ID

43896

Descripción

Documentation part: Record 59 Years 6-9 Medical & Personal History The Cardiovascular Health Study (CHS) was initiated by the National Heart, Lung and Blood Institute (NHLBI) in 1987 to determine the risk factors for development and progression of cardiovascular disease (CVD) in older adults, with an emphasis on subclinical measures. The study recruited 5,888 adults aged 65 or older at entry in four U.S. communities and conducted extensive annual clinical exams between 1989-1999 along with semi-annual phone calls, events adjudication, and subsequent data analyses and publications. Additional data were collected by studies ancillary to CHS. With the exception of annual clinic visits, these activities are still ongoing. Data obtained from: https://chs-nhlbi.org/ Permission granted by: Erika Enright.

Link

https://chs-nhlbi.org/

Palabras clave

Versiones (2)
  1. 1/7/17 1/7/17 -
  2. 20/9/21 20/9/21 -
Titular de derechos de autor

National Heart, Lung and Blood Institute (NHLBI)

Subido en

20 de septiembre de 2021

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0
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Years 6-9 Medical & Personal History Cardiovascular Health Study (CHS)

Inglés

Years 6-9 Medical & Personal History Cardiovascular Health Study (CHS)

1 formularios  
Medical History
Descripción

Medical History

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

general health

Tipo de datos

integer

Alias
UMLS CUI [1]
C0516984
2. How would you say your health compares to other persons your age?
Descripción

health compared to age group

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0018759
UMLS CUI [1,2]
C0027362
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.)
Descripción

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

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0221423
UMLS CUI [1,2]
C0004910
UMLS CUI [1,3]
C0439228
days
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?
Descripción

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

Tipo de datos

integer

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

doctor

Tipo de datos

text

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

doctor address

Tipo de datos

text

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

doctor city

Tipo de datos

text

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

doctor state

Tipo de datos

text

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

myocardial infarction date

Tipo de datos

date

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

times seen doctor for myocardial infarction

Tipo de datos

integer

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

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

Tipo de datos

integer

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

myocardial infarction hospitalization frequency

Tipo de datos

integer

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

hospitalization date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0019994
UMLS CUI [1,3]
C0809949
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
Descripción

hospital name

Tipo de datos

text

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

hospital city

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
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
Descripción

hospital state

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
G. How many days altogether were you hospitalized for this condition?
Descripción

myocardial infarction hospitalization days

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0027051
UMLS CUI [1,3]
C0439228
days
5. Has a doctor told you that you had a new incident of angina pectoris or chest pain due to heart disease since we spoke with you on the phone about six months ago?
Descripción

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

Tipo de datos

integer

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

doctor

Tipo de datos

text

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

doctor address

Tipo de datos

text

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

doctor city

Tipo de datos

text

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

doctor state

Tipo de datos

text

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

angina pectoris date

Tipo de datos

date

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

times seen by doctor for angina pectoris

Tipo de datos

integer

Unidades de medida
  • times
Alias
UMLS CUI [1,1]
C0002962
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
D. Were you in the hospital at least one night for this condition since we last spoke to you?
Descripción

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

Tipo de datos

integer

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

angina pectoris hospitalization frequency

Tipo de datos

integer

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

hospitalization date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0019994
UMLS CUI [1,3]
C0809949
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
Descripción

hospital name

Tipo de datos

text

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

hospital city

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
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
Descripción

hospital state

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
G. How many days altogether were you hospitalized for this condition?
Descripción

hospitalization days

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0439228
days
6. Has a doctor told you that you had a new incident of heart failure or congestive heart failure since we spoke with you on the phone about six months ago?
Descripción

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

Tipo de datos

integer

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

doctor

Tipo de datos

text

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

doctor address

Tipo de datos

text

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

doctor city

Tipo de datos

text

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

doctor state

Tipo de datos

text

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

heart failure date

Tipo de datos

date

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

heart failure seen doctor

Tipo de datos

integer

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

hospitalization heart failure

Tipo de datos

integer

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

hospitalization frequency heart failure

Tipo de datos

integer

Unidades de medida
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0018802
UMLS CUI [1,3]
C0439603
times
F. Please record the admission date of each hospitalization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission date
Descripción

hospital admission date

Tipo de datos

date

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

hospital name

Tipo de datos

text

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

hospital city

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
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
Descripción

hospital state

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
G. How many days altogether were you hospitalized for this condition?
Descripción

hospitalization days

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0439228
days
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?
Descripción

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

Tipo de datos

integer

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

doctor

Tipo de datos

text

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

doctor address

Tipo de datos

text

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

doctor city

Tipo de datos

text

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

doctor state

Tipo de datos

text

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

intermittent claudication date

Tipo de datos

date

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

intermittent claudication seen doctor

Tipo de datos

integer

Unidades de medida
  • times
Alias
UMLS CUI [1,1]
C0021775
UMLS CUI [1,2]
C0583527
UMLS CUI [1,3]
C0439603
times
D. Were you in the hospital at least one night for this condition since we last spoke to you?
Descripción

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

Tipo de datos

integer

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

hospitalization frequency intermittent claudication

Tipo de datos

integer

Unidades de medida
  • times
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0021775
UMLS CUI [1,3]
C0439603
times
F. Please record the admission date of each hospitlization and the name and location of the hospital. (Use another sheet of paper to list additional admissions.) Admission dare
Descripción

hospital admission date

Tipo de datos

date

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

hospital name

Tipo de datos

text

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

hospital city

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
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
Descripción

hospital state

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
G. How many days altogether were you hospitalized for this condition?
Descripción

hospitalization days

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0439228
days
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?
Descripción

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

Tipo de datos

integer

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

doctor

Tipo de datos

text

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

doctor address

Tipo de datos

text

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

doctor city

Tipo de datos

text

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

doctor state

Tipo de datos

text

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

cerebrovascular accident date

Tipo de datos

date

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

cerebrovascular accident seen doctor

Tipo de datos

integer

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

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

Tipo de datos

integer

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

hospitalization frequency cerebrovascular accident

Tipo de datos

integer

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

hospital admission date

Tipo de datos

date

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

hospital name

Tipo de datos

text

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

hospital city

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
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
Descripción

hospital state

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
G. How many days altogether were you hospitalized for this condition?
Descripción

hospitalization days

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0439228
days
9. Has a doctor told you that you had a new transient ischemic attack or TIA or silent stroke since we spoke to you an the phone about six months ago?
Descripción

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

Tipo de datos

integer

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

doctor

Tipo de datos

text

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

doctor address

Tipo de datos

text

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

doctor city

Tipo de datos

text

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

doctor state

Tipo de datos

text

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

transient ischemic attack

Tipo de datos

date

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

transient ischemic attack doctor seen

Tipo de datos

integer

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

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

Tipo de datos

integer

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

hospitalization frequency transient ischemic attack

Tipo de datos

integer

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

hospital admission date

Tipo de datos

date

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

hospital name

Tipo de datos

text

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

hospital city

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
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
Descripción

hospital state

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
G. How many days altogether were you hospitalized for this condition?
Descripción

hospitalization days

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0439228
days
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?
Descripción

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

Tipo de datos

integer

Alias
UMLS CUI [1]
C0019993
Reason for admission:
Descripción

reason for admission

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0809949
Hospital name:
Descripción

hospital name

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
City:
Descripción

hospital city

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
State:
Descripción

hospital state

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
Date of hospitalization:
Descripción

hospital admission date

Tipo de datos

date

Alias
UMLS CUI [1]
C0806429
Length of stay:
Descripción

lenght of hospital stay

Tipo de datos

integer

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

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

Tipo de datos

integer

Alias
UMLS CUI [1]
C0028688
Reason for admission:
Descripción

reason for admission

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0809949
Hospital name:
Descripción

hospital name

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0027365
City:
Descripción

hospital city

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
State:
Descripción

hospital state

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1301808
Date of hospitalization:
Descripción

hospital admission date

Tipo de datos

date

Alias
UMLS CUI [1]
C0806429
Lenght of stay:
Descripción

length of hospital stay

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI [1]
C0023303
days
Are you currently staying in a nursing home?
Descripción

currently in nursing home

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0028688
UMLS CUI [1,2]
C0521116
12. Where do you usually go for your medical care?
Descripción

medical care

Tipo de datos

integer

Alias
UMLS CUI [1]
C0496675
13. When you want to see a doctor, do you usually:
Descripción

want to see a doctor

Tipo de datos

integer

Alias
UMLS CUI [1]
C0003630
14. Do you usually see the same doctor every time you visit?
Descripción

same doctor

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0445247
15. If you develop a new symptom or illness and need an appoinment, how soon are you usually able to be seen?
Descripción

wait for appointment

Tipo de datos

integer

Alias
UMLS CUI [1]
C1822076
16. Do you have a doctor (or doctor's assistant) you can talk to by phone for medical problems?
Descripción

talk to doctor by phone

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C3842704
UMLS CUI [1,2]
C0031831
17. How much did each of the following affect your ability to see a doctor in the past year? Not having a regular doctor
Descripción

regular doctor

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0205272
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)
Descripción

take care of others

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1947933
UMLS CUI [1,2]
C0021797
UMLS CUI [1,3]
C1273800
17. How much did each of the following affect your ability to see a doctor in the past year? Difficulty finding transportation
Descripción

transportation

Tipo de datos

integer

Alias
UMLS CUI [1]
C0040757
17. How much did each of the following affect your ability to see a doctor in the past year? Doctor/clinic/hospital bills
Descripción

health care bills

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0680264
UMLS CUI [1,2]
C0086388
17. How much did each of the following affect your ability to see a doctor in the past year? Work responsibilities
Descripción

work responsibilities

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0043227
UMLS CUI [1,2]
C0678341
17. How much did each of the following affect your ability to see a doctor in the past year? Fearful for safety on streets
Descripción

fearful for safety on streets

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0015726
UMLS CUI [1,2]
C0442658
UMLS CUI [1,3]
C0036043
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
Descripción

fear unnecessary tests

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0015726
UMLS CUI [1,2]
C0376708
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
Descripción

fear serious illness

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0015726
UMLS CUI [1,2]
C0221423
UMLS CUI [1,3]
C0205404
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
Descripción

doctor unresponsive to concerns

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2699424
UMLS CUI [1,2]
C0031831
UMLS CUI [1,3]
C0237284
18. Do you have any of the following types of health insurance in addition to Medicare to help pay for your medical bills?
Descripción

health insurance

Tipo de datos

integer

Alias
UMLS CUI [1]
C0021682
If "other", specify:
Descripción

health insurance

Tipo de datos

text

Alias
UMLS CUI [1]
C0021682
19. Have you had pneumonia since we saw you last year?
Descripción

pneumonia

Tipo de datos

integer

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

If NO or DON'T KNOW, skip to Question 21.

Tipo de datos

integer

Alias
UMLS CUI [1]
C0006277
Was it confirmed by a doctor?
Descripción

bronchitis confirmed by doctor

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0006277
UMLS CUI [1,2]
C0583527
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
Descripción

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

Tipo de datos

integer

Alias
UMLS CUI [1]
C0020538
B. Diabetes
Descripción

diabetes

Tipo de datos

integer

Alias
UMLS CUI [1]
C0011849
C. Atrial fibrillation
Descripción

atrial fibrillation

Tipo de datos

integer

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

deep vein thrombosis

Tipo de datos

integer

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

rheumatic fever or heart valve problems

Tipo de datos

integer

Alias
UMLS CUI [1]
C3536892
UMLS CUI [2]
C0018824
22. Has a doctor told you that you had other heart or circulatory problems since we saw you last year?
Descripción

heart problems

Tipo de datos

integer

Alias
UMLS CUI [1]
C0795691
If YES, specify:
Descripción

heart problems

Tipo de datos

text

Alias
UMLS CUI [1]
C0795691
23. Are you currently taking medication prescribed by a doctor for any of the following conditions? A. High blood pressure
Descripción

high blood pressure medication

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0020538
B. Diabetes
Descripción

diabetes medication

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0011849
C. Atrial fibrillation
Descripción

atrial fibrillation medication

Tipo de datos

integer

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

deep vein thrombosis medication

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0149871
24. Have you had a coronary angiography or heart catheterization as an outpatient procedure since we saw you last year?
Descripción

If NO or DON'T KNOW, skip to Question 25.

Tipo de datos

integer

Alias
UMLS CUI [1]
C0085532
Where was this procedure done? (Record the name and address of the doctor, clinic or hospital.)
Descripción

coronary angiography

Tipo de datos

text

Alias
UMLS CUI [1]
C0085532
25. Have you ever had any pain or discomfort in your chest?
Descripción

If NO, skip to Question 26 on page 14.

Tipo de datos

boolean

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

If NO or DON'T KNOW, skip to Question 25-I on page 14.

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C3842654
B. Do you feel the pain when you walk at an ordinary pace on the level?
Descripción

chest pain walking

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0080331
C. What do you do if you feel it while you are walking?
Descripción

chest pain walking

Tipo de datos

integer

Alias
UMLS CUI [1]
C0008031
D. If you stand still, what happens to the pain?
Descripción

chest pain standing still

Tipo de datos

integer

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

chest pain localization

Tipo de datos

text

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

chest pain past two weeks

Tipo de datos

boolean

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

chest pain past two weeks

Tipo de datos

integer

Unidades de medida
  • times
times
G. Has there been an increase in the frequency or severity in the past two weeks?
Descripción

chest pain worsening

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0332271
UMLS CUI [1,2]
C0008031
UMLS CUI [1,3]
C0332185
H. Have you seen a doctor about this pain?
Descripción

chest pain seen by doctor

Tipo de datos

boolean

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

If NO, skip to Question 26.

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0449238
J. Did you see a doctor beacause of this pain?
Descripción

If NO, skip to Question 26.

Tipo de datos

boolean

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

diagnosis

Tipo de datos

integer

Alias
UMLS CUI [1]
C0011900
If "other", specify:
Descripción

other diagnosis

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0205394
26. Have you had swelling of your feet or ankles since we saw you last year?
Descripción

If NO or DON'T KNOW, skip to Question 27.26. Have you had swelling of your feet or ankles since we saw you last year?

Tipo de datos

integer

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

swollen feet come during day

Tipo de datos

integer

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

If NO or DON'T KNOW, skip to Question 28 on page 15.

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0080331
A. Does the pain ever begin when you are standing still or sitting?
Descripción

leg pain standing still

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0231472
B. Do you feel this pain in your calf or calves?
Descripción

pain in calves

Tipo de datos

integer

Alias
UMLS CUI [1]
C3161660
C. Do you feel it when you walk uphill or hurry?
Descripción

leg pain walking uphill

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C3842654
D. Do you feel it when you walk at an ordinary pace on the level?
Descripción

leg pain walking

Tipo de datos

integer

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

leg pain disappears walking

Tipo de datos

integer

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

do when leg pain walking

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C3266814
UMLS CUI [1,2]
C0023222
UMLS CUI [1,3]
C0080331
G. What happens to the pain if you stand still?
Descripción

leg pain standing still

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0023222
UMLS CUI [1,2]
C0231472
28. Have you been told by a doctor that you currently have any of the following? A. Arthritis of hands
Descripción

arthritis of hands

Tipo de datos

integer

Alias
UMLS CUI [1]
C0409208
B. Arthritis of shoulder
Descripción

arthritis of shoulder

Tipo de datos

integer

Alias
UMLS CUI [1]
C1298682
C. Arthritis of hips or knees
Descripción

arthritis of hips or knees

Tipo de datos

integer

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

osteoporosis

Tipo de datos

integer

Alias
UMLS CUI [1]
C0029456
E. Liver disease, cirrhosis or hepatitis
Descripción

liver disease

Tipo de datos

integer

Alias
UMLS CUI [1]
C0023895
F. Kidney (renal) disease or failure
Descripción

kidney disease

Tipo de datos

integer

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

If NO or DON'T KNOW, skip to Question 30.

Tipo de datos

integer

Alias
UMLS CUI [1]
C0151825
UMLS CUI [2]
C0003862
Please indicate where you had this pain (check all below): A. Hands
Descripción

bone or joint pain in hands

Tipo de datos

integer

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

bone or joint pain in feet

Tipo de datos

integer

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

bone or joint pain in knees

Tipo de datos

integer

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

bone or joint pain in hips

Tipo de datos

integer

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

bone or joint pain in neck

Tipo de datos

integer

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

bone or joint pain in back

Tipo de datos

integer

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

bone or joint pain in shoulders

Tipo de datos

integer

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

other bone or joint pain

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0003862
UMLS CUI [1,3]
C0205394
If other, specify:
Descripción

other bone or joint pain

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0151825
UMLS CUI [1,2]
C0003862
UMLS CUI [1,3]
C0205394
30. Have you been told by a doctor that you currently have cancer?
Descripción

If YES, complete the remainder of Question 30 at the top of page 17. If NO or DON'T KNOW, skip to Question 31 on page 17.

Tipo de datos

integer

Alias
UMLS CUI [1]
C0006826
If you answered YES, please specify the kind of cancer(s). Check all below: A. Breast cancer
Descripción

breast cancer

Tipo de datos

integer

Alias
UMLS CUI [1]
C0678222
B. Blood cancer, leukemia or lymphoma
Descripción

blood cancer

Tipo de datos

integer

Alias
UMLS CUI [1]
C0376545
C. Colon (bowel) or rectum cancer
Descripción

colon cancer

Tipo de datos

integer

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

lung cancer

Tipo de datos

integer

Alias
UMLS CUI [1]
C0242379
E. Malignant melanoma
Descripción

malignant melanoma

Tipo de datos

integer

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

other skin cancer

Tipo de datos

integer

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

prostate cancer

Tipo de datos

integer

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

pancreatic cancer

Tipo de datos

integer

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

esophageal cancer

Tipo de datos

integer

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

other cancer

Tipo de datos

integer

Alias
UMLS CUI [1]
C1707251
If other, specify:
Descripción

other cancer

Tipo de datos

integer

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

broken hip

Tipo de datos

integer

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

broken lower leg

Tipo de datos

integer

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

broken arm

Tipo de datos

integer

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

spine compression fracture

Tipo de datos

integer

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

other injury

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C3263722
UMLS CUI [1,2]
C0205394
If other, specify:
Descripción

other injury

Tipo de datos

text

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

arthritis treated with medication

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0003864
UMLS CUI [1,2]
C0013216
32. A. Does your chest ever sound wheezy or whistling when you have a cold?
Descripción

chest sound wheezy with cold

Tipo de datos

integer

Alias
UMLS CUI [1]
C3169461
B. Does your chest ever sound wheezy or whistling apart from colds?
Descripción

chest sound wheezy without cold

Tipo de datos

integer

Alias
UMLS CUI [1]
C3169463
C. Does your chest ever sound wheezy or whistling most days or nights?
Descripción

If you answere NO to all three of parts A, B, and C of Question 32 above, please skip to Question 33, leaving the remainder of Question 32 blank. If you answered yes to one or more of parts A, B, or C of Question 32 above, please complete parts D and E below.

Tipo de datos

integer

Alias
UMLS CUI [1]
C3169465
D. For how many years has this been present?
Descripción

years wheezing been present

Tipo de datos

integer

Unidades de medida
  • years
Alias
UMLS CUI [1]
C3169466
years
E. Have you ever had an attack of wheezing that made you feel short of breath?
Descripción

If NO, skip to Question 33 on page 19.

Tipo de datos

boolean

Alias
UMLS CUI [1]
C3169468
How old were you when you had your first such attack?
Descripción

age at first wheezing attack

Tipo de datos

integer

Unidades de medida
  • age in years
Alias
UMLS CUI [1]
C3169471
age in years
Have you had 2 or more such episodes?
Descripción

two or more wheezing attacks

Tipo de datos

boolean

Alias
UMLS CUI [1]
C3169473
Have you ever required medication or treatment for these attacks?
Descripción

wheezing attacks treatment

Tipo de datos

boolean

Alias
UMLS CUI [1]
C3173654
33. A. Have you had a cold, the flu, a dental infection or other infections in the last two weeks?
Descripción

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

Tipo de datos

integer

Alias
UMLS CUI [1]
C0009450
B. Have you had a cold, the flu, a dental infection or other infections in the last week?
Descripción

infections

Tipo de datos

integer

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

fever

Tipo de datos

integer

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

sore throat

Tipo de datos

integer

Alias
UMLS CUI [1]
C0242429
C. Cough
Descripción

cough

Tipo de datos

integer

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

sputum

Tipo de datos

integer

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

runny nose

Tipo de datos

integer

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

urination pain

Tipo de datos

integer

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

cloudy or discolored urine

Tipo de datos

integer

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

urine infection

Tipo de datos

integer

Alias
UMLS CUI [1]
C0729523
I. Other infection
Descripción

other infection

Tipo de datos

integer

Alias
UMLS CUI [1]
C0009450
If other, specify:
Descripción

If you answered YES to any of the above symptoms, answer Question 35 on page 20. If you did NOT answer YES to any of the above symptoms, skip to Question 36 on page 20.

Tipo de datos

text

Alias
UMLS CUI [1]
C0009450
35. Do you have seasonal allergies?
Descripción

If NO or DON'T KNOW, skip to Question 36.

Tipo de datos

integer

Alias
UMLS CUI [1]
C2106658
A. Were the symptoms you answered YES to in Question 34 due to seasonal allergies?
Descripción

symptoms due to seasonal allergies

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2106658
UMLS CUI [1,2]
C1457887
36. Do you have a chronic lung or sinus condition?
Descripción

chronic lung or sinus condition

Tipo de datos

integer

Alias
UMLS CUI [1]
C0746102
UMLS CUI [2]
C0748720
37. During the last year, have you had any sudden spells of dizziness, loss of blance, or sensation of spinning?
Descripción

sudden spells of dizziness, loss of balance, sensation of spinning

Tipo de datos

integer

Alias
UMLS CUI [1]
C3174651
38. During the last year, have you had a fall? (Do not include falls during skiiing, skating or other activities that may affect balance.)
Descripción

If NO or DON'T KNOW, skip to Question 39 on page 21.

Tipo de datos

integer

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

fall

Tipo de datos

integer

Unidades de medida
  • times
Alias
UMLS CUI [1]
C0085639
times
39. A. During the last year, have you injuried your head?
Descripción

head injury

Tipo de datos

integer

Alias
UMLS CUI [1]
C0018674
B. During the last year, have you injured your neck
Descripción

neck injury

Tipo de datos

integer

Alias
UMLS CUI [1]
C0027531
40. During the last year, have you gained or lost more than 10 pounds?
Descripción

If NO CHANGE or DON'T KNOW, skip to Question 41 on page 22.

Tipo de datos

integer

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

weight change because of diet

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0005911
B. Surgery, illness or medication
Descripción

weight change because of illness

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0221423
UMLS CUI [1,2]
C0005911
C. Exercise
Descripción

weight change because of exercise

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0015259
UMLS CUI [1,2]
C0005911
41. How would you compare your TOTAL average daily intake of food this year to your intake when we saw you last year?
Descripción

If EAT A LITTLE LESS or EAT A LOT LESS, skip to Part B. If EAT ABOUT THE SAME, skip to Question 42.

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0086311
UMLS CUI [1,2]
C0332173
A. If you answered EAT A LOT MORE or EAT A LITTLE MORE, the main reason is:
Descripción

reason for eating more

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0013470
UMLS CUI [1,2]
C0205172
UMLS CUI [1,3]
C0392360
If OTHER REASONS, please specify:
Descripción

Skip to Question 42.

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0013470
UMLS CUI [1,2]
C0205172
UMLS CUI [1,3]
C0392360
B. If you answered EAT A LOT LESS or EAT A LITTLE LESS, the main reason is:
Descripción

reason for eating less

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0013470
UMLS CUI [1,2]
C0392756
UMLS CUI [1,3]
C0392360
If OTHER REASONS, please specify:
Descripción

reason for eating less

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0013470
UMLS CUI [1,2]
C0392756
UMLS CUI [1,3]
C0392360
42. Think about the walking you do outside your home. During the last week, about how many blocks or miles did you walk? Blocks
Descripción

walking distance

Tipo de datos

float

Unidades de medida
  • blocks
Alias
UMLS CUI [1]
C0429886
blocks
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
Descripción

walking distance

Tipo de datos

float

Unidades de medida
  • miles
Alias
UMLS CUI [1]
C0429886
miles
43. When you walk outside your home, what is your usual pace?
Descripción

walking pace

Tipo de datos

integer

Alias
UMLS CUI [1]
C1821542
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)
Descripción

flights of stairs

Tipo de datos

integer

Unidades de medida
  • flights of stairs
Alias
UMLS CUI [1,1]
C3831080
UMLS CUI [1,2]
C0449788
flights of stairs
45. How would you describe your level of activity since we saw you last year?
Descripción

level of activity

Tipo de datos

integer

Alias
UMLS CUI [1]
C0683317
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.
Descripción

time sitting or lying down

Tipo de datos

float

Unidades de medida
  • hours
Alias
UMLS CUI [1,1]
C0277814
UMLS CUI [1,2]
C0040223
UMLS CUI [1,3]
C2584317
hours
47. During the past two weeks, have you taken a multiple vitamin or any other vitamin supplements?
Descripción

If NO or DON'T KNOW, skip to Question 48 on page 25.

Tipo de datos

integer

Alias
UMLS CUI [1]
C0724359
Indicate which vitamins you tool and the number of days you took the vitamin during the past two weeks. A. Multiple vitamin
Descripción

multiple vitamin

Tipo de datos

integer

Alias
UMLS CUI [1]
C0301532
How many days during the past two weeks did you take a multiple vitamin?
Descripción

multiple vitamin duration

Tipo de datos

integer

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

vitamin a or beta-carotene

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0042839
UMLS CUI [1,2]
C0053396
How many days during the past two weeks did you take vitamin A or beta-carotene?
Descripción

vitamin a or beta-carotene duration

Tipo de datos

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
Descripción

vitamin c

Tipo de datos

integer

Alias
UMLS CUI [1]
C0003968
How many days during the past two weeks did you take vitamin C?
Descripción

vitamin c duration

Tipo de datos

integer

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

vitamin e

Tipo de datos

integer

Alias
UMLS CUI [1]
C0042874
How many days during the past two weeks did you take vitamin E?
Descripción

vitamin e duration

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0042874
UMLS CUI [1,2]
C0449238
days
48. During the last two weeks did you take any aspirin or aspirin-containing medicines such as Bufferin, Anacin, or Ascriptin?
Descripción

If NO or DON'T KNOW, skip to Question 49.

Tipo de datos

integer

Alias
UMLS CUI [1]
C0004057
On about how many days during the last two weeks did you take this medicine?
Descripción

aspirin duration

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0004057
UMLS CUI [1,2]
C0449238
days
49. During the last two weeks, did you take any cod-liver oil or other fish-oil supplements?
Descripción

If NO or DON'T KNOW, skip to Question 50.

Tipo de datos

integer

Alias
UMLS CUI [1]
C0009213
On about how many days during the last two weeks did you take these supplements
Descripción

cod liver oil duration

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI [1,1]
C0009213
UMLS CUI [1,2]
C0449238
days
50. Are you taking any of the following medications one or more times a week? A. Antihistamines; for example, cold pills, allergy pills
Descripción

antihistamines

Tipo de datos

integer

Alias
UMLS CUI [1]
C0019590
B. Sleeping pills
Descripción

sleeping pills

Tipo de datos

integer

Alias
UMLS CUI [1]
C0599396
C. Laxatives
Descripción

laxatives

Tipo de datos

integer

Alias
UMLS CUI [1]
C0282090
D. Calcium supplements
Descripción

calcium supplements

Tipo de datos

integer

Alias
UMLS CUI [1]
C3540037
51. Have you had a flu shot since we saw you last year?
Descripción

flu shot

Tipo de datos

integer

Alias
UMLS CUI [1]
C0770694
52. Have you had a shot to prevent pneumonia, sometimes called pneumovax, since we saw you last year?
Descripción

pneumovax

Tipo de datos

integer

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

nitroglycerin

Tipo de datos

integer

Alias
UMLS CUI [1]
C0017887
54. Can you see well enough to watch TV, with or without glasses?
Descripción

see well enough to drive

Tipo de datos

integer

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

see well enough to watch tv

Tipo de datos

integer

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

recognize someone across the room

Tipo de datos

integer

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

see well enough to read

Tipo de datos

integer

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

hear well enough to use telephone

Tipo de datos

integer

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

listen to radio

Tipo de datos

integer

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

hear well enough to carry a conversation in a crowded room

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0018767
UMLS CUI [1,2]
C0871703
UMLS CUI [1,3]
C0010383
61. During the last year, how often have you accidentally lost control of your urine (wet yourself)?
Descripción

If NEVER or DON'T KNOW, skip to Question 62.

Tipo de datos

integer

Alias
UMLS CUI [1]
C3831336
A. If you answered "often" or "occasionally", how often would you say this happened?
Descripción

lost control of bladder frequency

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C3831336
UMLS CUI [1,2]
C0439603
B. When you feel the urge to urinate, how long can you usually wait?
Descripción

wait when urge to urinate

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C3469225
UMLS CUI [1,2]
C1610166
62. During the last year, have you awakened to urinate more than three nights per week?
Descripción

wake up to urinate

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1170730
UMLS CUI [1,2]
C0085606
63. Have you smoked cigarettes during the last 30 days?
Descripción

If NO or DON'T KNOW, skip to Question 64 on page 28.

Tipo de datos

integer

Alias
UMLS CUI [1]
C0543414
On average, how many cigarettes do you usually smoke per day?
Descripción

cigarettes per day

Tipo de datos

integer

Unidades de medida
  • cigarettes
Alias
UMLS CUI [1]
C3694146
cigarettes
64. Which of the following best describes your current smoking status?
Descripción

smoking status

Tipo de datos

integer

Alias
UMLS CUI [1]
C1519386
65. Does anyone living with you smoke cigarettes regularly? (This includes any other member of your household.)
Descripción

living with smoker

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0020052
66. Do you ever use snuff or smokeless tobacco?
Descripción

smokeless tobacco

Tipo de datos

integer

Alias
UMLS CUI [1]
C0040338
67. Do you ever drink beer?
Descripción

If NO or DON'T KNOW, skip to Question 68.

Tipo de datos

integer

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

drink beer frequency

Tipo de datos

integer

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

bottles of beer

Tipo de datos

integer

Unidades de medida
  • cans or bottles of beer
Alias
UMLS CUI [1,1]
C0559430
UMLS CUI [1,2]
C0179376
cans or bottles of beer
68. Do you ever drink wine?
Descripción

If NO or DON'T KNOW, skip to Question 69 on page 29.

Tipo de datos

integer

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

drink wine frequency

Tipo de datos

integer

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

servings of wine

Tipo de datos

integer

Unidades de medida
  • servings
Alias
UMLS CUI [1,1]
C0043188
UMLS CUI [1,2]
C0681585
servings
69. Do you ever drink liquor?
Descripción

If NO or DON'T KNOW, skip to Question 70.

Tipo de datos

integer

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

drink liquor frequency

Tipo de datos

integer

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

servings of liquor

Tipo de datos

integer

Unidades de medida
  • servings
Alias
UMLS CUI [1,1]
C0301611
UMLS CUI [1,2]
C0681585
servings
70. Are you currently involved in any medical studies other than CHS?
Descripción

study participation

Tipo de datos

integer

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

name of study

Tipo de datos

text

Alias
UMLS CUI [1]
C0008976
71. What is your occupational status?
Descripción

occupational status

Tipo de datos

integer

Alias
UMLS CUI [1]
C0014006
If OTHER, please specify:
Descripción

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 datos

text

Alias
UMLS CUI [1]
C0014006
72. Are you currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen?
Descripción

WOMEN ONLY: Women sometimes take female hormones after menopause. They may be taken for a variety of reasons, including hor flashes or other 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 hormones for any reason. If NO or DON'T KNOW, skip to Question 73 on page 32.

Tipo de datos

integer

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

days per month estrogen

Tipo de datos

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?
Descripción

estrogen duration

Tipo de datos

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
Descripción

estrogen indication hot flashes

Tipo de datos

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
Descripción

estrogen indication postmenopausal symptoms

Tipo de datos

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
Descripción

estrogen indication osteoporosis

Tipo de datos

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
Descripción

estrogen indication heart disease

Tipo de datos

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
Descripción

other estrogen indication

Tipo de datos

integer

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

other estrogen indication

Tipo de datos

text

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

If you are currently taking estrogens, please skip to Question 74 on page 33. Leave Question 73 blank. If NO or DON'T KNOW, skip to Question 74 on page 33.

Tipo de datos

integer

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

days per month estrogen in the past

Tipo de datos

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)
Descripción

estrogen stopped

Tipo de datos

integer

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

estrogen duration

Tipo de datos

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
Descripción

estrogen indication hot flashes

Tipo de datos

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
Descripción

estrogen indication postmenopausal symptoms

Tipo de datos

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
Descripción

estrogen indication osteoporosis

Tipo de datos

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
Descripción

estrogen indication heart disease

Tipo de datos

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
Descripción

other estrogen indication

Tipo de datos

integer

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

other estrogen indication

Tipo de datos

text

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

If NO or DON'T KNOW, skip to Question 75.

Tipo de datos

integer

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

days per month progestin

Tipo de datos

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?
Descripción

progestin duration

Tipo de datos

text

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

If you are currently taking progestin, leave Question 75 blank. Thank you for your participation in the Cardiovascular Health Study. If NO or DON'T KNOW, skip the remainder of Question 75.

Tipo de datos

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?
Descripción

days per month progestin

Tipo de datos

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.)
Descripción

progestin stopped

Tipo de datos

text

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

Thank you for your participation in the Cardiovascular Health Study.

Tipo de datos

text

Unidades de medida
  • years/months
Alias
UMLS CUI [1,1]
C0033306
UMLS CUI [1,2]
C0449238
years/months
For CHS Field Center Use Only:
Descripción

administrator

Tipo de datos

integer

Alias
UMLS CUI [1]
C0085751
Interviewer or Reviewer
Descripción

interviewer

Tipo de datos

text

Alias
UMLS CUI [1]
C1550483
Interview date
Descripción

interview date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0021822
UMLS CUI [1,2]
C0011008
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Similar models

Years 6-9 Medical & Personal History Cardiovascular Health Study (CHS)

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Medical History
C0262926 (UMLS CUI-1)
Item
1. Would you say, in general, your health is:
integer
C0516984 (UMLS CUI [1])
general health
Code List
1. Would you say, in general, your health is:
CL Item
Excellent (1)
CL Item
Very good (2)
CL Item
Good (3)
CL Item
Fair (4)
CL Item
Poor (5)
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])
health compared to age group
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)
CL Item
Don't know (9)
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])
myocardial infarction
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?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
doctor
Item
A. What was the doctor's name and address? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and address? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and address? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and address? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
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])
myocardial infarction
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
myocardial infarction 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])
myocardial infarction
Code List
5. Has a doctor told you that you had a new incident of angina pectoris or chest pain due to heart disease since we spoke with you on the phone about six months ago?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
doctor
Item
A. What was the doctor's name and address? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and address? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and address? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and address? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
angina pectoris date
Item
B. Date of event or diagnosis:
date
C0002962 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
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])
myocardial infarction
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
6. Has a doctor told you that you had a new incident of heart failure or congestive heart failure since we spoke with you on the phone about six months ago?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
doctor
Item
A. What was the doctor's name and address? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and address? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and address? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and address? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
heart failure date
Item
B. Date of event or diagnosis:
date
C0018802 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
heart failure seen doctor
Item
C. How many times altogether have you seen a doctor for this condition since we last spoke to you?
integer
C0018801 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0018801 (UMLS CUI [1,2])
myocardial infarction
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
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?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
doctor
Item
A. What was the doctor's name and address? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and address? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and address? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and address? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
intermittent claudication date
Item
B. Date of event or diagnosis:
date
C0021775 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
intermittent claudication seen doctor
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
integer
C0021775 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0021775 (UMLS CUI [1,2])
myocardial infarction
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
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?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
doctor
Item
A. What was the doctor's name and address? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and address? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and address? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and address? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
cerebrovascular accident date
Item
B. Date of event or diagnosis:
date
C0038454 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
cerebrovascular accident seen doctor
Item
C. How many times altogether did you see a doctor for this condition since we last spoke to you?
integer
C0038454 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,3])
Item
D. Were you in the hospital at least one night for this condition since we last spoke to you?
integer
C0019993 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
myocardial infarction
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
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?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
doctor
Item
A. What was the doctor's name and address? Name
text
C0031831 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
doctor address
Item
A. What was the doctor's name and address? Address
text
C0031831 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
doctor city
Item
A. What was the doctor's name and address? City
text
C0031831 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
doctor state
Item
A. What was the doctor's name and address? State
text
C0031831 (UMLS CUI [1,1])
C1301808 (UMLS CUI [1,2])
transient ischemic attack
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])
myocardial infarction
Code List
D. Were you in the hospital at least one night for this condition since we last spoke to you?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
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?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
reason for admission
Item
Reason for admission:
text
C0392360 (UMLS CUI [1,1])
C0809949 (UMLS CUI [1,2])
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])
myocardial infarction
Code List
11. Have you stayed overnight as a patient in a nursing home or rehabilitation center since we spoke to you on the phone about six months ago?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
reason for admission
Item
Reason for admission:
text
C0392360 (UMLS CUI [1,1])
C0809949 (UMLS CUI [1,2])
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])
myocardial infarction
Code List
Are you currently staying in a nursing home?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
12. Where do you usually go for your medical care?
integer
C0496675 (UMLS CUI [1])
medical care
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)
CL Item
Don't know (9)
Item
13. When you want to see a doctor, do you usually:
integer
C0003630 (UMLS CUI [1])
want to see a doctor
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)
CL Item
Don't know (9)
Item
14. Do you usually see the same doctor every time you visit?
integer
C0031831 (UMLS CUI [1,1])
C0445247 (UMLS CUI [1,2])
myocardial infarction
Code List
14. Do you usually see the same doctor every time you visit?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
wait for appointment
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
Same day (1)
CL Item
1-3 days (2)
CL Item
4-7 days (3)
CL Item
1-2 weeks (4)
CL Item
3-4 weeks (5)
CL Item
More than 4 weeks (6)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
16. Do you have a doctor (or doctor's assistant) you can talk to by phone for medical problems?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
regular doctor
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
Not at all (1)
CL Item
Very little (2)
CL Item
Moderate amount (3)
CL Item
Very much (4)
CL Item
A whole lot (5)
CL Item
Don't know (9)
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])
regular doctor
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
Not at all (1)
CL Item
Very little (2)
CL Item
Moderate amount (3)
CL Item
Very much (4)
CL Item
A whole lot (5)
CL Item
Don't know (9)
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])
regular doctor
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
Not at all (1)
CL Item
Very little (2)
CL Item
Moderate amount (3)
CL Item
Very much (4)
CL Item
A whole lot (5)
CL Item
Don't know (9)
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])
regular doctor
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
Not at all (1)
CL Item
Very little (2)
CL Item
Moderate amount (3)
CL Item
Very much (4)
CL Item
A whole lot (5)
CL Item
Don't know (9)
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])
regular doctor
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
Not at all (1)
CL Item
Very little (2)
CL Item
Moderate amount (3)
CL Item
Very much (4)
CL Item
A whole lot (5)
CL Item
Don't know (9)
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])
regular doctor
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
Not at all (1)
CL Item
Very little (2)
CL Item
Moderate amount (3)
CL Item
Very much (4)
CL Item
A whole lot (5)
CL Item
Don't know (9)
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])
regular doctor
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
Not at all (1)
CL Item
Very little (2)
CL Item
Moderate amount (3)
CL Item
Very much (4)
CL Item
A whole lot (5)
CL Item
Don't know (9)
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])
regular doctor
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
Not at all (1)
CL Item
Very little (2)
CL Item
Moderate amount (3)
CL Item
Very much (4)
CL Item
A whole lot (5)
CL Item
Don't know (9)
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])
regular doctor
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
Not at all (1)
CL Item
Very little (2)
CL Item
Moderate amount (3)
CL Item
Very much (4)
CL Item
A whole lot (5)
CL Item
Don't know (9)
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])
health insurance
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)
CL Item
Other (3)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
19. Have you had pneumonia since we saw you last year?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
20. Have you had an attack of bronchitis since we saw you last year?
integer
C0006277 (UMLS CUI [1])
myocardial infarction
Code List
20. Have you had an attack of bronchitis since we saw you last year?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
Was it confirmed by a doctor?
integer
C0006277 (UMLS CUI [1,1])
C0583527 (UMLS CUI [1,2])
myocardial infarction
Code List
Was it confirmed by a doctor?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
high blood pressure
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
Never told (1)
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])
high blood pressure
Code List
B. Diabetes
CL Item
Never told (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])
high blood pressure
Code List
C. Atrial fibrillation
CL Item
Never told (1)
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])
high blood pressure
Code List
D. Deep vein thrombosis (or blood clots in your legs)
CL Item
Never told (1)
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])
high blood pressure
Code List
E. Rheumatic fever or heart valve problems
CL Item
Never told (1)
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])
myocardial infarction
Code List
22. Has a doctor told you that you had other heart or circulatory problems since we saw you last year?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
heart 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])
myocardial infarction
Code List
23. Are you currently taking medication prescribed by a doctor for any of the following conditions? A. High blood pressure
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Diabetes
integer
C0013227 (UMLS CUI [1,1])
C0011849 (UMLS CUI [1,2])
myocardial infarction
Code List
B. Diabetes
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Atrial fibrillation
integer
C0013227 (UMLS CUI [1,1])
C0004238 (UMLS CUI [1,2])
myocardial infarction
Code List
C. Atrial fibrillation
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
D. Deep vein thrombosis (or blood clots in your legs)
integer
C0013227 (UMLS CUI [1,1])
C0149871 (UMLS CUI [1,2])
myocardial infarction
Code List
D. Deep vein thrombosis (or blood clots in your legs)
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
24. Have you had a coronary angiography or heart catheterization as an outpatient procedure since we saw you last year?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
chest pain walking uphill
Code List
A. Do you feel the pain when you walk uphill or hurry?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Never 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])
chest pain walking
Code List
C. What do you do if you feel it while you are walking?
CL Item
Stop or slow down, or continue at same pace after taking nitroglycerin (1)
CL Item
Continue at same pace (2)
Item
D. If you stand still, what happens to the pain?
integer
C0008031 (UMLS CUI [1,1])
C0035253 (UMLS CUI [1,2])
chest pain standing still
Code List
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)
CL Item
Not relieved (3)
CL Item
Don't know (9)
Item
E. Where do you get this pain or discomfort?
text
C0008031 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
chest pain localization
Code List
E. Where do you get this pain or discomfort?
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
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])
diagnosis
Code List
K. If you saw a doctor, what did your doctor say it was?
CL Item
Angina (1)
CL Item
Heart Attack (2)
CL Item
Other (3)
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])
myocardial infarction
Code List
26. Have you had swelling of your feet or ankles since we saw you last year?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. Did it tend to come on during the day an go down overnight?
integer
C0849969 (UMLS CUI [1,1])
C0332271 (UMLS CUI [1,2])
C0585022 (UMLS CUI [1,3])
myocardial infarction
Code List
A. Did it tend to come on during the day an go down overnight?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
27. Do you get pain in either leg when walking?
integer
C0023222 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
myocardial infarction
Code List
27. Do you get pain in either leg when walking?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. Does the pain ever begin when you are standing still or sitting?
integer
C0023222 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
myocardial infarction
Code List
A. Does the pain ever begin when you are standing still or sitting?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Do you feel this pain in your calf or calves?
integer
C3161660 (UMLS CUI [1])
myocardial infarction
Code List
B. Do you feel this pain in your calf or calves?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Do you feel it when you walk uphill or hurry?
integer
C0023222 (UMLS CUI [1,1])
C3842654 (UMLS CUI [1,2])
chest pain walking uphill
Code List
C. Do you feel it when you walk uphill or hurry?
CL Item
Yes (1)
CL Item
No (0)
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])
myocardial infarction
Code List
D. Do you feel it when you walk at an ordinary pace on the level?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
E. Does this pain ever disappear while you are walking?
integer
C0023222 (UMLS CUI [1,1])
C0080331 (UMLS CUI [1,2])
C2746065 (UMLS CUI [1,3])
myocardial infarction
Code List
E. Does this pain ever disappear while you are walking?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
F. What do you do if you feel it while you are walking?
integer
C3266814 (UMLS CUI [1,1])
C0023222 (UMLS CUI [1,2])
C0080331 (UMLS CUI [1,3])
do when leg pain walking
Code List
F. What do you do if you feel it while you are walking?
CL Item
Stop or slow down (1)
CL Item
Continue at same pace (2)
Item
G. What happens to the pain if you stand still?
integer
C0023222 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
chest pain standing still
Code List
G. What happens to the pain if you stand still?
CL Item
Relieved in 10 minutes or less (1)
CL Item
Takes longer than 10 minutes to be relieved (2)
CL Item
Not relieved (3)
CL Item
Don't know (9)
Item
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])
myocardial infarction
Code List
28. Have you been told by a doctor that you currently have any of the following? A. Arthritis of hands
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Arthritis of shoulder
integer
C1298682 (UMLS CUI [1])
myocardial infarction
Code List
B. Arthritis of shoulder
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Arthritis of hips or knees
integer
C0263776 (UMLS CUI [1])
C0240111 (UMLS CUI [2])
myocardial infarction
Code List
C. Arthritis of hips or knees
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
D. Osteoporosis
integer
C0029456 (UMLS CUI [1])
myocardial infarction
Code List
D. Osteoporosis
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
E. Liver disease, cirrhosis or hepatitis
integer
C0023895 (UMLS CUI [1])
myocardial infarction
Code List
E. Liver disease, cirrhosis or hepatitis
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
F. Kidney (renal) disease or failure
integer
C0022658 (UMLS CUI [1])
myocardial infarction
Code List
F. Kidney (renal) disease or failure
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
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?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
Please indicate where you had this pain (check all below): A. Hands
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Feet
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0016504 (UMLS CUI [1,3])
myocardial infarction
Code List
B. Feet
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Knees
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0022742 (UMLS CUI [1,3])
myocardial infarction
Code List
C. Knees
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
D. Hips
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0019552 (UMLS CUI [1,3])
myocardial infarction
Code List
D. Hips
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
E. Neck
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0027530 (UMLS CUI [1,3])
myocardial infarction
Code List
E. Neck
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
F. Back
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0004600 (UMLS CUI [1,3])
myocardial infarction
Code List
F. Back
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
G. Shoulders
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0037004 (UMLS CUI [1,3])
myocardial infarction
Code List
G. Shoulders
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
H. Other
integer
C0151825 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
myocardial infarction
Code List
H. Other
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
30. Have you been told by a doctor that you currently have cancer?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
If you answered YES, please specify the kind of cancer(s). Check all below: A. Breast cancer
integer
C0678222 (UMLS CUI [1])
myocardial infarction
Code List
If you answered YES, please specify the kind of cancer(s). Check all below: A. Breast cancer
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Blood cancer, leukemia or lymphoma
integer
C0376545 (UMLS CUI [1])
myocardial infarction
Code List
B. Blood cancer, leukemia or lymphoma
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Colon (bowel) or rectum cancer
integer
C0699790 (UMLS CUI [1])
myocardial infarction
Code List
C. Colon (bowel) or rectum cancer
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
D. Lung cancer
integer
C0242379 (UMLS CUI [1])
myocardial infarction
Code List
D. Lung cancer
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
E. Malignant melanoma
integer
C0025202 (UMLS CUI [1])
myocardial infarction
Code List
E. Malignant melanoma
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
F. Other skin cancer
integer
C0007114 (UMLS CUI [1])
myocardial infarction
Code List
F. Other skin cancer
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
G. Prostate cancer
integer
C0600139 (UMLS CUI [1])
myocardial infarction
Code List
G. Prostate cancer
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
H. Pancreatic cancer
integer
C0235974 (UMLS CUI [1])
myocardial infarction
Code List
H. Pancreatic cancer
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
I. Esophageal cancer
integer
C0014859 (UMLS CUI [1])
myocardial infarction
Code List
I. Esophageal cancer
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
J. Other cancer
integer
C1707251 (UMLS CUI [1])
myocardial infarction
Code List
J. Other cancer
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
If other, specify:
integer
C1707251 (UMLS CUI [1])
myocardial infarction
Code List
If other, specify:
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
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)
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Broken lower leg (fracture)
integer
C1542178 (UMLS CUI [1])
myocardial infarction
Code List
B. Broken lower leg (fracture)
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Broken arm, wrist or shoulder (fracture)
integer
C0178316 (UMLS CUI [1])
C0435630 (UMLS CUI [2])
C0037006 (UMLS CUI [3])
myocardial infarction
Code List
C. Broken arm, wrist or shoulder (fracture)
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
D. Spine (vertebral) compression fracture
integer
C0262431 (UMLS CUI [1])
myocardial infarction
Code List
D. Spine (vertebral) compression fracture
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
E. Other injury
integer
C3263722 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
myocardial infarction
Code List
E. Other injury
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
F. Did you have arthritis that was trated with medication?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
32. A. Does your chest ever sound wheezy or whistling when you have a cold?
integer
C3169461 (UMLS CUI [1])
myocardial infarction
Code List
32. A. Does your chest ever sound wheezy or whistling when you have a cold?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Does your chest ever sound wheezy or whistling apart from colds?
integer
C3169463 (UMLS CUI [1])
myocardial infarction
Code List
B. Does your chest ever sound wheezy or whistling apart from colds?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Does your chest ever sound wheezy or whistling most days or nights?
integer
C3169465 (UMLS CUI [1])
myocardial infarction
Code List
C. Does your chest ever sound wheezy or whistling most days or nights?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
33. A. Have you had a cold, the flu, a dental infection or other infections in the last two weeks?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Have you had a cold, the flu, a dental infection or other infections in the last week?
integer
C0009450 (UMLS CUI [1])
myocardial infarction
Code List
B. Have you had a cold, the flu, a dental infection or other infections in the last week?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
34. Have you had any of the following symptoms in the last two weeks? A. Fever or chills
integer
C0015967 (UMLS CUI [1])
fever
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)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Sore throat
integer
C0242429 (UMLS CUI [1])
fever
Code List
B. Sore throat
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Cough
integer
C0010200 (UMLS CUI [1])
fever
Code List
C. Cough
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
D. Sputum or mucous
integer
C0038056 (UMLS CUI [1])
fever
Code List
D. Sputum or mucous
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
E. Runny nose or congestion
integer
C1260880 (UMLS CUI [1])
fever
Code List
E. Runny nose or congestion
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
F. Pain on urination
integer
C0013428 (UMLS CUI [1])
fever
Code List
F. Pain on urination
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
G. Cloudy or discolored urine
integer
C0522153 (UMLS CUI [1])
fever
Code List
G. Cloudy or discolored urine
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
H. Tests showing a urine infection
integer
C0729523 (UMLS CUI [1])
fever
Code List
H. Tests showing a urine infection
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
Item
I. Other infection
integer
C0009450 (UMLS CUI [1])
fever
Code List
I. Other infection
CL Item
Yes - in last week (1)
CL Item
Yes - 7 to 14 days ago (2)
CL Item
No (0)
CL Item
Don't know (9)
other infection
Item
If other, specify:
text
C0009450 (UMLS CUI [1])
Item
35. Do you have seasonal allergies?
integer
C2106658 (UMLS CUI [1])
myocardial infarction
Code List
35. Do you have seasonal allergies?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
A. Were the symptoms you answered YES to in Question 34 due to seasonal allergies?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
36. Do you have a chronic lung or sinus condition?
integer
C0746102 (UMLS CUI [1])
C0748720 (UMLS CUI [2])
myocardial infarction
Code List
36. Do you have a chronic lung or sinus condition?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
37. During the last year, have you had any sudden spells of dizziness, loss of blance, or sensation of spinning?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
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.)
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
39. A. During the last year, have you injuried your head?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. During the last year, have you injured your neck
integer
C0027531 (UMLS CUI [1])
myocardial infarction
Code List
B. During the last year, have you injured your neck
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
40. During the last year, have you gained or lost more than 10 pounds?
integer
C0005911 (UMLS CUI [1])
weight change
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)
CL Item
No change (4)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
Were any of the following a major factor in your weight change? A. Diet
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Surgery, illness or medication
integer
C0221423 (UMLS CUI [1,1])
C0005911 (UMLS CUI [1,2])
myocardial infarction
Code List
B. Surgery, illness or medication
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Exercise
integer
C0015259 (UMLS CUI [1,1])
C0005911 (UMLS CUI [1,2])
myocardial infarction
Code List
C. Exercise
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
daily food intake
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])
reason for eating more
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])
reason for eating less
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])
walking pace
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)
CL Item
Unknown (9)
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])
level of activity
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)
CL Item
Unknown (9)
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])
myocardial infarction
Code List
47. During the past two weeks, have you taken a multiple vitamin or any other vitamin supplements?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
Indicate which vitamins you tool and the number of days you took the vitamin during the past two weeks. A. Multiple vitamin
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
B. Vitamin A or beta-carotene
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
C. Vitamin C
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
D. Vitamin E
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
48. During the last two weeks did you take any aspirin or aspirin-containing medicines such as Bufferin, Anacin, or Ascriptin?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
49. During the last two weeks, did you take any cod-liver oil or other fish-oil supplements?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
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
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
B. Sleeping pills
integer
C0599396 (UMLS CUI [1])
myocardial infarction
Code List
B. Sleeping pills
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
C. Laxatives
integer
C0282090 (UMLS CUI [1])
myocardial infarction
Code List
C. Laxatives
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
D. Calcium supplements
integer
C3540037 (UMLS CUI [1])
myocardial infarction
Code List
D. Calcium supplements
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
51. Have you had a flu shot since we saw you last year?
integer
C0770694 (UMLS CUI [1])
myocardial infarction
Code List
51. Have you had a flu shot since we saw you last year?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
52. Have you had a shot to prevent pneumonia, sometimes called pneumovax, since we saw you last year?
integer
C0071315 (UMLS CUI [1])
myocardial infarction
Code List
52. Have you had a shot to prevent pneumonia, sometimes called pneumovax, since we saw you last year?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
53. Did a doctor prescribe nitroglycerin for you since we saw you last year?
integer
C0017887 (UMLS CUI [1])
myocardial infarction
Code List
53. Did a doctor prescribe nitroglycerin for you since we saw you last year?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
see well enough to drive
Code List
54. Can you see well enough to watch TV, with or without glasses?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't drive (2)
CL Item
Don't know (9)
Item
55. Can you see well enough to watch TV, with or without glasses?
integer
C0042789 (UMLS CUI [1,1])
C0871498 (UMLS CUI [1,2])
myocardial infarction
Code List
55. Can you see well enough to watch TV, with or without glasses?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
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])
myocardial infarction
Code List
56. Can you see well enough to recognize someone across the room, with or without glasses?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
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])
myocardial infarction
Code List
57. Can you see well enough to read the newspaper, with or without glasses?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
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])
myocardial infarction
Code List
58. Can you hear well enough to use the telephone, with or without a hearing aid?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
59. Can you hear well enough to listen to radio, with or without a hearing aid?
integer
C0018767 (UMLS CUI [1])
myocardial infarction
Code List
59. Can you hear well enough to listen to radio, with or without a hearing aid?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
60. Can you hear well enough to carry on a conversation in a crowded room, with or without a hearing aid?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
61. During the last year, how often have you accidentally lost control of your urine (wet yourself)?
integer
C3831336 (UMLS CUI [1])
lost control of bladder
Code List
61. During the last year, how often have you accidentally lost control of your urine (wet yourself)?
CL Item
Often (1)
CL Item
Occasionally (2)
CL Item
Never (3)
CL Item
Don't know (9)
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])
lost control of bladder frequency
Code List
A. If you answered "often" or "occasionally", how often would you say this happened?
CL Item
Daily (1)
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])
wait when urge to urinate
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])
myocardial infarction
Code List
62. During the last year, have you awakened to urinate more than three nights per week?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
63. Have you smoked cigarettes during the last 30 days?
integer
C0543414 (UMLS CUI [1])
myocardial infarction
Code List
63. Have you smoked cigarettes during the last 30 days?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
cigarettes per day
Item
On average, how many cigarettes do you 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])
smoking status
Code List
64. Which of the following best describes your current smoking status?
CL Item
Never smoked (1)
CL Item
Former Smoker, quit more than 1 year ago (2)
CL Item
Former smoker, quit less than 1 year ago (3)
CL Item
Current smoker (4)
CL Item
Don't know (9)
Item
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])
myocardial infarction
Code List
65. Does anyone living with you smoke cigarettes regularly? (This includes any other member of your household.)
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
66. Do you ever use snuff or smokeless tobacco?
integer
C0040338 (UMLS CUI [1])
myocardial infarction
Code List
66. Do you ever use snuff or smokeless tobacco?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
67. Do you ever drink beer?
integer
C0559430 (UMLS CUI [1])
myocardial infarction
Code List
67. Do you ever drink beer?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. About how often do you drink beer?
integer
C0559430 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
beer drinking frequency
Code List
A. About how often do you drink beer?
CL Item
Daily (1)
CL Item
Weekly (2)
CL Item
Monthly (3)
CL Item
Yearly (4)
CL Item
Rarely/never (0)
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])
myocardial infarction
Code List
68. Do you ever drink wine?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. About how often do you drink wine?
integer
C0043188 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
beer drinking frequency
Code List
A. About how often do you drink wine?
CL Item
Daily (1)
CL Item
Weekly (2)
CL Item
Monthly (3)
CL Item
Yearly (4)
CL Item
Rarely/never (0)
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])
myocardial infarction
Code List
69. Do you ever drink liquor?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
Item
A. About how often do you drink liquor?
integer
C0301611 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
beer drinking frequency
Code List
A. About how often do you drink liquor?
CL Item
Daily (1)
CL Item
Weekly (2)
CL Item
Monthly (3)
CL Item
Yearly (4)
CL Item
Rarely/never (0)
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])
myocardial infarction
Code List
70. Are you currently involved in any medical studies other than CHS?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
occupational status
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)
CL Item
Other (9)
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])
myocardial infarction
Code List
72. Are you currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
days per month estrogen
Item
A. How many days per month do you take estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
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])
myocardial infarction
Code List
C. Why are you taking estrogen? To prevent hot flashes
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
C. Why are you taking estrogen? To prevent other postmenopausal symptoms
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
C. Why are you taking estrogen? To prevent osteoporosis or bone loss
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
C. Why are you taking estrogen? To prevent heart disease
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
C. Why are you taking estrogen? For other reasons
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
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?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
D. Why did you take estrogen? To prevent hot flashes
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
D. Why did you take estrogen? To prevent other postmenopausal symptoms
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
D. Why did you take estrogen? To prevent osteoporosis or bone loss
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
D. Why did you take estrogen? To prevent heart disease
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
D. Why did you take estrogen? For other reasons
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
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])
myocardial infarction
Code List
74. Are you currently taking progestins such as Provera or Norlutate?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Don't know (9)
days per month progestin
Item
A. How many days per month do you take progestin?
integer
C0033306 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
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])
myocardial infarction
Code List
75. 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 (0)
CL Item
Don't know (9)
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])
administrator
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])
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