasons
integer
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
diet
Code List
D. Why did you take estrogen? For other reasons
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
other estrogen indication
Item
If OTHER REASONS, please specify:
text
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
38. Are you currently taking progestins such as Provera or Norlutate?
integer
C0033306 (UMLS CUI [1])
diet
Code List
38. Are you currently taking progestins such as Provera or Norlutate?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
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])
progestin duration
Item
B. For how long have you been taking progestin?
text
C0033306 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
39. If you are not currently taking progestin such as Provera or Norlutate, have you taken progestin in the past?
integer
C0033306 (UMLS CUI [1,1])
C1444637 (UMLS CUI [1,2])
diet
Code List
39. If you are not currently taking progestin such as Provera or Norlutate, have you taken progestin in the past?
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
days per month progestin
Item
A. If you answered YES, how many days per month did you take progestin?
integer
C0033306 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
progestins stopped
Item
B. When did you stop? (State year OR age when stopped.)
integer
C0033306 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
progestin duration
Item
C. For how long did you take progestin?
text
C0033306 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item Group
Siblings
C0037047 (UMLS CUI-1)
siblings
Item
29. In the table below, write the first names of all your brothers, then all your sisters, including those who have died or with whom you have lost touch, in the column labeled FIRST NAME. Circle the appropriate gender for each (M=male, F=female).
text
C0037047 (UMLS CUI [1])
Item
Sibling's gender
integer
C0037047 (UMLS CUI [1,1])
C0079399 (UMLS CUI [1,2])
siblings gender
Code List
Sibling's gender
CL Item
M (1)
CL Item
F (0)
siblings year of birth
Item
30. Next, in the column labeled YEAR OF BIRTH, write the year in which each was born.
integer
C0037047 (UMLS CUI [1,1])
C2826771 (UMLS CUI [1,2])
Item
31. Record whether each is still alive by circling the apropriate answer in the STILL ALIVE column (Y=yes, N=no, D=don't know). If no longer alive, write age at death in the AGE column.
integer
C0037047 (UMLS CUI [1,1])
C2584946 (UMLS CUI [1,2])
diet
Code List
31. Record whether each is still alive by circling the apropriate answer in the STILL ALIVE column (Y=yes, N=no, D=don't know). If no longer alive, write age at death in the AGE column.
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
siblings age of death
Item
Sibling's age at death
integer
C0037047 (UMLS CUI [1,1])
C1546180 (UMLS CUI [1,2])
Item
32. Record whether any of your brochters or sisters have ever had a heart attack by circling the appropriate answer in the HEART ATTACK column (Y=yes, N=no, D=don't know). If they had a heart attack, please write their age at first heart attack in the AGE collumn.
integer
C0037047 (UMLS CUI [1,1])
C0027051 (UMLS CUI [1,2])
diet
Code List
32. Record whether any of your brochters or sisters have ever had a heart attack by circling the appropriate answer in the HEART ATTACK column (Y=yes, N=no, D=don't know). If they had a heart attack, please write their age at first heart attack in the AGE collumn.
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
siblings age at heart attack
Item
Sibling's age at first heart attack
integer
C0037047 (UMLS CUI [1,1])
C0027051 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
Item
33. Please record whether any of your brothers or sisters have ever had a stroke by circling the appropriate answer in the STROKE column (Y=yes, N=no, D=don't know). If they had a stroke, please write their age at first stroke in the AGE column.
integer
C0037047 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
diet
Code List
33. Please record whether any of your brothers or sisters have ever had a stroke by circling the appropriate answer in the STROKE column (Y=yes, N=no, D=don't know). If they had a stroke, please write their age at first stroke in the AGE column.
CL Item
yes (1)
CL Item
no (2)
CL Item
don't know (3)
siblings age at stroke
Item
Sibling's age at first stroke
integer
C0037047 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
Voltar ao início da página 

Contacto

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Ajuda

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