ID

44295

Description

Study ID: 100601 Clinical Study ID: LPL100601 Study Title: LPL100601, A Clinical Outcomes Study of Darapladib versus Placebo in Subjects with Chronic Coronary Heart Disease to Compare the Incidence of Major Adverse Cardiovascular Events (MACE) Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00799903 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: phase 3 Study Recruitment Status: Completed Generic Name: darapladib Trade Name: darapladib Study Indication: Atherosclerosis Study part: Lifestyle Questionnaire.

Keywords

  1. 9/20/17 9/20/17 -
  2. 10/23/17 10/23/17 -
  3. 12/20/17 12/20/17 -
  4. 9/20/21 9/20/21 -
Copyright Holder

GlaxoSmithKline

Uploaded on

September 20, 2021

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Creative Commons BY-NC 3.0

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    Lifestyle Questionnaire GSK study Chronic Coronary Heart Disease NCT00799903

    Lifestyle Questionnaire GSK study Chronic Coronary Heart Disease NCT00799903

    How much do you eat the following types of food?
    Description

    How much do you eat the following types of food?

    1. Meat/poultry (e.g. beef, pork, lamb, chicken)
    Description

    Meat/poultry

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0025017
    UMLS CUI [1,2]
    C0013470
    2. Fish (fresh-water and ocean fish, including dried and canned fish)
    Description

    Fish

    Data type

    text

    Alias
    UMLS CUI [1]
    C0327606
    3. Eggs
    Description

    Eggs

    Data type

    text

    Alias
    UMLS CUI [1]
    C0013710
    4. Dairy products (Milk, yogurt, cheese, etc.)
    Description

    Dairy products

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0009830
    UMLS CUI [1,2]
    C0010947
    5. Whole grains (whole wheat flour, brown/white rice, corn, oats, etc.)
    Description

    Whole grains

    Data type

    text

    Alias
    UMLS CUI [1]
    C4042940
    6. Refined/milled grains (white flour, white rice, pasta, noodles, etc.)
    Description

    Refined/milled grains

    Data type

    text

    Alias
    UMLS CUI [1]
    C0086369
    7. Tofu/soybean curd (textured vegetable protein, soya milk, etc.)
    Description

    Tofu/soybean curd

    Data type

    text

    Alias
    UMLS CUI [1]
    C0453233
    8. Legumes (beans, lentils, peas, etc.)
    Description

    Legumes

    Data type

    text

    Alias
    UMLS CUI [1]
    C4065479
    9. Fruits
    Description

    Fruits

    Data type

    text

    Alias
    UMLS CUI [1]
    C0016767
    10. Vegetables (excluding potatoes)
    Description

    Vegetables

    Data type

    text

    Alias
    UMLS CUI [1]
    C0042440
    11. Deep fried food (e.g. French fries, potato chips, samosas, egg rolls, etc.)
    Description

    Deep fried food

    Data type

    text

    Alias
    UMLS CUI [1]
    C0559579
    12. Dessert/sweet snacks (cake, cookie, pie, chocolates, etc.)
    Description

    Dessert/sweet snacks

    Data type

    text

    Alias
    UMLS CUI [1]
    C2008798
    13. Sweetened drinks (excluding diet drinks)
    Description

    Sweetened drinks

    Data type

    text

    Alias
    UMLS CUI [1]
    C3262404
    During a typical week, how much of the following alcoholic drinks do you have?
    Description

    During a typical week, how much of the following alcoholic drinks do you have?

    14. Beers
    Description

    standard drinks per week

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0559430
    15. Red wine
    Description

    standard drinks per week

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0349371
    16. White wine
    Description

    standard drinks per week

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0349372
    17. Spirits or liquor (gin, rum, vodka, whisky, etc)
    Description

    standard drinks per week

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0301611
    18. How often do you have six or more standard drinks on one occasion?
    Description

    number of standard drinks on one occasion

    Data type

    text

    Alias
    UMLS CUI [1]
    C3698589
    How many hours during a TYPICAL WEEK do you spend on the following activities?
    Description

    How many hours during a TYPICAL WEEK do you spend on the following activities?

    19. Travelling by car, motorcycle, bus, train or other vehicle (including your routine commute)
    Description

    hours per week

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0040802
    UMLS CUI [1,2]
    C0449788
    20. Relaxing while talking with friends or family
    Description

    hours per week

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0035028
    21. In an environment where someone is smoking
    Description

    hours per week

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1948106
    22. Watching TV
    Description

    hours per week

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0871498
    23. On the computer (including time spent at work and during leisure time)
    Description

    hours per week

    Data type

    integer

    Alias
    UMLS CUI [1]
    C3842632
    How many hours during a TYPICAL WEEK do you spend doing the following physical activities for 10 minutes or more?
    Description

    How many hours during a TYPICAL WEEK do you spend doing the following physical activities for 10 minutes or more?

    24. Doing MILD physical activity such as easy walking, yoga or Tai Chi
    Description

    hours per week

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0026606
    Doing MODERATE physical activity such as fast walking, jogging, aerobics, gardening, bicycling, dancing, swimming or house cleaning
    Description

    hours per week

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1513375
    26. Doing VIGOROUS physical activity such as running, lifting heavy objects, playing strenuous sports or strenuous work
    Description

    hours per week

    Data type

    integer

    Alias
    UMLS CUI [1]
    C4060778
    27. How active are you at work?
    Description

    physical activity at work

    Data type

    text

    Alias
    UMLS CUI [1]
    C0026606
    28. How active are you during leisure time?
    Description

    physical activity during leisure time

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0023292
    UMLS CUI [1,2]
    C0026606
    Does your health limit you in the following activities?
    Description

    Does your health limit you in the following activities?

    29. Walking 100 meters (or 100 yards)
    Description

    Walking short distance

    Data type

    text

    Alias
    UMLS CUI [1]
    C0429886
    30. Climbing one flight of stairs
    Description

    Climbing one flight of stairs

    Data type

    text

    Alias
    UMLS CUI [1]
    C3831080
    31. Walking more than one kilometer (or half a mile)
    Description

    Walking long distance

    Data type

    text

    Alias
    UMLS CUI [1]
    C0429886
    32. Moderate physical activities
    Description

    Moderate physical activities

    Data type

    text

    Alias
    UMLS CUI [1]
    C3833417
    33. Vigorous physical activities
    Description

    Vigorous physical activities

    Data type

    text

    Alias
    UMLS CUI [1]
    C4060778
    Are your activities limited by the following symptoms?
    Description

    Are your activities limited by the following symptoms?

    34. Shortness of breath
    Description

    Shortness of breath

    Data type

    text

    Alias
    UMLS CUI [1]
    C0013404
    35. Chest discomfort or tightness (angina)
    Description

    Chest discomfort or tightness

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0232292
    UMLS CUI [1,2]
    C0013404
    36. Dizziness
    Description

    Dizziness

    Data type

    text

    Alias
    UMLS CUI [1]
    C0012833
    37. Fatigue or tiredness
    Description

    Fatigue or tiredness

    Data type

    text

    Alias
    UMLS CUI [1]
    C0848717
    38. Arthritis
    Description

    Arthritis

    Data type

    text

    Alias
    UMLS CUI [1]
    C0003864
    39. Muscle weakness
    Description

    Muscle weakness

    Data type

    text

    Alias
    UMLS CUI [1]
    C0151786
    40. Do your gums bleed when brushing your teeth or at other times?
    Description

    Bleeding gums

    Data type

    text

    Alias
    UMLS CUI [1]
    C0017565
    41. How many teeth do you have in your mouth?
    Description

    Number of teeth

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0040426
    UMLS CUI [1,2]
    C0750480
    Choose one answer for each question to describe your sleep pattern OVER THE LAST YEAR
    Description

    Choose one answer for each question to describe your sleep pattern OVER THE LAST YEAR

    42. When sleeping, have you been told you snore loudly?
    Description

    Snoring

    Data type

    text

    Alias
    UMLS CUI [1]
    C0037384
    43. Do you wake up more than once a night?
    Description

    Waking up at night

    Data type

    text

    Alias
    UMLS CUI [1]
    C1170730
    44. Are you tired first thing in the morning?
    Description

    Tiredness in the morning

    Data type

    text

    Alias
    UMLS CUI [1]
    C0541994
    45. Are you sleepy during the day?
    Description

    Sleepiness during the day

    Data type

    text

    Alias
    UMLS CUI [1]
    C0013144
    46. Have you been told you gasp, choke or stop breathing when asleep?
    Description

    gasping, choking, no breathing when asleep

    Data type

    text

    Alias
    UMLS CUI [1]
    C0008301
    Choose one answer for each question to describe your condition over the last year
    Description

    Choose one answer for each question to describe your condition over the last year

    47. Have you felt stress at work?
    Description

    Stress at work

    Data type

    text

    Alias
    UMLS CUI [1]
    C0814090
    48. Have you felt stress at home?
    Description

    Stress at home

    Data type

    text

    Alias
    UMLS CUI [1]
    C0558919
    49. Have you been under financial stress?
    Description

    Financial stress

    Data type

    text

    Alias
    UMLS CUI [1]
    C0549106
    50. When at work, have you felt control over what happens?
    Description

    Control at work

    Data type

    text

    Alias
    UMLS CUI [1]
    C0425101
    51. At home, have you felt control over what happens?
    Description

    Control at home

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0243148
    UMLS CUI [1,2]
    C0026606
    52. Have you felt sad, low in your spirits or depressed?
    Description

    Feeling depressed

    Data type

    text

    Alias
    UMLS CUI [1]
    C0497307
    53. Have you lost interest in hobbies, work or activities that previously gave you pleasure?
    Description

    Loss of interest

    Data type

    text

    Alias
    UMLS CUI [1]
    C0679474
    Comparing your current lifestyle to your lifestyle before your first heart problem, DO YOU
    Description

    Comparing your current lifestyle to your lifestyle before your first heart problem, DO YOU

    54. Exercise
    Description

    Exercise

    Data type

    text

    Alias
    UMLS CUI [1]
    C0015259
    55. Have stress
    Description

    Stress level

    Data type

    text

    Alias
    UMLS CUI [1]
    C0038435
    56. Eat meat/poultry
    Description

    Eat meat/poultry

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0025017
    UMLS CUI [1,2]
    C0012171
    57. Eat fish
    Description

    Eat fish

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0566305
    UMLS CUI [1,2]
    C0016158
    58. Eat fruit/vegetable
    Description

    Eat fruit/vegetable

    Data type

    text

    Alias
    UMLS CUI [1]
    C0016767
    59. Have desserts/sweet snacks/sugared drinks
    Description

    Sugar intake

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1512806
    UMLS CUI [1,2]
    C0242209
    60. Eat deep fried food
    Description

    Eat deep fried food

    Data type

    text

    Alias
    UMLS CUI [1]
    C0559579
    61. Eat salty food
    Description

    Eat salty food

    Data type

    text

    Alias
    UMLS CUI [1]
    C0453862
    62. Eat high fat food
    Description

    Eat high fat food

    Data type

    text

    Alias
    UMLS CUI [1]
    C0521974
    63. Eat dairy products
    Description

    Eat dairy products

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0009830
    UMLS CUI [1,2]
    C0010947
    Since your first heart problem
    Description

    Since your first heart problem

    64. Have you
    Description

    Smoking

    Data type

    text

    Alias
    UMLS CUI [1]
    C0543414
    65. Has your body weight
    Description

    Body weight

    Data type

    text

    Alias
    UMLS CUI [1]
    C0005910
    66. Have you ever participated in a cardiac rehabilitation program?
    Description

    Cardiac rehabilitation program

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0700431
    67. Overall, how do you feel your general health is now?
    Description

    General health

    Data type

    text

    Alias
    UMLS CUI [1]
    C0424575
    Socio-economic
    Description

    Socio-economic

    68. What is your current marital status?
    Description

    marital status

    Data type

    text

    Alias
    UMLS CUI [1]
    C0024819
    69. Are you living alone?
    Description

    living alone

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0439044
    70. How many years of formal education have you completed?
    Description

    years of formal education

    Data type

    text

    Alias
    UMLS CUI [1]
    C0557280
    71. Do you have access to the internet?
    Description

    internet access

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0282111
    72. What is your current employment?
    Description

    current employment

    Data type

    text

    Alias
    UMLS CUI [1]
    C0552390
    73. Postal code / ZIP code
    Description

    Postal code / ZIP code

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0421454

    Similar models

    Lifestyle Questionnaire GSK study Chronic Coronary Heart Disease NCT00799903

    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    How much do you eat the following types of food?
    Item
    1. Meat/poultry (e.g. beef, pork, lamb, chicken)
    text
    C0025017 (UMLS CUI [1,1])
    C0013470 (UMLS CUI [1,2])
    Code List
    1. Meat/poultry (e.g. beef, pork, lamb, chicken)
    CL Item
    Never or rarely (<1/week) ([A00])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    About 1 servings each week ([A01])
    C0558293 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Several servings each week ([A02])
    C3844034 (UMLS CUI-1)
    (Comment:en)
    CL Item
    1-2 servings each day ([A03])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    CL Item
    3 or more servings each day ([A04])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    Item
    2. Fish (fresh-water and ocean fish, including dried and canned fish)
    text
    C0327606 (UMLS CUI [1])
    Code List
    2. Fish (fresh-water and ocean fish, including dried and canned fish)
    CL Item
    Never or rarely (<1/week) ([A00])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    About 1 servings each week ([A01])
    C0558293 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Several servings each week ([A02])
    C3844034 (UMLS CUI-1)
    (Comment:en)
    CL Item
    1-2 servings each day ([A03])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    CL Item
    3 or more servings each day ([A04])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    Item
    3. Eggs
    text
    C0013710 (UMLS CUI [1])
    CL Item
    Never or rarely (<1/week) ([A00])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    About 1 servings each week ([A01])
    C0558293 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Several servings each week ([A02])
    C3844034 (UMLS CUI-1)
    (Comment:en)
    CL Item
    1-2 servings each day ([A03])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    CL Item
    3 or more servings each day ([A04])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    Item
    4. Dairy products (Milk, yogurt, cheese, etc.)
    text
    C0009830 (UMLS CUI [1,1])
    C0010947 (UMLS CUI [1,2])
    Code List
    4. Dairy products (Milk, yogurt, cheese, etc.)
    CL Item
    Never or rarely (<1/week) ([A00])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    About 1 servings each week ([A01])
    C0558293 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Several servings each week ([A02])
    C3844034 (UMLS CUI-1)
    (Comment:en)
    CL Item
    1-2 servings each day ([A03])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    CL Item
    3 or more servings each day ([A04])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    Item
    5. Whole grains (whole wheat flour, brown/white rice, corn, oats, etc.)
    text
    C4042940 (UMLS CUI [1])
    Code List
    5. Whole grains (whole wheat flour, brown/white rice, corn, oats, etc.)
    CL Item
    Never or rarely (<1/week) ([A00])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    About 1 servings each week ([A01])
    C0558293 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Several servings each week ([A02])
    C3844034 (UMLS CUI-1)
    (Comment:en)
    CL Item
    1-2 servings each day ([A03])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    CL Item
    3 or more servings each day ([A04])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    Item
    6. Refined/milled grains (white flour, white rice, pasta, noodles, etc.)
    text
    C0086369 (UMLS CUI [1])
    Code List
    6. Refined/milled grains (white flour, white rice, pasta, noodles, etc.)
    CL Item
    Never or rarely (<1/week) ([A00])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    About 1 servings each week ([A01])
    C0558293 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Several servings each week ([A02])
    C3844034 (UMLS CUI-1)
    (Comment:en)
    CL Item
    1-2 servings each day ([A03])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    CL Item
    3 or more servings each day ([A04])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    Item
    7. Tofu/soybean curd (textured vegetable protein, soya milk, etc.)
    text
    C0453233 (UMLS CUI [1])
    Code List
    7. Tofu/soybean curd (textured vegetable protein, soya milk, etc.)
    CL Item
    Never or rarely (<1/week) ([A00])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    About 1 servings each week ([A01])
    C0558293 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Several servings each week ([A02])
    C3844034 (UMLS CUI-1)
    (Comment:en)
    CL Item
    1-2 servings each day ([A03])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    CL Item
    3 or more servings each day ([A04])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    Item
    8. Legumes (beans, lentils, peas, etc.)
    text
    C4065479 (UMLS CUI [1])
    Code List
    8. Legumes (beans, lentils, peas, etc.)
    CL Item
    Never or rarely (<1/week) ([A00])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    About 1 servings each week ([A01])
    C0558293 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Several servings each week ([A02])
    C3844034 (UMLS CUI-1)
    (Comment:en)
    CL Item
    1-2 servings each day ([A03])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    CL Item
    3 or more servings each day ([A04])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    Item
    9. Fruits
    text
    C0016767 (UMLS CUI [1])
    CL Item
    Never or rarely (<1/week) ([A00])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    About 1 servings each week ([A01])
    C0558293 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Several servings each week ([A02])
    C3844034 (UMLS CUI-1)
    (Comment:en)
    CL Item
    1-2 servings each day ([A03])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    CL Item
    3 or more servings each day ([A04])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    Item
    10. Vegetables (excluding potatoes)
    text
    C0042440 (UMLS CUI [1])
    Code List
    10. Vegetables (excluding potatoes)
    CL Item
    Never or rarely (<1/week) ([A00])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    About 1 servings each week ([A01])
    C0558293 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Several servings each week ([A02])
    C3844034 (UMLS CUI-1)
    (Comment:en)
    CL Item
    1-2 servings each day ([A03])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    CL Item
    3 or more servings each day ([A04])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    Item
    11. Deep fried food (e.g. French fries, potato chips, samosas, egg rolls, etc.)
    text
    C0559579 (UMLS CUI [1])
    Code List
    11. Deep fried food (e.g. French fries, potato chips, samosas, egg rolls, etc.)
    CL Item
    Never or rarely (<1/week) ([A00])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    About 1 servings each week ([A01])
    C0558293 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Several servings each week ([A02])
    C3844034 (UMLS CUI-1)
    (Comment:en)
    CL Item
    1-2 servings each day ([A03])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    CL Item
    3 or more servings each day ([A04])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    Item
    12. Dessert/sweet snacks (cake, cookie, pie, chocolates, etc.)
    text
    C2008798 (UMLS CUI [1])
    Code List
    12. Dessert/sweet snacks (cake, cookie, pie, chocolates, etc.)
    CL Item
    Never or rarely (<1/week) ([A00])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    About 1 servings each week ([A01])
    C0558293 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Several servings each week ([A02])
    C3844034 (UMLS CUI-1)
    (Comment:en)
    CL Item
    1-2 servings each day ([A03])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    CL Item
    3 or more servings each day ([A04])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    Item
    13. Sweetened drinks (excluding diet drinks)
    text
    C3262404 (UMLS CUI [1])
    Code List
    13. Sweetened drinks (excluding diet drinks)
    CL Item
    Never or rarely (<1/week) ([A00])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    About 1 servings each week ([A01])
    C0558293 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Several servings each week ([A02])
    C3844034 (UMLS CUI-1)
    (Comment:en)
    CL Item
    1-2 servings each day ([A03])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    CL Item
    3 or more servings each day ([A04])
    C1519269 (UMLS CUI-1)
    (Comment:en)
    Item Group
    During a typical week, how much of the following alcoholic drinks do you have?
    Beers
    Item
    14. Beers
    integer
    C0559430 (UMLS CUI [1])
    Red wine
    Item
    15. Red wine
    integer
    C0349371 (UMLS CUI [1])
    White wine
    Item
    16. White wine
    integer
    C0349372 (UMLS CUI [1])
    Spirits or liquor
    Item
    17. Spirits or liquor (gin, rum, vodka, whisky, etc)
    integer
    C0301611 (UMLS CUI [1])
    Item
    18. How often do you have six or more standard drinks on one occasion?
    text
    C3698589 (UMLS CUI [1])
    Code List
    18. How often do you have six or more standard drinks on one occasion?
    CL Item
    Never ([B00])
    C2003901 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Less than monthly ([B01])
    C0332177 (UMLS CUI-1)
    C0439092 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Monthly ([B02])
    C0332177 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Weekly ([B03])
    C0332174 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Daily or almost daily ([B04])
    C0332173 (UMLS CUI-1)
    (Comment:en)
    Item Group
    How many hours during a TYPICAL WEEK do you spend on the following activities?
    travelling time
    Item
    19. Travelling by car, motorcycle, bus, train or other vehicle (including your routine commute)
    integer
    C0040802 (UMLS CUI [1,1])
    C0449788 (UMLS CUI [1,2])
    Relaxation
    Item
    20. Relaxing while talking with friends or family
    integer
    C0035028 (UMLS CUI [1])
    exposure to cigarette smoke
    Item
    21. In an environment where someone is smoking
    integer
    C1948106 (UMLS CUI [1])
    Watching TV
    Item
    22. Watching TV
    integer
    C0871498 (UMLS CUI [1])
    time spent on computer
    Item
    23. On the computer (including time spent at work and during leisure time)
    integer
    C3842632 (UMLS CUI [1])
    Item Group
    How many hours during a TYPICAL WEEK do you spend doing the following physical activities for 10 minutes or more?
    mild physical activity
    Item
    24. Doing MILD physical activity such as easy walking, yoga or Tai Chi
    integer
    C0026606 (UMLS CUI [1])
    moderate physical activity
    Item
    Doing MODERATE physical activity such as fast walking, jogging, aerobics, gardening, bicycling, dancing, swimming or house cleaning
    integer
    C1513375 (UMLS CUI [1])
    vigorous physical activity
    Item
    26. Doing VIGOROUS physical activity such as running, lifting heavy objects, playing strenuous sports or strenuous work
    integer
    C4060778 (UMLS CUI [1])
    Item
    27. How active are you at work?
    text
    C0026606 (UMLS CUI [1])
    Code List
    27. How active are you at work?
    CL Item
    Mainly sedentary ([C00])
    CL Item
    Predominantly walking on one level, no heavy lifting ([C01])
    CL Item
    Mainly walking, including climbing stairs, or walking uphill or lifting heavy objects ([C02])
    CL Item
    Heavy physical activity ([C03])
    CL Item
    I do not work ([C04])
    Item
    28. How active are you during leisure time?
    text
    C0023292 (UMLS CUI [1,1])
    C0026606 (UMLS CUI [1,2])
    Code List
    28. How active are you during leisure time?
    CL Item
    Mainly sedentary ([C00])
    CL Item
    Mild exercise ([C05])
    CL Item
    Moderate exercise ([C06])
    CL Item
    Strenuous physical exercise ([C07])
    Item Group
    Does your health limit you in the following activities?
    Item
    29. Walking 100 meters (or 100 yards)
    text
    C0429886 (UMLS CUI [1])
    Code List
    29. Walking 100 meters (or 100 yards)
    CL Item
    Not limited ([C08])
    C3845941 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Limited a little ([C09])
    C3829283 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Limited a lot ([C10])
    C3829282 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Do not do for non-health reasons ([C20])
    C3840932 (UMLS CUI-1)
    (Comment:en)
    Item
    30. Climbing one flight of stairs
    text
    C3831080 (UMLS CUI [1])
    Code List
    30. Climbing one flight of stairs
    CL Item
    Not limited ([C08])
    C3845941 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Limited a little ([C09])
    C3829283 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Limited a lot ([C10])
    C3829282 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Do not do for non-health reasons ([C20])
    C3840932 (UMLS CUI-1)
    (Comment:en)
    Item
    31. Walking more than one kilometer (or half a mile)
    text
    C0429886 (UMLS CUI [1])
    Code List
    31. Walking more than one kilometer (or half a mile)
    CL Item
    Not limited ([C08])
    C3845941 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Limited a little ([C09])
    C3829283 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Limited a lot ([C10])
    C3829282 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Do not do for non-health reasons ([C20])
    C3840932 (UMLS CUI-1)
    (Comment:en)
    Item
    32. Moderate physical activities
    text
    C3833417 (UMLS CUI [1])
    Code List
    32. Moderate physical activities
    CL Item
    Not limited ([C08])
    C3845941 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Limited a little ([C09])
    C3829283 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Limited a lot ([C10])
    C3829282 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Do not do for non-health reasons ([C20])
    C3840932 (UMLS CUI-1)
    (Comment:en)
    Item
    33. Vigorous physical activities
    text
    C4060778 (UMLS CUI [1])
    Code List
    33. Vigorous physical activities
    CL Item
    Not limited ([C08])
    C3845941 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Limited a little ([C09])
    C3829283 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Limited a lot ([C10])
    C3829282 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Do not do for non-health reasons ([C20])
    C3840932 (UMLS CUI-1)
    (Comment:en)
    Item Group
    Are your activities limited by the following symptoms?
    Item
    34. Shortness of breath
    text
    C0013404 (UMLS CUI [1])
    Code List
    34. Shortness of breath
    CL Item
    Not limited ([C08])
    CL Item
    Limited a little ([C09])
    CL Item
    Limited a lot ([C10])
    Item
    35. Chest discomfort or tightness (angina)
    text
    C0232292 (UMLS CUI [1,1])
    C0013404 (UMLS CUI [1,2])
    Code List
    35. Chest discomfort or tightness (angina)
    CL Item
    Not limited ([C08])
    CL Item
    Limited a little ([C09])
    CL Item
    Limited a lot ([C10])
    Item
    36. Dizziness
    text
    C0012833 (UMLS CUI [1])
    Code List
    36. Dizziness
    CL Item
    Not limited ([C08])
    CL Item
    Limited a little ([C09])
    CL Item
    Limited a lot ([C10])
    Item
    37. Fatigue or tiredness
    text
    C0848717 (UMLS CUI [1])
    Code List
    37. Fatigue or tiredness
    CL Item
    Not limited ([C08])
    CL Item
    Limited a little ([C09])
    CL Item
    Limited a lot ([C10])
    Item
    38. Arthritis
    text
    C0003864 (UMLS CUI [1])
    Code List
    38. Arthritis
    CL Item
    Not limited ([C08])
    CL Item
    Limited a little ([C09])
    CL Item
    Limited a lot ([C10])
    Item
    39. Muscle weakness
    text
    C0151786 (UMLS CUI [1])
    Code List
    39. Muscle weakness
    CL Item
    Not limited ([C08])
    CL Item
    Limited a little ([C09])
    CL Item
    Limited a lot ([C10])
    Item
    40. Do your gums bleed when brushing your teeth or at other times?
    text
    C0017565 (UMLS CUI [1])
    Code List
    40. Do your gums bleed when brushing your teeth or at other times?
    CL Item
    Never/rarely ([C11])
    CL Item
    Sometimes ([C12])
    CL Item
    Often ([C13])
    CL Item
    Always ([C14])
    Item
    41. How many teeth do you have in your mouth?
    text
    C0040426 (UMLS CUI [1,1])
    C0750480 (UMLS CUI [1,2])
    Code List
    41. How many teeth do you have in your mouth?
    CL Item
    26-32 (all) ([C15])
    CL Item
    20 to 25 ([C16])
    CL Item
    15 to 19 ([C17])
    CL Item
    Less than 15 ([C18])
    CL Item
    No teeth ([C19])
    Item Group
    Choose one answer for each question to describe your sleep pattern OVER THE LAST YEAR
    Item
    42. When sleeping, have you been told you snore loudly?
    text
    C0037384 (UMLS CUI [1])
    Code List
    42. When sleeping, have you been told you snore loudly?
    CL Item
    Never/rarely ([D01])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Sometimes ([D02])
    C1998882 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Often ([D03])
    C0332183 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Always ([D04])
    C2003902 (UMLS CUI-1)
    (Comment:en)
    Item
    43. Do you wake up more than once a night?
    text
    C1170730 (UMLS CUI [1])
    Code List
    43. Do you wake up more than once a night?
    CL Item
    Never/rarely ([D01])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Sometimes ([D02])
    C1998882 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Often ([D03])
    C0332183 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Always ([D04])
    C2003902 (UMLS CUI-1)
    (Comment:en)
    Item
    44. Are you tired first thing in the morning?
    text
    C0541994 (UMLS CUI [1])
    Code List
    44. Are you tired first thing in the morning?
    CL Item
    Never/rarely ([D01])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Sometimes ([D02])
    C1998882 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Often ([D03])
    C0332183 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Always ([D04])
    C2003902 (UMLS CUI-1)
    (Comment:en)
    Item
    45. Are you sleepy during the day?
    text
    C0013144 (UMLS CUI [1])
    Code List
    45. Are you sleepy during the day?
    CL Item
    Never/rarely ([D01])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Sometimes ([D02])
    C1998882 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Often ([D03])
    C0332183 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Always ([D04])
    C2003902 (UMLS CUI-1)
    (Comment:en)
    Item
    46. Have you been told you gasp, choke or stop breathing when asleep?
    text
    C0008301 (UMLS CUI [1])
    Code List
    46. Have you been told you gasp, choke or stop breathing when asleep?
    CL Item
    Never/rarely ([D01])
    C0522498 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Sometimes ([D02])
    C1998882 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Often ([D03])
    C0332183 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Always ([D04])
    C2003902 (UMLS CUI-1)
    (Comment:en)
    Item Group
    Choose one answer for each question to describe your condition over the last year
    Item
    47. Have you felt stress at work?
    text
    C0814090 (UMLS CUI [1])
    Code List
    47. Have you felt stress at work?
    CL Item
    Never/rarely ([E01])
    CL Item
    Sometimes ([E02])
    CL Item
    Often ([E03])
    CL Item
    Always ([E04])
    CL Item
    Don't work ([E05])
    Item
    48. Have you felt stress at home?
    text
    C0558919 (UMLS CUI [1])
    Code List
    48. Have you felt stress at home?
    CL Item
    Never/rarely ([E01])
    CL Item
    Sometimes ([E02])
    CL Item
    Often ([E03])
    CL Item
    Always ([E04])
    Item
    49. Have you been under financial stress?
    text
    C0549106 (UMLS CUI [1])
    Code List
    49. Have you been under financial stress?
    CL Item
    Never/rarely ([E01])
    CL Item
    Sometimes ([E02])
    CL Item
    Often ([E03])
    CL Item
    Always ([E04])
    Item
    50. When at work, have you felt control over what happens?
    text
    C0425101 (UMLS CUI [1])
    Code List
    50. When at work, have you felt control over what happens?
    CL Item
    Never/rarely ([E01])
    CL Item
    Sometimes ([E02])
    CL Item
    Often ([E03])
    CL Item
    Always ([E04])
    CL Item
    Don't work ([E05])
    Item
    51. At home, have you felt control over what happens?
    text
    C0243148 (UMLS CUI [1,1])
    C0026606 (UMLS CUI [1,2])
    Code List
    51. At home, have you felt control over what happens?
    CL Item
    Never/rarely ([E01])
    CL Item
    Sometimes ([E02])
    CL Item
    Often ([E03])
    CL Item
    Always ([E04])
    Item
    52. Have you felt sad, low in your spirits or depressed?
    text
    C0497307 (UMLS CUI [1])
    Code List
    52. Have you felt sad, low in your spirits or depressed?
    CL Item
    Never/rarely ([E01])
    CL Item
    Sometimes ([E02])
    CL Item
    Often ([E03])
    CL Item
    Always ([E04])
    Item
    53. Have you lost interest in hobbies, work or activities that previously gave you pleasure?
    text
    C0679474 (UMLS CUI [1])
    Code List
    53. Have you lost interest in hobbies, work or activities that previously gave you pleasure?
    CL Item
    Never/rarely ([E01])
    CL Item
    Sometimes ([E02])
    CL Item
    Often ([E03])
    CL Item
    Always ([E04])
    Item Group
    Comparing your current lifestyle to your lifestyle before your first heart problem, DO YOU
    Item
    54. Exercise
    text
    C0015259 (UMLS CUI [1])
    Code List
    54. Exercise
    CL Item
    Less now ([E06])
    CL Item
    About same ([E07])
    CL Item
    More now ([E08])
    Item
    55. Have stress
    text
    C0038435 (UMLS CUI [1])
    Code List
    55. Have stress
    CL Item
    Less now ([E06])
    CL Item
    About same ([E07])
    CL Item
    More now ([E08])
    Item
    56. Eat meat/poultry
    text
    C0025017 (UMLS CUI [1,1])
    C0012171 (UMLS CUI [1,2])
    Code List
    56. Eat meat/poultry
    CL Item
    Less now ([E06])
    CL Item
    About same ([E07])
    CL Item
    More now ([E08])
    Item
    57. Eat fish
    text
    C0566305 (UMLS CUI [1,1])
    C0016158 (UMLS CUI [1,2])
    Code List
    57. Eat fish
    CL Item
    Less now ([E06])
    CL Item
    About same ([E07])
    CL Item
    More now ([E08])
    Item
    58. Eat fruit/vegetable
    text
    C0016767 (UMLS CUI [1])
    Code List
    58. Eat fruit/vegetable
    CL Item
    Less now ([E06])
    CL Item
    About same ([E07])
    CL Item
    More now ([E08])
    Item
    59. Have desserts/sweet snacks/sugared drinks
    text
    C1512806 (UMLS CUI [1,1])
    C0242209 (UMLS CUI [1,2])
    Code List
    59. Have desserts/sweet snacks/sugared drinks
    CL Item
    Less now ([E06])
    CL Item
    About same ([E07])
    CL Item
    More now ([E08])
    Item
    60. Eat deep fried food
    text
    C0559579 (UMLS CUI [1])
    Code List
    60. Eat deep fried food
    CL Item
    Less now ([E06])
    CL Item
    About same ([E07])
    CL Item
    More now ([E08])
    Item
    61. Eat salty food
    text
    C0453862 (UMLS CUI [1])
    Code List
    61. Eat salty food
    CL Item
    Less now ([E06])
    CL Item
    About same ([E07])
    CL Item
    More now ([E08])
    Item
    62. Eat high fat food
    text
    C0521974 (UMLS CUI [1])
    Code List
    62. Eat high fat food
    CL Item
    Less now ([E06])
    CL Item
    About same ([E07])
    CL Item
    More now ([E08])
    Item
    63. Eat dairy products
    text
    C0009830 (UMLS CUI [1,1])
    C0010947 (UMLS CUI [1,2])
    Code List
    63. Eat dairy products
    CL Item
    Less now ([E06])
    CL Item
    About same ([E07])
    CL Item
    More now ([E08])
    Item Group
    Since your first heart problem
    Item
    64. Have you
    text
    C0543414 (UMLS CUI [1])
    Code List
    64. Have you
    CL Item
    Stopped smoking completely ([E09])
    C0425310 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Smoked intermittently ([E10])
    C1608325 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Continued to smoke ([E11])
    C0439994 (UMLS CUI-1)
    C0549178 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Did not smoke at the time ([E12])
    C0337672 (UMLS CUI-1)
    (Comment:en)
    Item
    65. Has your body weight
    text
    C0005910 (UMLS CUI [1])
    Code List
    65. Has your body weight
    CL Item
    Decreased ([E13])
    C1262477 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Fluctuated/varied ([E14])
    C0005910 (UMLS CUI-1)
    C0231239 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Stayed about the same ([E15])
    C0442739 (UMLS CUI-1)
    C0005910 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Increased ([E16])
    C0005911 (UMLS CUI-1)
    C0442805 (UMLS CUI-2)
    (Comment:en)
    Cardiac rehabilitation program
    Item
    66. Have you ever participated in a cardiac rehabilitation program?
    boolean
    C0700431 (UMLS CUI [1])
    Item
    67. Overall, how do you feel your general health is now?
    text
    C0424575 (UMLS CUI [1])
    Code List
    67. Overall, how do you feel your general health is now?
    CL Item
    Excellent ([E17])
    C1961136 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Very good ([E18])
    C3641222 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Good ([E19])
    C0205170 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Fair ([E20])
    C2911689 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Poor ([E21])
    C2700379 (UMLS CUI-1)
    (Comment:en)
    Item Group
    Socio-economic
    Item
    68. What is your current marital status?
    text
    C0024819 (UMLS CUI [1])
    Code List
    68. What is your current marital status?
    CL Item
    Single ([F01])
    C0037179 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Married or living with a partner ([F02])
    C0555047 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Divorced or separated ([F03])
    C0682073 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Widowed ([F04])
    C0206275 (UMLS CUI-1)
    (Comment:en)
    living alone
    Item
    69. Are you living alone?
    boolean
    C0439044 (UMLS CUI [1])
    Item
    70. How many years of formal education have you completed?
    text
    C0557280 (UMLS CUI [1])
    Code List
    70. How many years of formal education have you completed?
    CL Item
    None ([F05])
    C0549184 (UMLS CUI-1)
    (Comment:en)
    CL Item
    1-8 years ([F06])
    (Comment:en)
    CL Item
    9-12 years ([F07])
    (Comment:en)
    CL Item
    Trade school ([F08])
    C0036375 (UMLS CUI-1)
    (Comment:en)
    CL Item
    College/university ([F09])
    C0041740 (UMLS CUI-1)
    (Comment:en)
    internet access
    Item
    71. Do you have access to the internet?
    boolean
    C0282111 (UMLS CUI [1])
    Item
    72. What is your current employment?
    text
    C0552390 (UMLS CUI [1])
    Code List
    72. What is your current employment?
    CL Item
    [F10] I am in paid employment - full time. ([F10] I am in paid employment - full time.)
    CL Item
    I am in paid employment - part time. ([F11])
    CL Item
    I am self employed. ([F12])
    CL Item
    I am unemployed. ([F13])
    CL Item
    I am not working because of my health. ([F14])
    CL Item
    I choose not to work. ([F15])
    CL Item
    I am retired. ([F16])
    Postal code / ZIP code
    Item
    73. Postal code / ZIP code
    integer
    C0421454 (UMLS CUI [1])

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