Item
1. Would you say, in general, your health is:
integer
C0516984 (UMLS CUI [1])
Code List
1. Would you say, in general, your health is:
Item
2. How would you say your health compares to other persons your age?
integer
C0018759 (UMLS CUI [1,1])
C0027362 (UMLS CUI [1,2])
Code List
2. How would you say your health compares to other persons your age?
CL Item
Better than others your age (1)
CL Item
About the same as others your age (2)
CL Item
worse than others your age (3)
days in bed because of injury
Item
3. 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
4. Has a doctor told you that you had a new myocadial infarction or heart attack since we spoke with you on the phone about six months ago?
integer
C0027051 (UMLS CUI [1])
Code List
4. Has a doctor told you that you had a new myocadial infarction or heart attack since we spoke with you on the phone about six months ago?
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])
myocardial infarction date
Item
B. Date of event or diagnosis:
date
C0027051 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
times seen doctor for myocardial infarction
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])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
myocardial infarction hospitalization frequency
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])
hospitalization 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
C0011008 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital city
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
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])
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?
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])
times seen by doctor for angina pectoris
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 night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0002962 (UMLS CUI [1,2])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
angina pectoris hospitalization frequency
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])
hospitalization 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
C0011008 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,3])
hospital name
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital city
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Hospital state
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
hospitalization days
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
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])
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?
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])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
hospitalization frequency heart failure
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0018802 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
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 city
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.) City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
hospitalization days
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
Item
7. Has a doctor told you that you had a new incident of intermittent claudication od pain in your legs from a blockage of the arteries since we spoke to you on the phone about six months ago?
integer
C0021775 (UMLS CUI [1])
Code List
7. Has a doctor told you that you had a new incident of intermittent claudication od pain in your legs from a blockage of the arteries since we spoke to you on the phone about six months ago?
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])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
hospitalization frequency intermittent claudication
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0021775 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
hospital admission date
Item
F. Please record the admission date of each hospitlization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission dare
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 city
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.) City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
hospitalization days
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
Item
8. Has a doctor ever told you that you had a new stroke or cerebrovascular accident since we spoke to you on the phone about six months ago?
integer
C0038454 (UMLS CUI [1])
Code List
8. Has a doctor ever told you that you had a new stroke or cerebrovascular accident since we spoke to you on the phone about six months ago?
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])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
hospitalization frequency cerebrovascular accident
Item
E. How many different times were you in the hospital for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
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 city
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.) City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
hospitalization days
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
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 an the phone about six months ago?
integer
C0007787 (UMLS CUI [1])
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 an the phone about six months ago?
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
Item
B. Date of event or diagnosis:
date
C0007787 (UMLS CUI [1])
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])
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
hospitalization frequency transient ischemic attack
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. (Use another sheet of paper to list additional admissions.) Hospital name
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) City
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) State
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
hospitalization days
Item
G. How many days altogether were you hospitalized for this condition?
integer
C0019993 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
Item
10. Have you stayed overnight as a patient in a hospital for any other reasons not reportet in Questions 4 through 9 since we spoke to you on the phone about six months ago?
integer
C0019993 (UMLS CUI [1])
Code List
10. Have you stayed overnight as a patient in a hospital for any other reasons not reportet in Questions 4 through 9 since we spoke to you on the phone about six months ago?
reason for admission
Item
Reason for admission:
text
C0392360 (UMLS CUI [1,1])
C0809949 (UMLS CUI [1,2])
hospital name
Item
Hospital name:
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
City:
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
State:
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
hospital admission date
Item
Date of hospitalization:
date
C0806429 (UMLS CUI [1])
lenght of hospital 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])
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?
reason for admission
Item
Reason for admission:
text
C0392360 (UMLS CUI [1,1])
C0809949 (UMLS CUI [1,2])
hospital name
Item
Hospital name:
text
C0019994 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
hospital city
Item
City:
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
hospital state
Item
State:
text
C0019994 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
hospital admission date
Item
Date of hospitalization:
date
C0806429 (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])
Code List
Are you currently staying in a nursing home?
Item
12. Where do you usually go for your medical care?
integer
C0496675 (UMLS CUI [1])
Code List
12. Where do you usually go for your medical care?
CL Item
Doctor's office (1)
CL Item
Clinic at hospital (2)
CL Item
Clinic outside hospital (3)
CL Item
Clinic at city (county) health department (4)
CL Item
Emergency room (5)
CL Item
Doctor makes visits to your home (6)
Item
13. When you want to see a doctor, do you usually:
integer
C0003630 (UMLS CUI [1])
Code List
13. When you want to see a doctor, do you usually:
CL Item
Make an appointment (1)
CL Item
Walk in anytime (2)
Item
14. Do you usually see the same doctor every time you visit?
integer
C0031831 (UMLS CUI [1,1])
C0445247 (UMLS CUI [1,2])
Code List
14. Do you usually see the same doctor every time you visit?
Item
15. If you develop a new symptom or illness and need an appoinment, how soon are you usually able to be seen?
integer
C1822076 (UMLS CUI [1])
Code List
15. If you develop a new symptom or illness and need an appoinment, how soon are you usually able to be seen?
CL Item
More than 4 weeks (6)
Item
16. Do you have a doctor (or doctor's assistant) you can talk to by phone for medical problems?
integer
C3842704 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
Code List
16. Do you have a doctor (or doctor's assistant) you can talk to by phone for medical problems?
Item
17. How much did each of the following affect your ability to see a doctor in the past year? Not having a regular doctor
integer
C0031831 (UMLS CUI [1,1])
C0205272 (UMLS CUI [1,2])
Code List
17. How much did each of the following affect your ability to see a doctor in the past year? Not having a regular doctor
CL Item
Moderate amount (3)
Item
17. How much did each of the following affect your ability to see a doctor in the past year? Taking care of others (for example, caring for a spouse or grandchildren)
integer
C1947933 (UMLS CUI [1,1])
C0021797 (UMLS CUI [1,2])
C1273800 (UMLS CUI [1,3])
Code List
17. How much did each of the following affect your ability to see a doctor in the past year? Taking care of others (for example, caring for a spouse or grandchildren)
CL Item
Moderate amount (3)
Item
17. How much did each of the following affect your ability to see a doctor in the past year? Difficulty finding transportation
integer
C0040757 (UMLS CUI [1])
Code List
17. How much did each of the following affect your ability to see a doctor in the past year? Difficulty finding transportation
CL Item
Moderate amount (3)
Item
17. How much did each of the following affect your ability to see a doctor in the past year? Doctor/clinic/hospital bills
integer
C0680264 (UMLS CUI [1,1])
C0086388 (UMLS CUI [1,2])
Code List
17. How much did each of the following affect your ability to see a doctor in the past year? Doctor/clinic/hospital bills
CL Item
Moderate amount (3)
Item
17. How much did each of the following affect your ability to see a doctor in the past year? Work responsibilities
integer
C0043227 (UMLS CUI [1,1])
C0678341 (UMLS CUI [1,2])
Code List
17. How much did each of the following affect your ability to see a doctor in the past year? Work responsibilities
CL Item
Moderate amount (3)
Item
17. How much did each of the following affect your ability to see a doctor in the past year? Fearful for safety on streets
integer
C0015726 (UMLS CUI [1,1])
C0442658 (UMLS CUI [1,2])
C0036043 (UMLS CUI [1,3])
Code List
17. How much did each of the following affect your ability to see a doctor in the past year? Fearful for safety on streets
CL Item
Moderate amount (3)
Item
17. How much did each of the following affect your ability to see a doctor in the past year? Fear that doctor will perform tests I don't really need
integer
C0015726 (UMLS CUI [1,1])
C0376708 (UMLS CUI [1,2])
Code List
17. How much did each of the following affect your ability to see a doctor in the past year? Fear that doctor will perform tests I don't really need
CL Item
Moderate amount (3)
Item
17. How much did each of the following affect your ability to see a doctor in the past year? Fear that doctor will discover a serious illness
integer
C0015726 (UMLS CUI [1,1])
C0221423 (UMLS CUI [1,2])
C0205404 (UMLS CUI [1,3])
Code List
17. How much did each of the following affect your ability to see a doctor in the past year? Fear that doctor will discover a serious illness
CL Item
Moderate amount (3)
Item
17. How much did each of the following affect your ability to see a doctor in the past year? Doctor is not responsive to my concerns
integer
C2699424 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
C0237284 (UMLS CUI [1,3])
Code List
17. How much did each of the following affect your ability to see a doctor in the past year? Doctor is not responsive to my concerns
CL Item
Moderate amount (3)
Item
18. 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])
Code List
18. Do you have any of the following types of health insurance in addition to Medicare to help pay for your medical bills?
CL Item
Private insurance (1)
CL Item
Medical assistance or medicaid (2)
health insurance
Item
If "other", specify:
text
C0021682 (UMLS CUI [1])
Item
19. Have you had pneumonia since we saw you last year?
integer
C0032285 (UMLS CUI [1])
Code List
19. Have you had pneumonia since we saw you last year?
Item
20. Have you had an attack of bronchitis since we saw you last year?
integer
C0006277 (UMLS CUI [1])
Code List
20. Have you had an attack of bronchitis since we saw you last year?
Item
Was it confirmed by a doctor?
integer
C0006277 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
Code List
Was it confirmed by a doctor?
Item
21. Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRTST told that you had the condition? A. High blood pressure
integer
C0020538 (UMLS CUI [1])
Code List
21. Has a doctor ever told you that you had any of the following conditions or diseases; and if so, when were you FIRTST told that you had the condition? A. High blood pressure
CL Item
First told during the past year (2)
CL Item
First told more than one year ago (3)
Item
B. Diabetes
integer
C0011849 (UMLS CUI [1])
CL Item
First told during the past year (2)
CL Item
First told more than one year ago (3)
Item
C. Atrial fibrillation
integer
C0004238 (UMLS CUI [1])
Code List
C. Atrial fibrillation
CL Item
First told during the past year (2)
CL Item
First told more than one year ago (3)
Item
D. Deep vein thrombosis (or blood clots in your legs)
integer
C0149871 (UMLS CUI [1])
Code List
D. Deep vein thrombosis (or blood clots in your legs)
CL Item
First told during the past year (2)
CL Item
First told more than one year ago (3)
Item
E. Rheumatic fever or heart valve problems
integer
C3536892 (UMLS CUI [1])
C0018824 (UMLS CUI [2])
Code List
E. Rheumatic fever or heart valve problems
CL Item
First told during the past year (2)
CL Item
First told more than one year ago (3)
Item
22. Has a doctor told you that you had other heart or circulatory problems since we saw you last year?
integer
C0795691 (UMLS CUI [1])
Code List
22. Has a doctor told you that you had other heart or circulatory problems since we saw you last year?
heart problems
Item
If YES, specify:
text
C0795691 (UMLS CUI [1])
Item
23. 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])
Code List
23. Are you currently taking medication prescribed by a doctor for any of the following conditions? A. High blood pressure
Item
B. Diabetes
integer
C0013227 (UMLS CUI [1,1])
C0011849 (UMLS CUI [1,2])
Item
C. Atrial fibrillation
integer
C0013227 (UMLS CUI [1,1])
C0004238 (UMLS CUI [1,2])
Code List
C. Atrial fibrillation
Item
D. Deep vein thrombosis (or blood clots in your legs)
integer
C0013227 (UMLS CUI [1,1])
C0149871 (UMLS CUI [1,2])
Code List
D. Deep vein thrombosis (or blood clots in your legs)
Item
24. Have you had a coronary angiography or heart catheterization as an outpatient procedure since we saw you last year?
integer
C0085532 (UMLS CUI [1])
Code List
24. Have you had a coronary angiography or heart catheterization as an outpatient procedure since we saw you last year?
coronary angiography
Item
Where was this procedure done? (Record the name and address of the doctor, clinic or hospital.)
text
C0085532 (UMLS CUI [1])
chest pain
Item
25. 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])
Code List
A. Do you feel the pain when you walk uphill or hurry?
CL Item
Never hurry or walk uphill (9)
chest pain walking
Item
B. Do you feel the pain when you walk at an ordinary pace 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])
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
D. If you stand still, what happens to the pain?
integer
C0008031 (UMLS CUI [1,1])
C0035253 (UMLS CUI [1,2])
Code List
D. If you stand still, what happens to the pain?
CL Item
Relieved in 10 minutes or less (1)
CL Item
Takes longer than 10 minutes to be relieved (2)
Item
E. Where do you get this pain or discomfort?
text
C0008031 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
Code List
E. Where do you get this pain or discomfort?
chest pain 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
chest pain worsening
Item
G. Has there been an increase in the frequency or severity in the past two weeks?
boolean
C0332271 (UMLS CUI [1,1])
C0008031 (UMLS CUI [1,2])
C0332185 (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])
chest pain duration
Item
I. Have you ever had a severe pain across the front of your chest lasting for half an hour or more?
boolean
C0008031 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
chest pain seen by doctor
Item
J. Did you see a doctor beacause of this pain?
boolean
C0008031 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
Item
K. If you saw a doctor, what did your doctor say it was?
integer
C0011900 (UMLS CUI [1])
Code List
K. If you saw a doctor, what did your doctor say it was?
other diagnosis
Item
If "other", specify:
text
C0011900 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
26. Have you had swelling of your feet or ankles since we saw you last year?
integer
C0581394 (UMLS CUI [1])
Code List
26. Have you had swelling of your feet or ankles since we saw you last year?
Item
A. Did it tend to come on during the day an go down overnight?
integer
C0849969 (UMLS CUI [1,1])
C0332271 (UMLS CUI [1,2])
C0585022 (UMLS CUI [1,3])
Code List
A. Did it tend to come on during the day an go down overnight?
Item
27. Do you get pain in either leg when walking?
integer
C0023222 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
Code List
27. Do you get pain in either leg when walking?
Item
A. Does the pain ever begin when you are standing still or sitting?
integer
C0023222 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
Code List
A. Does the pain ever begin when you are standing still or sitting?
Item
B. Do you feel this pain in your calf or calves?
integer
C3161660 (UMLS CUI [1])
Code List
B. Do you feel this pain in your calf or calves?
Item
C. Do you feel it when you walk uphill or hurry?
integer
C0023222 (UMLS CUI [1,1])
C3842654 (UMLS CUI [1,2])
Code List
C. Do you feel it when you walk uphill or hurry?
CL Item
Never hurry or walk uphill (9)
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])
Code List
D. Do you feel it when you walk at an ordinary pace on the level?
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])
Code List
E. Does this pain ever disappear while you are walking?
Item
F. What do you do if you feel it while you are walking?
integer
C3266814 (UMLS CUI [1,1])
C0023222 (UMLS CUI [1,2])
C0080331 (UMLS CUI [1,3])
Code List
F. What do you do if you 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])
Code List
G. What happens to the pain if you stand still?
CL Item
Relieved in 10 minutes or less (1)
CL Item
Takes longer than 10 minutes to be relieved (2)
Item
28. Have you been told by a doctor that you currently have any of the following? A. Arthritis of hands
integer
C0409208 (UMLS CUI [1])
Code List
28. Have you been told by a doctor that you currently have any of the following? A. Arthritis of hands
Item
B. Arthritis of shoulder
integer
C1298682 (UMLS CUI [1])
Code List
B. Arthritis of shoulder
Item
C. Arthritis of hips or knees
integer
C0263776 (UMLS CUI [1])
C0240111 (UMLS CUI [2])
Code List
C. Arthritis of hips or knees
Item
D. Osteoporosis
integer
C0029456 (UMLS CUI [1])
Code List
D. Osteoporosis
Item
E. Liver disease, cirrhosis or hepatitis
integer
C0023895 (UMLS CUI [1])
Code List
E. Liver disease, cirrhosis or hepatitis
Item
F. Kidney (renal) disease or failure
integer
C0022658 (UMLS CUI [1])
Code List
F. Kidney (renal) disease or failure
Item
29. 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])
C0003862 (UMLS CUI [2])
Code List
29. During the last year, have you had pain in any bones or joints for at least half the days of a month?
Item
Please indicate where you had this pain (check all below): A. Hands
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0018563 (UMLS CUI [1,3])
Code List
Please indicate where you had this pain (check all below): A. Hands
Item
B. Feet
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0016504 (UMLS CUI [1,3])
Item
C. Knees
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0022742 (UMLS CUI [1,3])
Item
D. Hips
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0019552 (UMLS CUI [1,3])
Item
E. Neck
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0027530 (UMLS CUI [1,3])
Item
F. Back
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0004600 (UMLS CUI [1,3])
Item
G. Shoulders
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0037004 (UMLS CUI [1,3])
Item
H. Other
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
other bone or joint pain
Item
If other, specify:
text
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item
30. Have you been told by a doctor that you currently have cancer?
integer
C0006826 (UMLS CUI [1])
Code List
30. Have you been told by a doctor that you currently have cancer?
Item
If you answered YES, please specify the kind of cancer(s). Check all below: A. Breast cancer
integer
C0678222 (UMLS CUI [1])
Code List
If you answered YES, please specify the kind of cancer(s). Check all below: A. Breast cancer
Item
B. Blood cancer, leukemia or lymphoma
integer
C0376545 (UMLS CUI [1])
Code List
B. Blood cancer, leukemia or lymphoma
Item
C. Colon (bowel) or rectum cancer
integer
C0699790 (UMLS CUI [1])
Code List
C. Colon (bowel) or rectum cancer
Item
D. Lung cancer
integer
C0242379 (UMLS CUI [1])
Item
E. Malignant melanoma
integer
C0025202 (UMLS CUI [1])
Code List
E. Malignant melanoma
Item
F. Other skin cancer
integer
C0007114 (UMLS CUI [1])
Code List
F. Other skin cancer
Item
G. Prostate cancer
integer
C0600139 (UMLS CUI [1])
Code List
G. Prostate cancer
Item
H. Pancreatic cancer
integer
C0235974 (UMLS CUI [1])
Code List
H. Pancreatic cancer
Item
I. Esophageal cancer
integer
C0014859 (UMLS CUI [1])
Code List
I. Esophageal cancer
Item
J. Other cancer
integer
C1707251 (UMLS CUI [1])
Code List
J. Other cancer
Item
If other, specify:
integer
C1707251 (UMLS CUI [1])
Code List
If other, specify:
Item
31. Have you been treated by a doctor for any of the following since we saw you last year? A. Broken hip (fracture)
integer
C0019557 (UMLS CUI [1])
Code List
31. Have you been treated by a doctor for any of the following since we saw you last year? A. Broken hip (fracture)
Item
B. Broken lower leg (fracture)
integer
C1542178 (UMLS CUI [1])
Code List
B. Broken lower leg (fracture)
Item
C. Broken arm, wrist or shoulder (fracture)
integer
C0178316 (UMLS CUI [1])
C0435630 (UMLS CUI [2])
C0037006 (UMLS CUI [3])
Code List
C. Broken arm, wrist or shoulder (fracture)
Item
D. Spine (vertebral) compression fracture
integer
C0262431 (UMLS CUI [1])
Code List
D. Spine (vertebral) compression fracture
Item
E. Other injury
integer
C3263722 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Code List
E. Other injury
other injury
Item
If other, specify:
text
C3263722 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
F. Did you have arthritis that was trated with medication?
integer
C0003864 (UMLS CUI [1,1])
C0013216 (UMLS CUI [1,2])
Code List
F. Did you have arthritis that was trated with medication?
Item
32. A. Does your chest ever sound wheezy or whistling when you have a cold?
integer
C3169461 (UMLS CUI [1])
Code List
32. A. Does your chest ever sound wheezy or whistling when you have a cold?
Item
B. Does your chest ever sound wheezy or whistling apart from colds?
integer
C3169463 (UMLS CUI [1])
Code List
B. Does your chest ever sound wheezy or whistling apart from colds?
Item
C. Does your chest ever sound wheezy or whistling most days or nights?
integer
C3169465 (UMLS CUI [1])
Code List
C. Does your chest ever sound wheezy or whistling most days or nights?
years wheezing been present
Item
D. For how many years has this been present?
integer
C3169466 (UMLS CUI [1])
wheezing attack
Item
E. Have you ever had an attack of wheezing that made you feel short of breath?
boolean
C3169468 (UMLS CUI [1])
age at first wheezing attack
Item
How old were you when you had your first such attack?
integer
C3169471 (UMLS CUI [1])
two or more wheezing attacks
Item
Have you had 2 or more such episodes?
boolean
C3169473 (UMLS CUI [1])
wheezing attacks treatment
Item
Have you ever required medication or treatment for these attacks?
boolean
C3173654 (UMLS CUI [1])
Item
33. A. Have you had a cold, the flu, a dental infection or other infections in the last two weeks?
integer
C0009450 (UMLS CUI [1])
Code List
33. A. Have you had a cold, the flu, a dental infection or other infections in the last two weeks?
Item
B. Have you had a cold, the flu, a dental infection or other infections in the last week?
integer
C0009450 (UMLS CUI [1])
Code List
B. Have you had a cold, the flu, a dental infection or other infections in the last week?
Item
34. Have you had any of the following symptoms in the last two weeks? A. Fever or chills
integer
C0015967 (UMLS CUI [1])
Code List
34. Have you had any of the following symptoms in the last two weeks? A. Fever or chills
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
Item
B. Sore throat
integer
C0242429 (UMLS CUI [1])
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
Item
C. Cough
integer
C0010200 (UMLS CUI [1])
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
Item
D. Sputum or mucous
integer
C0038056 (UMLS CUI [1])
Code List
D. Sputum or mucous
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
Item
E. Runny nose or congestion
integer
C1260880 (UMLS CUI [1])
Code List
E. Runny nose or congestion
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
Item
F. Pain on urination
integer
C0013428 (UMLS CUI [1])
Code List
F. Pain on urination
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
Item
G. Cloudy or discolored urine
integer
C0522153 (UMLS CUI [1])
Code List
G. Cloudy or discolored urine
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
Item
H. Tests showing a urine infection
integer
C0729523 (UMLS CUI [1])
Code List
H. Tests showing a urine infection
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
Item
I. Other infection
integer
C0009450 (UMLS CUI [1])
Code List
I. Other infection
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
other infection
Item
If other, specify:
text
C0009450 (UMLS CUI [1])
Item
35. Do you have seasonal allergies?
integer
C2106658 (UMLS CUI [1])
Code List
35. Do you have seasonal allergies?
Item
A. Were the symptoms you answered YES to in Question 34 due to seasonal allergies?
integer
C2106658 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
Code List
A. Were the symptoms you answered YES to in Question 34 due to seasonal allergies?
Item
36. Do you have a chronic lung or sinus condition?
integer
C0746102 (UMLS CUI [1])
C0748720 (UMLS CUI [2])
Code List
36. Do you have a chronic lung or sinus condition?
Item
37. During the last year, have you had any sudden spells of dizziness, loss of blance, or sensation of spinning?
integer
C3174651 (UMLS CUI [1])
Code List
37. During the last year, have you had any sudden spells of dizziness, loss of blance, or sensation of spinning?
Item
38. During the last year, have you had a fall? (Do not include falls during skiiing, skating or other activities that may affect balance.)
integer
C0085639 (UMLS CUI [1])
Code List
38. During the last year, have you had a fall? (Do not include falls during skiiing, skating or other activities that may affect balance.)
fall
Item
A. How many times have you fallen during the last year?
integer
C0085639 (UMLS CUI [1])
Item
39. A. During the last year, have you injuried your head?
integer
C0018674 (UMLS CUI [1])
Code List
39. A. During the last year, have you injuried your head?
Item
B. During the last year, have you injured your neck
integer
C0027531 (UMLS CUI [1])
Code List
B. During the last year, have you injured your neck
Item
40. During the last year, have you gained or lost more than 10 pounds?
integer
C0005911 (UMLS CUI [1])
Code List
40. 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)
Item
Were any of the following a major factor in your weight change? A. Diet
integer
C0012155 (UMLS CUI [1,1])
C0005911 (UMLS CUI [1,2])
Code List
Were any of the following a major factor in your weight change? A. Diet
Item
B. Surgery, illness or medication
integer
C0221423 (UMLS CUI [1,1])
C0005911 (UMLS CUI [1,2])
Code List
B. Surgery, illness or medication
Item
C. Exercise
integer
C0015259 (UMLS CUI [1,1])
C0005911 (UMLS CUI [1,2])
Item
41. How would you compare your TOTAL average daily intake of food this year to your intake when we saw you last year?
integer
C0086311 (UMLS CUI [1,1])
C0332173 (UMLS CUI [1,2])
Code List
41. How would you compare your TOTAL average daily intake of food this year to your intake when we saw you last year?
CL Item
Eat a lot more (1)
CL Item
Eat a little more (2)
CL Item
Eat about the same (3)
CL Item
Eat a little less (4)
CL Item
Eat a lot less (5)
Item
A. If you answered EAT A LOT MORE or EAT A LITTLE MORE, the main reason is:
integer
C0013470 (UMLS CUI [1,1])
C0205172 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
A. If you answered EAT A LOT MORE or EAT A LITTLE MORE, the main reason is:
CL Item
A doctor recommended that I eat more (1)
CL Item
I am taking medicine that increases my appetite (2)
CL Item
My physical activity has increased (3)
CL Item
I am more able to shop or preparefoo than before (4)
CL Item
A medical or dental problem has been resolved (5)
CL Item
My appetite has increased for other reasons (6)
reason for eating more
Item
If OTHER REASONS, please specify:
text
C0013470 (UMLS CUI [1,1])
C0205172 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
B. If you answered EAT A LOT LESS or EAT A LITTLE LESS, the main reason is:
integer
C0013470 (UMLS CUI [1,1])
C0392756 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
B. If you answered EAT A LOT LESS or EAT A LITTLE LESS, the main reason is:
CL Item
A doctor recommended that I eat less (1)
CL Item
I am taking medicine that decreases my appetite (2)
CL Item
My physical activity has decreased (3)
CL Item
I am less able to shop or prepare food than before (4)
CL Item
A medical or dental problem interferes with eating (5)
CL Item
My appetite has decreased for other reasons (6)
reason for eating less
Item
If OTHER REASONS, please specify:
text
C0013470 (UMLS CUI [1,1])
C0392756 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
walking distance
Item
42. Think about the walking you do outside your home. During the last week, about how many blocks or miles did you walk? Blocks
float
C0429886 (UMLS CUI [1])
walking distance
Item
42. Think about the walking you do outside your home. During the last week, about how many city blocks or miles did you walk? Miles
float
C0429886 (UMLS CUI [1])
Item
43. When you walk outside your home, what is your usual pace?
integer
C1821542 (UMLS CUI [1])
Code List
43. When you walk outside your home, what is your usual pace?
CL Item
No walking at all (1)
CL Item
Casual strolling (up to 2 mph) (2)
CL Item
Average or normal (between 2 and 3 mph) (3)
CL Item
Fairly brisk (between 3 and 4 mph) (4)
CL Item
Brisk or striding (faster than 4 mph) (5)
flights of stairs
Item
44. Think about how often you use stairs. Include stairs inside and outside your home, and stairs at other places. In the last week, about how many flights of stairs did you walk up? (Ten steps is equal to one flight of stairs)
integer
C3831080 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Item
45. How would you describe your level of activity since we saw you last year?
integer
C0683317 (UMLS CUI [1])
Code List
45. 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)
time sitting or lying down
Item
46. In a usual 24 hour period, how many hours do you spend seated or lying down? Include all time spent sleeping, resting, and lying down, and also include all time spent watching TV, eating, reading, and any other time sitting down.
float
C0277814 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
C2584317 (UMLS CUI [1,3])
Item
47. During the past two weeks, have you taken a multiple vitamin or any other vitamin supplements?
integer
C0724359 (UMLS CUI [1])
Code List
47. During the past two weeks, have you taken a multiple vitamin or any other vitamin supplements?
Item
Indicate which vitamins you tool and the number of days you took the vitamin during the past two weeks. A. Multiple vitamin
integer
C0301532 (UMLS CUI [1])
Code List
Indicate which vitamins you tool and the number of days you took the vitamin during the past two weeks. A. Multiple vitamin
multiple vitamin duration
Item
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])
Code List
B. Vitamin A or beta-carotene
vitamin a or beta-carotene duration
Item
How many days 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])
vitamin c duration
Item
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])
vitamin e duration
Item
How many days during the past two weeks did you take vitamin E?
integer
C0042874 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
48. 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])
Code List
48. During the last two weeks did you take any aspirin or aspirin-containing medicines such as Bufferin, Anacin, or Ascriptin?
aspirin duration
Item
On about how many days during the last two weeks did you take this medicine?
integer
C0004057 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
49. During the last two weeks, did you take any cod-liver oil or other fish-oil supplements?
integer
C0009213 (UMLS CUI [1])
Code List
49. During the last two weeks, did you take any cod-liver oil or other fish-oil supplements?
cod liver oil duration
Item
On about how many days during the last two weeks did you take these supplements
integer
C0009213 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
50. Are you taking any of the following medications one or more times a week? A. Antihistamines; for example, cold pills, allergy pills
integer
C0019590 (UMLS CUI [1])
Code List
50. Are you taking any of the following medications one or more times a week? A. Antihistamines; for example, cold pills, allergy pills
Item
B. Sleeping pills
integer
C0599396 (UMLS CUI [1])
Code List
B. Sleeping pills
Item
C. Laxatives
integer
C0282090 (UMLS CUI [1])
Item
D. Calcium supplements
integer
C3540037 (UMLS CUI [1])
Code List
D. Calcium supplements
Item
51. Have you had a flu shot since we saw you last year?
integer
C0770694 (UMLS CUI [1])
Code List
51. Have you had a flu shot since we saw you last year?
Item
52. Have you had a shot to prevent pneumonia, sometimes called pneumovax, since we saw you last year?
integer
C0071315 (UMLS CUI [1])
Code List
52. Have you had a shot to prevent pneumonia, sometimes called pneumovax, since we saw you last year?
Item
53. Did a doctor prescribe nitroglycerin for you since we saw you last year?
integer
C0017887 (UMLS CUI [1])
Code List
53. Did a doctor prescribe nitroglycerin for you since we saw you last year?
Item
54. Can you see well enough to watch TV, with or without glasses?
integer
C0042789 (UMLS CUI [1,1])
C4050139 (UMLS CUI [1,2])
Code List
54. Can you see well enough to watch TV, with or without glasses?
Item
55. Can you see well enough to watch TV, with or without glasses?
integer
C0042789 (UMLS CUI [1,1])
C0871498 (UMLS CUI [1,2])
Code List
55. Can you see well enough to watch TV, with or without glasses?
Item
56. 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])
Code List
56. Can you see well enough to recognize someone across the room, with or without glasses?
Item
57. Can you see well enough to read the newspaper, with or without glasses?
integer
C0042789 (UMLS CUI [1,1])
C0027989 (UMLS CUI [1,2])
Code List
57. Can you see well enough to read the newspaper, with or without glasses?
Item
58. Can you hear well enough to use the telephone, with or without a hearing aid?
integer
C0018767 (UMLS CUI [1,1])
C0577446 (UMLS CUI [1,2])
Code List
58. Can you hear well enough to use the telephone, with or without a hearing aid?
Item
59. Can you hear well enough to listen to radio, with or without a hearing aid?
integer
C0018767 (UMLS CUI [1])
Code List
59. Can you hear well enough to listen to radio, with or without a hearing aid?
Item
60. 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])
Code List
60. Can you hear well enough to carry on a conversation in a crowded room, with or without a hearing aid?
Item
61. During the last year, how often have you accidentally lost control of your urine (wet yourself)?
integer
C3831336 (UMLS CUI [1])
Code List
61. During the last year, how often have you accidentally lost control of your urine (wet yourself)?
Item
A. If you answered "often" or "occasionally", how often would you say this happened?
integer
C3831336 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Code List
A. If you answered "often" or "occasionally", how often would you say this happened?
CL Item
At least once a week (2)
CL Item
Less often than once a week (3)
Item
B. When you feel the urge to urinate, how long can you usually wait?
integer
C3469225 (UMLS CUI [1,1])
C1610166 (UMLS CUI [1,2])
Code List
B. When you feel the urge to urinate, how long can you usually wait?
CL Item
Five minutes or more (1)
CL Item
Less than five minutes but more than a few seconds (2)
CL Item
A few seconds (3)
CL Item
Urinate without warning (4)
Item
62. During the last year, have you awakened to urinate more than three nights per week?
integer
C1170730 (UMLS CUI [1,1])
C0085606 (UMLS CUI [1,2])
Code List
62. During the last year, have you awakened to urinate more than three nights per week?
Item
63. Have you smoked cigarettes during the last 30 days?
integer
C0543414 (UMLS CUI [1])
Code List
63. Have you smoked cigarettes during the last 30 days?
cigarettes per day
Item
On average, how many cigarettes do you usually smoke per day?
integer
C3694146 (UMLS CUI [1])
Item
64. Which of the following best describes your current smoking status?
integer
C1519386 (UMLS CUI [1])
Code List
64. Which of the following best describes your current smoking status?
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)
Item
65. Does anyone living with you smoke cigarettes regularly? (This includes any other member of your household.)
integer
C0543414 (UMLS CUI [1,1])
C0020052 (UMLS CUI [1,2])
Code List
65. Does anyone living with you smoke cigarettes regularly? (This includes any other member of your household.)
Item
66. Do you ever use snuff or smokeless tobacco?
integer
C0040338 (UMLS CUI [1])
Code List
66. Do you ever use snuff or smokeless tobacco?
Item
67. Do you ever drink beer?
integer
C0559430 (UMLS CUI [1])
Code List
67. Do you ever drink beer?
Item
A. About how often do you drink beer?
integer
C0559430 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Code List
A. About how often do you drink beer?
bottles of beer
Item
B. How many 12-ounce cans of bottles of beer do you usually drink on one occasio?
integer
C0559430 (UMLS CUI [1,1])
C0179376 (UMLS CUI [1,2])
Item
68. Do you ever drink wine?
integer
C0043188 (UMLS CUI [1])
Code List
68. Do you ever drink wine?
Item
A. About how often do you drink wine?
integer
C0043188 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Code List
A. About how often do you drink wine?
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
69. Do you ever drink liquor?
integer
C0301611 (UMLS CUI [1])
Code List
69. Do you ever drink liquor?
Item
A. About how often do you drink liquor?
integer
C0301611 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Code List
A. About how often do you drink liquor?
servings of liquor
Item
B. How many drinks, equal to one shot of liquor, do you usually drink on one occasion?
integer
C0301611 (UMLS CUI [1,1])
C0681585 (UMLS CUI [1,2])
Item
70. Are you currently involved in any medical studies other than CHS?
integer
C2348568 (UMLS CUI [1])
Code List
70. Are you currently involved in any medical studies other than CHS?
name of study
Item
If YES, please name:
text
C0008976 (UMLS CUI [1])
Item
71. What is your occupational status?
integer
C0014006 (UMLS CUI [1])
Code List
71. What is your 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
Employed, but temporarily away from my regular job (3)
CL Item
Retired from my usual occupation and not working (4)
CL Item
Retired from my usual occupation but working for pay (5)
CL Item
Retired from my usual occupation, but volunteering (6)
CL Item
Unemployed, looking for work (7)
CL Item
Unemployed, not looking for work (8)
occupational status
Item
If OTHER, please specify:
text
C0014006 (UMLS CUI [1])
Item
72. Are you currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen?
integer
C3541386 (UMLS CUI [1])
Code List
72. Are you currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen?
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])
Code List
C. Why are you taking estrogen? To prevent hot flashes
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])
Code List
C. Why are you taking estrogen? To prevent other postmenopausal symptoms
Item
C. Why are you taking estrogen? To prevent osteoporosis or bone loss
integer
C0029456 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
C. Why are you taking estrogen? To prevent osteoporosis or bone loss
Item
C. Why are you taking estrogen? To prevent heart disease
integer
C0018799 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
C. Why are you taking estrogen? To prevent heart disease
Item
C. Why are you taking estrogen? For other reasons
integer
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
C. Why are you taking estrogen? For other reasons
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
73. 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])
Code List
73. If you are NOT currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen, have you taken estrogen in the past?
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])
Code List
D. Why did you take estrogen? To prevent hot flashes
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])
Code List
D. Why did you take estrogen? To prevent other postmenopausal symptoms
Item
D. Why did you take estrogen? To prevent osteoporosis or bone loss
integer
C0029456 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
D. Why did you take estrogen? To prevent osteoporosis or bone loss
Item
D. Why did you take estrogen? To prevent heart disease
integer
C0018799 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
D. Why did you take estrogen? To prevent heart disease
Item
D. Why did you take estrogen? For other reasons
integer
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
D. Why did you take estrogen? For other reasons
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
74. Are you currently taking progestins such as Provera or Norlutate?
integer
C0033306 (UMLS CUI [1])
Code List
74. Are you currently taking progestins such as Provera or Norlutate?
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
75. 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])
Code List
75. If you are NOT currently taking progestin such as Provera or Norlutate, have you taken progestin in the past?
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])
progestin stopped
Item
B. When did you stop? (State year OR age when stopped.)
text
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
For CHS Field Center Use Only:
integer
C0085751 (UMLS CUI [1])
Code List
For CHS Field Center Use Only:
CL Item
Self-administered (0)
CL Item
Interviewer-administered (1)
interviewer
Item
Interviewer or Reviewer
text
C1550483 (UMLS CUI [1])
interview date
Item
Interview date
date
C0021822 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])