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ID

44566

Descrizione

The Older Persons and Informal Caregivers Survey Minimum DataSet (TOPICS-MDS) is a public data repository which contains information on the physical and mental health and wellbeing of older persons and informal caregivers across the Netherlands. The database was developed in part to ensure uniform collection of outcomes measures, thus promoting comparability between studies. To date, 53 different research projects have contributed data to this initiative, resulting in a pooled dataset >44,000 older persons and >9,000 informal caregivers. Early 2021, the database will be updated with new data, specifically from older persons with dementia and their informal caregivers. More information can be found at https://topics-mds.eu This form contains the English and Dutch version of TOPICS-MDS 2017 questionnaire for the care receiver for the Baseline and Follow-up measurement. For follow-up, please note that for each follow-up measurement separately, all questions containing ‘12 months’ / ‘12 maanden’, the 12 needs to be replaced by the actual follow-up period. For example, when follow-up takes place after 3 months, the 12 is replaced by ‘3’. Additionally some questions are not needed for follow-up: From "Personal Information" only the marital status is needed. From "Health and Disease" the questions about the diseases are optional. They are recommended, if you want to use the frailty index. English Instructions for the participant (Dutch version below): Your experiences as a care receiver are valuable. You receive care. This list contains questions about what this care means for you as a care receiver. Your answers will be used in research to improve care for the elderly. The more information there is about care for elderly people, the more this can be taken into consideration. For example, when changing the facilities, regulations or legislation for care and wellbeing. Therefore, your experiences are also valuable for other elderly people. Instructions for this questionnaire: - Completing this questionnaire will take approximately half an hour. - Read each question through completely before selecting an answer. - If you find it difficult to understand or answer the questions, ask your partner, a family member or a friend to help you. - Some questions may appear to be ‘repeated’, but please answer all questions. They are intended to view your situation again from a different angle. - When you are done, please check that you have not forgotten any questions. Nederlandse aanwijzingen: Uw ervaringen als zorgvrager zijn waardevol. In deze lijst staan vragen over uw lichamelijke en geestelijke gezondheid, kwaliteit van leven en zorggebruik. Uw antwoorden worden gebruikt in onderzoek naar verbetering van de zorg voor ouderen. Want hoe meer er bekend is over wat ouderen zelf vinden, hoe beter er rekening mee gehouden kan worden. Bijvoorbeeld bij het veranderen van voorzieningen, regelingen of wetten voor zorg en welzijn. Uw ervaringen zijn dus waardevol, ook voor andere ouderen. Aanwijzingen bij deze vragenlijst: Het invullen van de vragenlijst kost u ongeveer een half uur. Lees elke vraag eerst helemaal door voordat u een antwoord geeft. Als u het moeilijk vindt om de vragen te begrijpen of in te vullen, vraag dan hulp aan uw partner, een familielid of vriendof vriendin. Sommige vragen lijken ‘dubbel’, maar we verzoeken u ze toch in te vullen. Ze zijn bedoeld om uw situatie nog eens van een andere kant te bekijken. Bent u klaar? Kijk dan of u geen vragen vergeten bent.

collegamento

https://topics-mds.eu

Keywords

versioni (5)
  1. 12/05/20 12/05/20 -
  2. 19/11/20 19/11/20 -
  3. 30/01/21 30/01/21 -
  4. 11/02/21 11/02/21 - Sarah Riepenhausen
  5. 27/09/21 27/09/21 -
Titolare del copyright

Radboud University Medical Center, Department of Geriatric Medicine

Caricato su

27 settembre 2021

DOI

Per favore, per richiedere un accesso.

Licenza

Creative Commons BY-NC 4.0
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    TOPICS-MDS

    Inglese Olandese

    TOPICS-MDS Care Receiver Baseline + Follow-up (Zorgvrager Basismeting + Vervolgmeting)

    1 moduli  
    Distinction if this form is filled in at baseline or follow-up.
    Descrizione

    Distinction if this form is filled in at baseline or follow-up.

    Alias
    UMLS CUI-1
    C1522577
    UMLS CUI-2
    C1442488
    Please tick, if you fill in this form at baseline or follow-up.
    Descrizione

    Please pay attention to items which have to be filled in only at baseline.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C1522577
    UMLS CUI [1,2]
    C1442488
    Date of birth, gender and postal code
    Descrizione

    Date of birth, gender and postal code

    Alias
    UMLS CUI-1
    C1320722
    Date of filling in the questionnaire
    Descrizione

    Assessment date

    Tipo di dati

    date

    Alias
    UMLS CUI [1]
    C2985720
    Date of birth
    Descrizione

    Date of birth

    Tipo di dati

    date

    Alias
    UMLS CUI [1]
    C0421451
    Gender
    Descrizione

    Gender

    Tipo di dati

    text

    Alias
    UMLS CUI [1]
    C0079399
    Postal code (four numbers)
    Descrizione

    Postal code

    Tipo di dati

    integer

    Alias
    UMLS CUI [1]
    C0421454
    Personal information
    Descrizione

    Personal information

    Alias
    UMLS CUI-1
    C1955348
    In which country were you born?
    Descrizione

    Not filled in at follow-up.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1]
    C1300001
    If another country, in which country were you born?
    Descrizione

    Not filled in at follow-up.

    Tipo di dati

    text

    Alias
    UMLS CUI [1,1]
    C0205394
    UMLS CUI [1,2]
    C1300001
    In which country was your father born?
    Descrizione

    Not filled in at follow-up.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C1300001
    UMLS CUI [1,2]
    C0015671
    If another country, in which country was your father born?
    Descrizione

    Not filled in at follow-up.

    Tipo di dati

    text

    Alias
    UMLS CUI [1,1]
    C0205394
    UMLS CUI [1,2]
    C0015671
    UMLS CUI [1,3]
    C1300001
    In which country was your mother born?
    Descrizione

    Not filled in at follow-up.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C1300001
    UMLS CUI [1,2]
    C0026591
    If another country, in which country was your mother born?
    Descrizione

    Not filled in at follow-up.

    Tipo di dati

    text

    Alias
    UMLS CUI [1,1]
    C0205394
    UMLS CUI [1,2]
    C1300001
    UMLS CUI [1,3]
    C0026591
    What is the highest level of education that you have completed?
    Descrizione

    Not filled in at follow-up.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1]
    C4264309
    What is your marital status?
    Descrizione

    Marital status

    Tipo di dati

    integer

    Alias
    UMLS CUI [1]
    C0024819
    Do you have children?
    Descrizione

    Not filled in at follow-up.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1]
    C0008059
    Living situation
    Descrizione

    Living situation

    Alias
    UMLS CUI-1
    C2184149
    What is your living situation?
    Descrizione

    Living situation

    Tipo di dati

    integer

    Alias
    UMLS CUI [1]
    C2184149
    If another, please specify:
    Descrizione

    Other Living situation

    Tipo di dati

    text

    Alias
    UMLS CUI [1,1]
    C0205394
    UMLS CUI [1,2]
    C2184149
    Health and disease
    Descrizione

    Health and disease

    Alias
    UMLS CUI-1
    C0018759
    UMLS CUI-2
    C0012634
    On a scale of 0 to 10: how do you rate your health in general TODAY? 0 indicates ‘completely unhealthy’ and 10 ‘completely healthy’.
    Descrizione

    Health in general

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0424575
    UMLS CUI [1,2]
    C0449438
    UMLS CUI [1,3]
    C0750526
    Please tick the one box that best describes your health TODAY. Mobility:
    Descrizione

    Mobility today

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0547136
    UMLS CUI [1,2]
    C0750526
    Self-care:
    Descrizione

    Self-care today

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0750526
    UMLS CUI [1,2]
    C0474417
    Usual activities (e.g. work, study, housework, family or leisure activities):
    Descrizione

    Usual activities today

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0001288
    UMLS CUI [1,2]
    C0750526
    Pain / discomfort:
    Descrizione

    Pain / discomfort today

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0030193
    UMLS CUI [1,2]
    C0750526
    UMLS CUI [2,1]
    C2364135
    UMLS CUI [2,2]
    C0750526
    Anxiety / depression:
    Descrizione

    Anxiety / depression today

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0003467
    UMLS CUI [1,2]
    C0750526
    UMLS CUI [2,1]
    C0011581
    UMLS CUI [2,2]
    C0750526
    Do you have complaints about your memory?
    Descrizione

    Memory problems

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0233794
    UMLS CUI [1,2]
    C1254481
    Did you consult a doctor about your memory problems?
    Descrizione

    Medical consultation

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0233794
    UMLS CUI [1,2]
    C3826021
    Did you fall in the past 12 months?
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0085639
    UMLS CUI [1,2]
    C3887293
    The following questions are about the diseases and conditions that you have or have had. Do you have or have you had one or more of the following diseases and conditions in the past 12 months? Tick “No”or “Yes” for all diseases and conditions mentioned. Diabetes:
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0011849
    UMLS CUI [1,2]
    C3887293
    Stroke, cerebral haemorrhage (bleed in the brain), cerebral infarction (blocked bloodvessel in the brain) or TIA:
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0038454
    UMLS CUI [1,2]
    C3887293
    UMLS CUI [2,1]
    C0007787
    UMLS CUI [2,2]
    C3887293
    UMLS CUI [3,1]
    C0007785
    UMLS CUI [3,2]
    C3887293
    UMLS CUI [4,1]
    C2937358
    UMLS CUI [4,2]
    C3887293
    Heart failure, myocardial infarction (heart attack) or other heart condition:
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0018801
    UMLS CUI [1,2]
    C3887293
    UMLS CUI [2,1]
    C0027051
    UMLS CUI [2,2]
    C3887293
    UMLS CUI [3,1]
    C0205394
    UMLS CUI [3,2]
    C3842523
    UMLS CUI [3,3]
    C3887293
    A type of cancer (malignant disease):
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0006826
    UMLS CUI [1,2]
    C3887293
    Please specify the type of cancer you have or have had:
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    text

    Alias
    UMLS CUI [1,1]
    C0006826
    UMLS CUI [1,2]
    C0332307
    UMLS CUI [1,3]
    C3887293
    Asthma, chronic bronchitis, pulmonary emphysema or COPD:
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0004096
    UMLS CUI [1,2]
    C3887293
    UMLS CUI [2,1]
    C0008677
    UMLS CUI [2,2]
    C3887293
    UMLS CUI [3,1]
    C0034067
    UMLS CUI [3,2]
    C3887293
    UMLS CUI [4,1]
    C0024117
    UMLS CUI [4,2]
    C3887293
    Involuntary urinary loss (incontinence):
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0021167
    UMLS CUI [1,2]
    C3887293
    Wearing of the joints (arthrosis, osteoarthritis / degenerative arthritis):
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0029408
    UMLS CUI [1,2]
    C3887293
    Chronic joint inflammation (arthritis):
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0003864
    UMLS CUI [1,2]
    C3887293
    Loss of bone tissue (osteoporosis):
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0029456
    UMLS CUI [1,2]
    C3887293
    Hip fracture or other bone fractures:
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0019557
    UMLS CUI [1,2]
    C3887293
    UMLS CUI [2,1]
    C0205394
    UMLS CUI [2,2]
    C0016658
    UMLS CUI [2,3]
    C3887293
    Dizziness:
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0012833
    UMLS CUI [1,2]
    C3887293
    Neurological disease (Parkinson’s disease, multiple sclerosis, epilepsy):
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0027765
    UMLS CUI [1,2]
    C3887293
    UMLS CUI [2,1]
    C0030567
    UMLS CUI [2,2]
    C3887293
    UMLS CUI [3,1]
    C0026769
    UMLS CUI [3,2]
    C3887293
    UMLS CUI [4,1]
    C0014544
    UMLS CUI [4,2]
    C3887293
    Depression:
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0011581
    UMLS CUI [1,2]
    C3887293
    Anxiety / panic disorder:
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0003467
    UMLS CUI [1,2]
    C3887293
    UMLS CUI [2,1]
    C0030319
    UMLS CUI [2,2]
    C3887293
    Dementia:
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0497327
    UMLS CUI [1,2]
    C3887293
    Hearing problems (despite hearing aid):
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0521116
    UMLS CUI [1,2]
    C3898940
    UMLS CUI [1,3]
    C3641650
    UMLS CUI [1,4]
    C0542459
    UMLS CUI [2,1]
    C3898940
    UMLS CUI [2,2]
    C3887293
    UMLS CUI [2,3]
    C3641650
    UMLS CUI [2,4]
    C0542459
    Problems with vision (despite glasses / contact lenses):
    Descrizione

    Optional at follow-up, if you want to use the frailty index. Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C3665347
    UMLS CUI [1,2]
    C3887293
    UMLS CUI [1,3]
    C3641650
    UMLS CUI [1,4]
    C3843284
    Tasks and activities of daily life
    Descrizione

    Tasks and activities of daily life

    Alias
    UMLS CUI-1
    C0001288
    The following questions refer to daily activities which should be performed frequently, such as walking a flight of stairs or cooking. In each question it is asked whether you are able to perform the activity at this moment. It is not intended to assess whether you are actually performing the activities, but if you can do them if necessary. Can you, fully independently, dress yourself?
    Descrizione

    Dress yourself independently

    Tipo di dati

    integer

    Alias
    UMLS CUI [1]
    C0429966
    Can you, fully independently, stand up from sitting in a chair?
    Descrizione

    Stand up independently

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0560792
    UMLS CUI [1,2]
    C1299583
    Can you, fully independently, wash and dry your whole body?
    Descrizione

    Independent body hygiene

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C4055522
    UMLS CUI [1,2]
    C1299583
    Can you, fully independently, go up and down the stairs?
    Descrizione

    Independent stair climbing

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0560077
    UMLS CUI [1,2]
    C1299583
    UMLS CUI [2,1]
    C0560081
    UMLS CUI [2,2]
    C1299583
    Can you, fully independently, walk outdoors (if necessary with a cane or wheel rollator)?
    Descrizione

    Walk outdoor independently with or without cane or wheel rollator

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C4722228
    UMLS CUI [1,2]
    C4283770
    UMLS CUI [1,3]
    C1299583
    UMLS CUI [2,1]
    C0750377
    UMLS CUI [2,2]
    C4283770
    UMLS CUI [2,3]
    C1299583
    UMLS CUI [3,1]
    C1524063
    UMLS CUI [3,2]
    C0184339
    UMLS CUI [3,3]
    C4283770
    UMLS CUI [3,4]
    C1299583
    Can you, fully independently, take care of your feet and toenails?
    Descrizione

    Independent foot care and care of toenails

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C3873451
    UMLS CUI [1,2]
    C1299583
    UMLS CUI [2,1]
    C0749563
    UMLS CUI [2,2]
    C1299583
    Can you, fully independently, do “light” household activities (for example, dusting and tidying up)?
    Descrizione

    Household activities done independently

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C4055557
    UMLS CUI [1,2]
    C1299583
    Can you, fully independently, do the shopping?
    Descrizione

    Shopping independently

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C4055547
    UMLS CUI [1,2]
    C1299583
    Can you, fully independently, take your medicines?
    Descrizione

    Take medicine independently

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C4075001
    UMLS CUI [1,2]
    C1299583
    Can you, fully independently, use your own or public transportation?
    Descrizione

    Independent own transportation or public transportation

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0871194
    UMLS CUI [1,2]
    C1299583
    UMLS CUI [2,1]
    C4274917
    UMLS CUI [2,2]
    C1299583
    Do you experience complaints with your mouth, jaws or temples?
    Descrizione

    Do you experience complaints with your mouth, jaws or temples?

    Alias
    UMLS CUI-1
    C1161186
    UMLS CUI-2
    C0848667
    UMLS CUI-3
    C2108445
    UMLS CUI-4
    C0935456
    UMLS CUI-5
    C1457887
    I experience pain
    Descrizione

    Oral, jaw or temple pain

    Tipo di dati

    integer

    Alias
    UMLS CUI [1]
    C0221776
    UMLS CUI [2]
    C0236000
    UMLS CUI [3,1]
    C0935456
    UMLS CUI [3,2]
    C0030193
    I have chewing complaints
    Descrizione

    Chewing comlaints

    Tipo di dati

    integer

    Alias
    UMLS CUI [1]
    C0424869
    I have dry mouth complaints
    Descrizione

    Dry mouth

    Tipo di dati

    integer

    Alias
    UMLS CUI [1]
    C0043352
    I have swallowing complaints
    Descrizione

    Swallowing complaints

    Tipo di dati

    integer

    Alias
    UMLS CUI [1]
    C0392678
    How you are feeling
    Descrizione

    How you are feeling

    Alias
    UMLS CUI-1
    C1527305
    The following questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks have you been a very nervous person?
    Descrizione

    Nervous during past 4 weeks

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0849963
    UMLS CUI [1,2]
    C3828653
    How much of the time during the past 4 weeks have you felt calm and peaceful?
    Descrizione

    Calm and peaceful during past 4 weeks

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C3829745
    UMLS CUI [1,2]
    C3828653
    How much of the time during the past 4 weeks have you felt downhearted and blue?
    Descrizione

    Downhearted and blue during past 4 weeks

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C3828653
    UMLS CUI [1,2]
    C3829743
    How much of the time during the past 4 weeks have you been a happy person?
    Descrizione

    Happy person during past 4 weeks

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C3828653
    UMLS CUI [1,2]
    C3829752
    How much of the time during the past 4 weeks have you felt so down in the dumps that nothing could cheer you up?
    Descrizione

    Down in the dumps during past 4 weeks

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C3828653
    UMLS CUI [1,2]
    C3829738
    Social activities
    Descrizione

    Social activities

    Alias
    UMLS CUI-1
    C0814554
    During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?
    Descrizione

    Physical health or emotional problems interfering with social activities past 4 weeks

    Tipo di dati

    integer

    Alias
    UMLS CUI [1]
    C3484327
    Quality of life
    Descrizione

    Quality of life

    Alias
    UMLS CUI-1
    C0034380
    The following question is about your ‘quality of life’. This refers to what you think about your life. For example, whether you are satisfied with your life, whether you have enjoyment in your life and whether your life gives you satisfaction. On a scale of 0 to 10: how do you rate your life at this moment? 0 indicates ‘completely unsatisfied’ and 10 ‘completely satisfied’.
    Descrizione

    Quality of life at this moment

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C3476431
    UMLS CUI [1,2]
    C0521116
    Your care use
    Descrizione

    Your care use

    Alias
    UMLS CUI-1
    C0814514
    Have you been admitted to the hospital in the past 12 months? You had to stay overnight, for example because you had surgery and could not go home the same day.
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0184666
    UMLS CUI [1,2]
    C3887293
    Did you tick “Yes”? Please answer the following two questions. If not, go to the question "Have you visited the emergency department of a hospital for yourself in the past 12 months?” How many times in total in the past 12 months did you stay in hospital?
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Unità di misura
    • times in total in the past 12 months
    Alias
    UMLS CUI [1,1]
    C0184666
    UMLS CUI [1,2]
    C3887293
    UMLS CUI [1,3]
    C1265611
    times in total in the past 12 months
    How many days did you stay in hospital in total? If you stayed in hospital more than once in the past 12 months, then please sum up the number of days you stayed during each of the admissions.
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Unità di misura
    • days in total in the past 12 months
    Alias
    UMLS CUI [1,1]
    C3694481
    UMLS CUI [1,2]
    C3887293
    days in total in the past 12 months
    Have you visited the emergency department of a hospital for yourself in the past 12 months? Other names for emergency department are: emergency room (ER), emergency ward, accident & emergency department (A&E) or casualty department.
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0586082
    UMLS CUI [1,2]
    C3887293
    If yes, how many times have you visited the emergency department of a hospital for yourself in the past 12 months?
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Unità di misura
    • times in total in the past 12 months
    Alias
    UMLS CUI [1,1]
    C0586082
    UMLS CUI [1,2]
    C1265611
    UMLS CUI [1,3]
    C3887293
    times in total in the past 12 months
    Have you visited an out-of-office hours GP service or had a visit from a general practitioner in the evening, night or on the weekend for yourself in the past 12 months?
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0017319
    UMLS CUI [1,2]
    C0498340
    UMLS CUI [1,3]
    C3887293
    UMLS CUI [2,1]
    C0017319
    UMLS CUI [2,2]
    C1947978
    UMLS CUI [2,3]
    C0587117
    UMLS CUI [2,4]
    C3887293
    UMLS CUI [3,1]
    C0017319
    UMLS CUI [3,2]
    C1947978
    UMLS CUI [3,3]
    C0240526
    UMLS CUI [3,4]
    C3887293
    UMLS CUI [4,1]
    C0017319
    UMLS CUI [4,2]
    C0581045
    UMLS CUI [4,3]
    C3887293
    If yes, how many times in total have you visited an out-of-office hours GP service or had a visit from a general practitioner in the evening, night or on the weekend for yourself in the past 12 months?
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Unità di misura
    • times in total in the past 12 months
    Alias
    UMLS CUI [1,1]
    C0017319
    UMLS CUI [1,2]
    C0498340
    UMLS CUI [1,3]
    C1265611
    UMLS CUI [1,4]
    C3887293
    UMLS CUI [2,1]
    C0017319
    UMLS CUI [2,2]
    C1947978
    UMLS CUI [2,3]
    C1265611
    UMLS CUI [2,4]
    C0587117
    UMLS CUI [2,5]
    C3887293
    UMLS CUI [3,1]
    C0017319
    UMLS CUI [3,2]
    C1947978
    UMLS CUI [3,3]
    C1265611
    UMLS CUI [3,4]
    C0240526
    UMLS CUI [3,5]
    C3887293
    UMLS CUI [4,1]
    C0017319
    UMLS CUI [4,2]
    C0581045
    UMLS CUI [4,3]
    C1265611
    UMLS CUI [4,4]
    C3887293
    times in total in the past 12 months
    How many appointments (office hours and house calls) have you had with a general practitioner for yourself in the past 12 months?
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    text

    Alias
    UMLS CUI [1,1]
    C0017319
    UMLS CUI [1,2]
    C1512346
    UMLS CUI [1,3]
    C1265611
    UMLS CUI [1,4]
    C3887293
    If one or more appointments, how many appointments (office hours and house calls) have you had with a general practitioner for yourself in the past 12 months in total?
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Unità di misura
    • times in total in the past 12 months
    Alias
    UMLS CUI [1,1]
    C0017319
    UMLS CUI [1,2]
    C1512346
    UMLS CUI [1,3]
    C1265611
    UMLS CUI [1,4]
    C3887293
    times in total in the past 12 months
    Did you receive home care in the past 12 months?
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0204977
    UMLS CUI [1,2]
    C3887293
    Have you had help with household chores (for example: vacuuming, making the bed, grocery shopping) in the past 12 months? Answer this question only, if you have ticked "Yes" in the question about receiving home care.
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C1514756
    UMLS CUI [1,2]
    C3273800
    UMLS CUI [1,3]
    C0557036
    UMLS CUI [1,4]
    C3887293
    Have you received home care in the form of help with personal care (for example: help with bathing/showering or dressing) in the past 12 months? Answer this question only, if you have ticked "Yes" in the question about receiving home care.
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C1514756
    UMLS CUI [1,2]
    C0686948
    UMLS CUI [1,3]
    C3887293
    Have you received home care in the form of nursing care (for example: changing dressings, administering medications, measuring blood pressure) in the past 12 months? Answer this question only, if you have ticked "Yes" in the question about receiving home care.
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0028682
    UMLS CUI [1,2]
    C1553498
    UMLS CUI [1,3]
    C3887293
    How many weeks did you receive help with household chores? Please, sum up all weeks in the past 12 months. Answer this question only, if you have ticked "Yes" in the question about receiving help with household chores. Please note: a period of 12 months concerns 52 weeks.
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Unità di misura
    • weeks in the past 12 months
    Alias
    UMLS CUI [1,1]
    C3273800
    UMLS CUI [1,2]
    C1514756
    UMLS CUI [1,3]
    C0557036
    UMLS CUI [1,4]
    C3887293
    UMLS CUI [1,5]
    C0557840
    weeks in the past 12 months
    How many weeks did you receive help with personal care? Please, sum up all weeks in the past 12 months. Answer this question only, if you have ticked "Yes" in the question about receiving personal care. Please note: a period of 12 months concerns 52 weeks.
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Unità di misura
    • weeks in the past 12 months
    Alias
    UMLS CUI [1,1]
    C1514756
    UMLS CUI [1,2]
    C0686948
    UMLS CUI [1,3]
    C3887293
    UMLS CUI [1,4]
    C0557840
    weeks in the past 12 months
    How many weeks did you receive home care in the form of nursing care? Please, sum up all weeks in the past 12 months. Answer this question only, if you have ticked "Yes" in the question about receiving nursing care. Please note: a period of 12 months concerns 52 weeks.
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Unità di misura
    • weeks in the past 12 months
    Alias
    UMLS CUI [1,1]
    C0028682
    UMLS CUI [1,2]
    C1553498
    UMLS CUI [1,3]
    C1948053
    UMLS CUI [1,4]
    C0557840
    UMLS CUI [1,5]
    C3887293
    weeks in the past 12 months
    How many hours of help with household chores did you receive during these weeks on average? Answer this question only, if you have ticked "Yes" in the question about receiving help with household chores.
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Unità di misura
    • average hours per week
    Alias
    UMLS CUI [1,1]
    C3273800
    UMLS CUI [1,2]
    C1514756
    UMLS CUI [1,3]
    C0557036
    UMLS CUI [1,4]
    C3887293
    UMLS CUI [1,5]
    C4289948
    average hours per week
    How many hours of help with personal care did you receive during these weeks on average? Answer this question only, if you have ticked "Yes" in the question about receiving personal care. Please note: a period of 12 months concerns 52 weeks.
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Unità di misura
    • average hours per week
    Alias
    UMLS CUI [1,1]
    C1514756
    UMLS CUI [1,2]
    C0686948
    UMLS CUI [1,3]
    C4289948
    UMLS CUI [1,4]
    C3887293
    average hours per week
    How many hours of home care in the form of nursing care did you receive during these weeks on average? Answer this question only, if you have ticked "Yes" in the question about receiving nursing care.
    Descrizione

    Quantity of hours of nursing care past year

    Tipo di dati

    integer

    Unità di misura
    • average hours per week
    Alias
    UMLS CUI [1,1]
    C0028682
    UMLS CUI [1,2]
    C1553498
    UMLS CUI [1,3]
    C4289948
    average hours per week
    In the past 12 months, did you have to stay overnight somewhere else than your own home because of your health? For example, in a nursing home, residential care center, psychiatric hospital or rehabilitation center?
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0018704
    UMLS CUI [1,2]
    C0439583
    UMLS CUI [1,3]
    C3177049
    UMLS CUI [1,4]
    C3887293
    UMLS CUI [2,1]
    C0439583
    UMLS CUI [2,2]
    C0028688
    UMLS CUI [3,1]
    C0439583
    UMLS CUI [3,2]
    C0035186
    UMLS CUI [4,1]
    C0439583
    UMLS CUI [4,2]
    C0259948
    UMLS CUI [5,1]
    C0439583
    UMLS CUI [5,2]
    C1550688
    If you have stayed somewhere else overnight in the past 12 months, how many times in total?
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Unità di misura
    • times in total in the past 12 months
    Alias
    UMLS CUI [1,1]
    C0018704
    UMLS CUI [1,2]
    C0439583
    UMLS CUI [1,3]
    C3177049
    UMLS CUI [1,4]
    C0439603
    UMLS CUI [1,5]
    C3887293
    times in total in the past 12 months
    If you have stayed somewhere else overnight in the past 12 months, how long did you stay in this care facility? If you stayed more than once in a care facility in the past 12 months, please sum up the number of days of all stays together.
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Unità di misura
    • days in total in the past 12 months
    Alias
    UMLS CUI [1,1]
    C0018704
    UMLS CUI [1,2]
    C0439583
    UMLS CUI [1,3]
    C3177049
    UMLS CUI [1,4]
    C0023303
    UMLS CUI [1,5]
    C3887293
    days in total in the past 12 months
    In the past 12 months, did you stay somewhere else than your own home during the day for treatment? So, you did not stay overnight. For example, you went to day care or day treatment.
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0002423
    UMLS CUI [1,2]
    C3887293
    If yes, how many times per week did you stay somewhere else than your own home during the day for treatment in the past 12 months? So, you did not stay overnight. For example, you went to day care or day treatment.
    Descrizione

    Please note: you need to replace the ‘12’ for every follow-up measurement separately. Example: replace the ‘12’ by 3 when follow-up is after 3 months, by 6 when follow-up is after 6 months.

    Tipo di dati

    integer

    Unità di misura
    • times per week in the past 12 months
    Alias
    UMLS CUI [1,1]
    C0002423
    UMLS CUI [1,2]
    C0456698
    UMLS CUI [1,3]
    C3887293
    times per week in the past 12 months
    Because of your health problems, did you receive help from your family or friends in the past week with household chores such as preparing food, cleaning your house, doing the laundry, ironing or mending your cloths, grocery shopping or do odd jobs in and around the house?
    Descrizione

    Support with household chores in the past week

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0001288
    UMLS CUI [1,2]
    C0581904
    UMLS CUI [1,3]
    C2987125
    UMLS CUI [2,1]
    C0001288
    UMLS CUI [2,2]
    C4708444
    UMLS CUI [2,3]
    C2987125
    If yes, how many hours did you receive help from your family or friends in the past week?
    Descrizione

    Quantity of hours of support with household chores past week

    Tipo di dati

    integer

    Unità di misura
    • hours in the past week
    Alias
    UMLS CUI [1,1]
    C0001288
    UMLS CUI [1,2]
    C0581904
    UMLS CUI [1,3]
    C0556976
    UMLS CUI [2,1]
    C0001288
    UMLS CUI [2,2]
    C4708444
    UMLS CUI [2,3]
    C0556976
    hours in the past week
    Because of your health problems, did you receive help from your family or friends in the past week with personal care (dressing, washing your body, combing your hair, shaving), toileting, transferring in the house, eating, drinken or taking medications?
    Descrizione

    Support with personal care in the past week

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0563471
    UMLS CUI [1,2]
    C0581904
    UMLS CUI [1,3]
    C2987125
    UMLS CUI [2,1]
    C0563471
    UMLS CUI [2,2]
    C4708444
    UMLS CUI [2,3]
    C2987125
    UMLS CUI [3,1]
    C0150810
    UMLS CUI [3,2]
    C0581904
    UMLS CUI [3,3]
    C2987125
    UMLS CUI [4,1]
    C0150810
    UMLS CUI [4,2]
    C4708444
    UMLS CUI [4,3]
    C2987125
    UMLS CUI [5,1]
    C2371389
    UMLS CUI [5,2]
    C0581904
    UMLS CUI [5,3]
    C2987125
    UMLS CUI [6,1]
    C2371389
    UMLS CUI [6,2]
    C4708444
    UMLS CUI [6,3]
    C2987125
    UMLS CUI [7,1]
    C1279813
    UMLS CUI [7,2]
    C4708444
    UMLS CUI [7,3]
    C2987125
    UMLS CUI [8,1]
    C1279813
    UMLS CUI [8,2]
    C0581904
    UMLS CUI [8,3]
    C2987125
    UMLS CUI [9,1]
    C1290952
    UMLS CUI [9,2]
    C0581904
    UMLS CUI [9,3]
    C2987125
    UMLS CUI [10,1]
    C1290952
    UMLS CUI [10,2]
    C4708444
    UMLS CUI [10,3]
    C2987125
    If yes, how many hours per week did you receive help from your family or friends in the past week with personal care?
    Descrizione

    Quantity of hours per week of support with personal care

    Tipo di dati

    integer

    Unità di misura
    • hours in the past week
    Alias
    UMLS CUI [1,1]
    C0563471
    UMLS CUI [1,2]
    C0581904
    UMLS CUI [1,3]
    C0556976
    UMLS CUI [2,1]
    C0563471
    UMLS CUI [2,2]
    C4708444
    UMLS CUI [2,3]
    C0556976
    hours in the past week
    Because of your health problems, did you receive help from your family or friends in the past week with getting around outside the house, making trips, visiting family or friends, dealings with health care (attending your visits to the GP, hospital or treatment), arranging for help, aids or home adjustments, or arranging your finances or paper work?
    Descrizione

    Help from family or friends in past week with getting around outside the house, making trips, visiting family or friends, dealings with health care (attending your visits to the GP, hospital or treatment), arranging for help, aids or home adjustments, or arranging your finances or paper work

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C3842571
    UMLS CUI [1,2]
    C0581904
    UMLS CUI [1,3]
    C2987125
    UMLS CUI [2,1]
    C4708444
    UMLS CUI [2,2]
    C2987125
    UMLS CUI [3,1]
    C0086388
    UMLS CUI [3,2]
    C0581904
    UMLS CUI [3,3]
    C2987125
    UMLS CUI [4,1]
    C0086388
    UMLS CUI [4,2]
    C4708444
    UMLS CUI [4,3]
    C2987125
    UMLS CUI [5,1]
    C1300196
    UMLS CUI [5,2]
    C0557036
    UMLS CUI [5,3]
    C0581904
    UMLS CUI [5,4]
    C2987125
    UMLS CUI [6,1]
    C1300196
    UMLS CUI [6,2]
    C0557036
    UMLS CUI [6,3]
    C4708444
    UMLS CUI [6,4]
    C2987125
    UMLS CUI [7,1]
    C1300196
    UMLS CUI [7,2]
    C0449435
    UMLS CUI [7,3]
    C0581904
    UMLS CUI [7,4]
    C2987125
    UMLS CUI [8,1]
    C1300196
    UMLS CUI [8,2]
    C0449435
    UMLS CUI [8,3]
    C4708444
    UMLS CUI [8,4]
    C2987125
    UMLS CUI [9,1]
    C1300196
    UMLS CUI [9,2]
    C0850398
    UMLS CUI [9,3]
    C0581904
    UMLS CUI [9,4]
    C2987125
    UMLS CUI [10,1]
    C1300196
    UMLS CUI [10,2]
    C0850398
    UMLS CUI [10,3]
    C4708444
    UMLS CUI [10,4]
    C2987125
    UMLS CUI [11,1]
    C0149692
    UMLS CUI [11,2]
    C4708444
    UMLS CUI [11,3]
    C2987125
    UMLS CUI [12,1]
    C0149692
    UMLS CUI [12,2]
    C0581904
    UMLS CUI [12,3]
    C2987125
    UMLS CUI [13,1]
    C2986711
    UMLS CUI [13,2]
    C4708444
    UMLS CUI [13,3]
    C2987125
    UMLS CUI [14,1]
    C2986711
    UMLS CUI [14,2]
    C0581904
    UMLS CUI [14,3]
    C2987125
    UMLS CUI [15,1]
    C2371431
    UMLS CUI [15,2]
    C0581904
    UMLS CUI [15,3]
    C2987125
    UMLS CUI [16,1]
    C2371431
    UMLS CUI [16,2]
    C4708444
    UMLS CUI [16,3]
    C2987125
    UMLS CUI [17,1]
    C0577328
    UMLS CUI [17,2]
    C0581904
    UMLS CUI [17,3]
    C2987125
    UMLS CUI [18,1]
    C0577328
    UMLS CUI [18,2]
    C4708444
    UMLS CUI [18,3]
    C2987125
    If yes, how many hours per week did you receive help from your family or friends in the past week with getting around outside the house, making trips, visiting family or friends, dealings with health care (attending your visits to the GP, hospital or treatment), arranging for help, aids or home adjustments, or arranging your finances or paper work?
    Descrizione

    Quantity of hours of Help from family or friends in past week with getting around outside the house, making trips, visiting family or friends, dealings with health care (attending your visits to the GP, hospital or treatment), arranging for help, aids or home adjustments, or arranging your finances or paper work

    Tipo di dati

    integer

    Unità di misura
    • hours in the past week
    Alias
    UMLS CUI [1,1]
    C3842571
    UMLS CUI [1,2]
    C0581904
    UMLS CUI [1,3]
    C2987125
    UMLS CUI [1,4]
    C0556976
    UMLS CUI [2,1]
    C4708444
    UMLS CUI [2,2]
    C2987125
    UMLS CUI [2,3]
    C0556976
    UMLS CUI [3,1]
    C0086388
    UMLS CUI [3,2]
    C0581904
    UMLS CUI [3,3]
    C2987125
    UMLS CUI [3,4]
    C0556976
    UMLS CUI [4,1]
    C0086388
    UMLS CUI [4,2]
    C4708444
    UMLS CUI [4,3]
    C2987125
    UMLS CUI [4,4]
    C0556976
    UMLS CUI [5,1]
    C1300196
    UMLS CUI [5,2]
    C0557036
    UMLS CUI [5,3]
    C0581904
    UMLS CUI [5,4]
    C2987125
    UMLS CUI [5,5]
    C0556976
    UMLS CUI [6,1]
    C1300196
    UMLS CUI [6,2]
    C0557036
    UMLS CUI [6,3]
    C4708444
    UMLS CUI [6,4]
    C2987125
    UMLS CUI [6,5]
    C0556976
    UMLS CUI [7,1]
    C1300196
    UMLS CUI [7,2]
    C0449435
    UMLS CUI [7,3]
    C0581904
    UMLS CUI [7,4]
    C2987125
    UMLS CUI [7,5]
    C0556976
    UMLS CUI [8,1]
    C1300196
    UMLS CUI [8,2]
    C0449435
    UMLS CUI [8,3]
    C4708444
    UMLS CUI [8,4]
    C2987125
    UMLS CUI [8,5]
    C0556976
    UMLS CUI [9,1]
    C1300196
    UMLS CUI [9,2]
    C0850398
    UMLS CUI [9,3]
    C0581904
    UMLS CUI [9,4]
    C2987125
    UMLS CUI [9,5]
    C0556976
    UMLS CUI [10,1]
    C1300196
    UMLS CUI [10,2]
    C0850398
    UMLS CUI [10,3]
    C4708444
    UMLS CUI [10,4]
    C2987125
    UMLS CUI [10,5]
    C0556976
    UMLS CUI [11,1]
    C0149692
    UMLS CUI [11,2]
    C4708444
    UMLS CUI [11,3]
    C2987125
    UMLS CUI [11,4]
    C0556976
    UMLS CUI [12,1]
    C0149692
    UMLS CUI [12,2]
    C0581904
    UMLS CUI [12,3]
    C2987125
    UMLS CUI [12,4]
    C0556976
    UMLS CUI [13,1]
    C2986711
    UMLS CUI [13,2]
    C4708444
    UMLS CUI [13,3]
    C2987125
    UMLS CUI [13,4]
    C0556976
    UMLS CUI [14,1]
    C2986711
    UMLS CUI [14,2]
    C0581904
    UMLS CUI [14,3]
    C2987125
    UMLS CUI [14,4]
    C0556976
    UMLS CUI [15,1]
    C2371431
    UMLS CUI [15,2]
    C0581904
    UMLS CUI [15,3]
    C2987125
    UMLS CUI [15,4]
    C0556976
    UMLS CUI [16,1]
    C2371431
    UMLS CUI [16,2]
    C4708444
    UMLS CUI [16,3]
    C2987125
    UMLS CUI [16,4]
    C0556976
    UMLS CUI [17,1]
    C0577328
    UMLS CUI [17,2]
    C0581904
    UMLS CUI [17,3]
    C2987125
    UMLS CUI [17,4]
    C0556976
    UMLS CUI [18,1]
    C0577328
    UMLS CUI [18,2]
    C4708444
    UMLS CUI [18,3]
    C2987125
    UMLS CUI [18,4]
    C0556976
    hours in the past week
    Closure
    Descrizione

    Closure

    Alias
    UMLS CUI-1
    C1521802
    Has somebody helped you to complete this questionnaire?
    Descrizione

    Help to complete the questionnaire

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C3828841
    UMLS CUI [1,2]
    C0034394
    If yes, what did the help consist of?
    Descrizione

    Type of help to complete questionnaire

    Tipo di dati

    integer

    Alias
    UMLS CUI [1,1]
    C0332307
    UMLS CUI [1,2]
    C3828841
    UMLS CUI [1,3]
    C0034394
    If you have any comments, please write them down in the space below. This is the end of the questionnaire. Thank you very much for completing the questionnaire.
    Descrizione

    Comment

    Tipo di dati

    text

    Alias
    UMLS CUI [1]
    C0947611
    Ritorna all'inizio della pagina

    Similar models

    TOPICS-MDS Care Receiver Baseline + Follow-up (Zorgvrager Basismeting + Vervolgmeting)

    1 moduli
    Name
    genere
    Description | Question | Decode (Coded Value)
    Tipo di dati
    Alias
    Item Group
    Distinction if this form is filled in at baseline or follow-up.
    C1522577 (UMLS CUI-1)
    C1442488 (UMLS CUI-2)
    Item
    Please tick, if you fill in this form at baseline or follow-up.
    integer
    C1522577 (UMLS CUI [1,1])
    C1442488 (UMLS CUI [1,2])
    Baseline or Follow-up
    Code List
    Please tick, if you fill in this form at baseline or follow-up.
    CL Item
    Baseline (1)
    CL Item
    Follow-up (2)
    Item Group
    Date of birth, gender and postal code
    C1320722 (UMLS CUI-1)
    Assessment date
    Item
    Date of filling in the questionnaire
    date
    C2985720 (UMLS CUI [1])
    Date of birth
    Item
    Date of birth
    date
    C0421451 (UMLS CUI [1])
    Item
    Gender
    text
    C0079399 (UMLS CUI [1])
    Gender
    Code List
    Gender
    CL Item
    Male (1)
    CL Item
    Female (2)
    Postal code
    Item
    Postal code (four numbers)
    integer
    C0421454 (UMLS CUI [1])
    Item Group
    Personal information
    C1955348 (UMLS CUI-1)
    Item
    In which country were you born?
    integer
    C1300001 (UMLS CUI [1])
    Country of origin
    Code List
    In which country were you born?
    CL Item
    The Netherlands (1)
    CL Item
    Another country (2)
    Other country of origin
    Item
    If another country, in which country were you born?
    text
    C0205394 (UMLS CUI [1,1])
    C1300001 (UMLS CUI [1,2])
    Item
    In which country was your father born?
    integer
    C1300001 (UMLS CUI [1,1])
    C0015671 (UMLS CUI [1,2])
    Country of origin
    Code List
    In which country was your father born?
    CL Item
    The Netherlands (1)
    CL Item
    Another country (2)
    Other father's country of origin
    Item
    If another country, in which country was your father born?
    text
    C0205394 (UMLS CUI [1,1])
    C0015671 (UMLS CUI [1,2])
    C1300001 (UMLS CUI [1,3])
    Item
    In which country was your mother born?
    integer
    C1300001 (UMLS CUI [1,1])
    C0026591 (UMLS CUI [1,2])
    Country of origin
    Code List
    In which country was your mother born?
    CL Item
    The Netherlands (1)
    CL Item
    Another country (2)
    Other mother's country of origin
    Item
    If another country, in which country was your mother born?
    text
    C0205394 (UMLS CUI [1,1])
    C1300001 (UMLS CUI [1,2])
    C0026591 (UMLS CUI [1,3])
    Item
    What is the highest level of education that you have completed?
    integer
    C4264309 (UMLS CUI [1])
    Level of education
    Code List
    What is the highest level of education that you have completed?
    CL Item
    Fewer than 6 classes of primary school (1)
    (Comment:nl)
    CL Item
    6 Primary school classes / lom-school / mlk-school (2)
    (Comment:nl)
    CL Item
    More than primary school / primary school with uncompleted further (3)
    (Comment:nl)
    CL Item
    (Pre-)vocational secondary education (Ambachtsschool, vmbo) (4)
    (Comment:nl)
    CL Item
    Secondary vocational education (Mulo / mms / mavo / mbo) (5)
    (Comment:nl)
    CL Item
    University entrance level (Hbs / gymnasium / atheneum) (6)
    (Comment:nl)
    CL Item
    University / tertiary education / higher professional education (hbo) (7)
    (Comment:nl)
    Item
    What is your marital status?
    integer
    C0024819 (UMLS CUI [1])
    Level of education
    Code List
    What is your marital status?
    CL Item
    Married (1)
    CL Item
    Unmarried, no partner (2)
    CL Item
    Long-term cohabitation, unmarried  (3)
    CL Item
    Divorced (4)
    CL Item
    Widow / widower / partner deceased (5)
    Item
    Do you have children?
    integer
    C0008059 (UMLS CUI [1])
    Children
    Code List
    Do you have children?
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item Group
    Living situation
    C2184149 (UMLS CUI-1)
    Item
    What is your living situation?
    integer
    C2184149 (UMLS CUI [1])
    Living situation
    Code List
    What is your living situation?
    CL Item
    Independent, alone (1)
    CL Item
    Independent, with others (partner, children, etc.) (2)
    CL Item
    Care facility (nursing home / residential care centre)  (3)
    CL Item
    Another (4)
    Other Living situation
    Item
    If another, please specify:
    text
    C0205394 (UMLS CUI [1,1])
    C2184149 (UMLS CUI [1,2])
    Item Group
    Health and disease
    C0018759 (UMLS CUI-1)
    C0012634 (UMLS CUI-2)
    Health in general
    Item
    On a scale of 0 to 10: how do you rate your health in general TODAY? 0 indicates ‘completely unhealthy’ and 10 ‘completely healthy’.
    integer
    C0424575 (UMLS CUI [1,1])
    C0449438 (UMLS CUI [1,2])
    C0750526 (UMLS CUI [1,3])
    Item
    Please tick the one box that best describes your health TODAY. Mobility:
    integer
    C0547136 (UMLS CUI [1,1])
    C0750526 (UMLS CUI [1,2])
    Mobility
    Code List
    Please tick the one box that best describes your health TODAY. Mobility:
    CL Item
    I have no problems washing or dressing myself (1)
    CL Item
    I have slight problems washing or dressing myself (2)
    CL Item
    I have moderate problems washing or dressing myself  (3)
    CL Item
    I have severe problems washing or dressing myself (4)
    CL Item
    I am unable to wash or dress myself (5)
    Item
    Self-care:
    integer
    C0750526 (UMLS CUI [1,1])
    C0474417 (UMLS CUI [1,2])
    Mobility
    Code List
    Self-care:
    CL Item
    I have no problems washing or dressing myself (1)
    CL Item
    I have slight problems washing or dressing myself (2)
    CL Item
    I have moderate problems washing or dressing myself  (3)
    CL Item
    I have severe problems washing or dressing myself (4)
    CL Item
    I am unable to wash or dress myself (5)
    Item
    Usual activities (e.g. work, study, housework, family or leisure activities):
    integer
    C0001288 (UMLS CUI [1,1])
    C0750526 (UMLS CUI [1,2])
    Mobility
    Code List
    Usual activities (e.g. work, study, housework, family or leisure activities):
    CL Item
    I have no problems doing my usual activities (1)
    CL Item
    I have slight problems doing my usual activities (2)
    CL Item
    I have moderate problems doing my usual activities (3)
    CL Item
    I have severe problems doing my usual activities  (4)
    CL Item
    I am unable to do my usual activities (5)
    Item
    Pain / discomfort:
    integer
    C0030193 (UMLS CUI [1,1])
    C0750526 (UMLS CUI [1,2])
    C2364135 (UMLS CUI [2,1])
    C0750526 (UMLS CUI [2,2])
    Mobility
    Code List
    Pain / discomfort:
    CL Item
    I have no pain or discomfort (1)
    CL Item
    I have slight pain or discomfort (2)
    CL Item
    I have moderate pain or discomfort  (3)
    CL Item
    I have severe pain or discomfort (4)
    CL Item
    I have extreme pain or discomfort (5)
    Item
    Anxiety / depression:
    integer
    C0003467 (UMLS CUI [1,1])
    C0750526 (UMLS CUI [1,2])
    C0011581 (UMLS CUI [2,1])
    C0750526 (UMLS CUI [2,2])
    Mobility
    Code List
    Anxiety / depression:
    CL Item
    I am not anxious or depressed (1)
    CL Item
    I am slightly anxious or depressed (2)
    CL Item
    I am moderately anxious or depressed  (3)
    CL Item
    I am severely anxious or depressed (4)
    CL Item
    I am extremely anxious or depressed (5)
    Item
    Do you have complaints about your memory?
    integer
    C0233794 (UMLS CUI [1,1])
    C1254481 (UMLS CUI [1,2])
    Memory problems
    Code List
    Do you have complaints about your memory?
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Did you consult a doctor about your memory problems?
    integer
    C0233794 (UMLS CUI [1,1])
    C3826021 (UMLS CUI [1,2])
    Medical consultation
    Code List
    Did you consult a doctor about your memory problems?
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Did you fall in the past 12 months?
    integer
    C0085639 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Fall within past year
    Code List
    Did you fall in the past 12 months?
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    The following questions are about the diseases and conditions that you have or have had. Do you have or have you had one or more of the following diseases and conditions in the past 12 months? Tick “No”or “Yes” for all diseases and conditions mentioned. Diabetes:
    integer
    C0011849 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Children
    Code List
    The following questions are about the diseases and conditions that you have or have had. Do you have or have you had one or more of the following diseases and conditions in the past 12 months? Tick “No”or “Yes” for all diseases and conditions mentioned. Diabetes:
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Stroke, cerebral haemorrhage (bleed in the brain), cerebral infarction (blocked bloodvessel in the brain) or TIA:
    integer
    C0038454 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    C0007787 (UMLS CUI [2,1])
    C3887293 (UMLS CUI [2,2])
    C0007785 (UMLS CUI [3,1])
    C3887293 (UMLS CUI [3,2])
    C2937358 (UMLS CUI [4,1])
    C3887293 (UMLS CUI [4,2])
    Children
    Code List
    Stroke, cerebral haemorrhage (bleed in the brain), cerebral infarction (blocked bloodvessel in the brain) or TIA:
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Heart failure, myocardial infarction (heart attack) or other heart condition:
    integer
    C0018801 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    C0027051 (UMLS CUI [2,1])
    C3887293 (UMLS CUI [2,2])
    C0205394 (UMLS CUI [3,1])
    C3842523 (UMLS CUI [3,2])
    C3887293 (UMLS CUI [3,3])
    Children
    Code List
    Heart failure, myocardial infarction (heart attack) or other heart condition:
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    A type of cancer (malignant disease):
    integer
    C0006826 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Children
    Code List
    A type of cancer (malignant disease):
    CL Item
    No (0)
    CL Item
    Yes (1)
    Cancer type within past year
    Item
    Please specify the type of cancer you have or have had:
    text
    C0006826 (UMLS CUI [1,1])
    C0332307 (UMLS CUI [1,2])
    C3887293 (UMLS CUI [1,3])
    Item
    Asthma, chronic bronchitis, pulmonary emphysema or COPD:
    integer
    C0004096 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    C0008677 (UMLS CUI [2,1])
    C3887293 (UMLS CUI [2,2])
    C0034067 (UMLS CUI [3,1])
    C3887293 (UMLS CUI [3,2])
    C0024117 (UMLS CUI [4,1])
    C3887293 (UMLS CUI [4,2])
    Children
    Code List
    Asthma, chronic bronchitis, pulmonary emphysema or COPD:
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Involuntary urinary loss (incontinence):
    integer
    C0021167 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Children
    Code List
    Involuntary urinary loss (incontinence):
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Wearing of the joints (arthrosis, osteoarthritis / degenerative arthritis):
    integer
    C0029408 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Children
    Code List
    Wearing of the joints (arthrosis, osteoarthritis / degenerative arthritis):
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Chronic joint inflammation (arthritis):
    integer
    C0003864 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Children
    Code List
    Chronic joint inflammation (arthritis):
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Loss of bone tissue (osteoporosis):
    integer
    C0029456 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Children
    Code List
    Loss of bone tissue (osteoporosis):
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Hip fracture or other bone fractures:
    integer
    C0019557 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    C0205394 (UMLS CUI [2,1])
    C0016658 (UMLS CUI [2,2])
    C3887293 (UMLS CUI [2,3])
    Children
    Code List
    Hip fracture or other bone fractures:
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Dizziness:
    integer
    C0012833 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Children
    Code List
    Dizziness:
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Neurological disease (Parkinson’s disease, multiple sclerosis, epilepsy):
    integer
    C0027765 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    C0030567 (UMLS CUI [2,1])
    C3887293 (UMLS CUI [2,2])
    C0026769 (UMLS CUI [3,1])
    C3887293 (UMLS CUI [3,2])
    C0014544 (UMLS CUI [4,1])
    C3887293 (UMLS CUI [4,2])
    Children
    Code List
    Neurological disease (Parkinson’s disease, multiple sclerosis, epilepsy):
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Depression:
    integer
    C0011581 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Children
    Code List
    Depression:
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Anxiety / panic disorder:
    integer
    C0003467 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    C0030319 (UMLS CUI [2,1])
    C3887293 (UMLS CUI [2,2])
    Children
    Code List
    Anxiety / panic disorder:
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Dementia:
    integer
    C0497327 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Children
    Code List
    Dementia:
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Hearing problems (despite hearing aid):
    integer
    C0521116 (UMLS CUI [1,1])
    C3898940 (UMLS CUI [1,2])
    C3641650 (UMLS CUI [1,3])
    C0542459 (UMLS CUI [1,4])
    C3898940 (UMLS CUI [2,1])
    C3887293 (UMLS CUI [2,2])
    C3641650 (UMLS CUI [2,3])
    C0542459 (UMLS CUI [2,4])
    Children
    Code List
    Hearing problems (despite hearing aid):
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Problems with vision (despite glasses / contact lenses):
    integer
    C3665347 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    C3641650 (UMLS CUI [1,3])
    C3843284 (UMLS CUI [1,4])
    Children
    Code List
    Problems with vision (despite glasses / contact lenses):
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item Group
    Tasks and activities of daily life
    C0001288 (UMLS CUI-1)
    Item
    The following questions refer to daily activities which should be performed frequently, such as walking a flight of stairs or cooking. In each question it is asked whether you are able to perform the activity at this moment. It is not intended to assess whether you are actually performing the activities, but if you can do them if necessary. Can you, fully independently, dress yourself?
    integer
    C0429966 (UMLS CUI [1])
    Dress yourself
    Code List
    The following questions refer to daily activities which should be performed frequently, such as walking a flight of stairs or cooking. In each question it is asked whether you are able to perform the activity at this moment. It is not intended to assess whether you are actually performing the activities, but if you can do them if necessary. Can you, fully independently, dress yourself?
    CL Item
    Yes, I can do it fully independently without any difficulty (1)
    CL Item
    Yes, I can do it fully independently but with some difficulty (2)
    CL Item
    Yes, I can do it fully independently but with great difficulty (3)
    CL Item
    No, I cannot do it fully independently, I can only do it with someone's help (4)
    Item
    Can you, fully independently, stand up from sitting in a chair?
    integer
    C0560792 (UMLS CUI [1,1])
    C1299583 (UMLS CUI [1,2])
    Dress yourself
    Code List
    Can you, fully independently, stand up from sitting in a chair?
    CL Item
    Yes, I can do it fully independently without any difficulty (1)
    CL Item
    Yes, I can do it fully independently but with some difficulty (2)
    CL Item
    Yes, I can do it fully independently but with great difficulty (3)
    CL Item
    No, I cannot do it fully independently, I can only do it with someone's help (4)
    Item
    Can you, fully independently, wash and dry your whole body?
    integer
    C4055522 (UMLS CUI [1,1])
    C1299583 (UMLS CUI [1,2])
    Dress yourself
    Code List
    Can you, fully independently, wash and dry your whole body?
    CL Item
    Yes, I can do it fully independently without any difficulty (1)
    CL Item
    Yes, I can do it fully independently but with some difficulty (2)
    CL Item
    Yes, I can do it fully independently but with great difficulty (3)
    CL Item
    No, I cannot do it fully independently, I can only do it with someone's help (4)
    Item
    Can you, fully independently, go up and down the stairs?
    integer
    C0560077 (UMLS CUI [1,1])
    C1299583 (UMLS CUI [1,2])
    C0560081 (UMLS CUI [2,1])
    C1299583 (UMLS CUI [2,2])
    Dress yourself
    Code List
    Can you, fully independently, go up and down the stairs?
    CL Item
    Yes, I can do it fully independently without any difficulty (1)
    CL Item
    Yes, I can do it fully independently but with some difficulty (2)
    CL Item
    Yes, I can do it fully independently but with great difficulty (3)
    CL Item
    No, I cannot do it fully independently, I can only do it with someone's help (4)
    Item
    Can you, fully independently, walk outdoors (if necessary with a cane or wheel rollator)?
    integer
    C4722228 (UMLS CUI [1,1])
    C4283770 (UMLS CUI [1,2])
    C1299583 (UMLS CUI [1,3])
    C0750377 (UMLS CUI [2,1])
    C4283770 (UMLS CUI [2,2])
    C1299583 (UMLS CUI [2,3])
    C1524063 (UMLS CUI [3,1])
    C0184339 (UMLS CUI [3,2])
    C4283770 (UMLS CUI [3,3])
    C1299583 (UMLS CUI [3,4])
    Dress yourself
    Code List
    Can you, fully independently, walk outdoors (if necessary with a cane or wheel rollator)?
    CL Item
    Yes, I can do it fully independently without any difficulty (1)
    CL Item
    Yes, I can do it fully independently but with some difficulty (2)
    CL Item
    Yes, I can do it fully independently but with great difficulty (3)
    CL Item
    No, I cannot do it fully independently, I can only do it with someone's help (4)
    Item
    Can you, fully independently, take care of your feet and toenails?
    integer
    C3873451 (UMLS CUI [1,1])
    C1299583 (UMLS CUI [1,2])
    C0749563 (UMLS CUI [2,1])
    C1299583 (UMLS CUI [2,2])
    Dress yourself
    Code List
    Can you, fully independently, take care of your feet and toenails?
    CL Item
    Yes, I can do it fully independently without any difficulty (1)
    CL Item
    Yes, I can do it fully independently but with some difficulty (2)
    CL Item
    Yes, I can do it fully independently but with great difficulty (3)
    CL Item
    No, I cannot do it fully independently, I can only do it with someone's help (4)
    Item
    Can you, fully independently, do “light” household activities (for example, dusting and tidying up)?
    integer
    C4055557 (UMLS CUI [1,1])
    C1299583 (UMLS CUI [1,2])
    Dress yourself
    Code List
    Can you, fully independently, do “light” household activities (for example, dusting and tidying up)?
    CL Item
    Yes, I can do it fully independently without any difficulty (1)
    CL Item
    Yes, I can do it fully independently but with some difficulty (2)
    CL Item
    Yes, I can do it fully independently but with great difficulty (3)
    CL Item
    No, I cannot do it fully independently, I can only do it with someone's help (4)
    Item
    Can you, fully independently, do the shopping?
    integer
    C4055547 (UMLS CUI [1,1])
    C1299583 (UMLS CUI [1,2])
    Dress yourself
    Code List
    Can you, fully independently, do the shopping?
    CL Item
    Yes, I can do it fully independently without any difficulty (1)
    CL Item
    Yes, I can do it fully independently but with some difficulty (2)
    CL Item
    Yes, I can do it fully independently but with great difficulty (3)
    CL Item
    No, I cannot do it fully independently, I can only do it with someone's help (4)
    Item
    Can you, fully independently, take your medicines?
    integer
    C4075001 (UMLS CUI [1,1])
    C1299583 (UMLS CUI [1,2])
    Dress yourself
    Code List
    Can you, fully independently, take your medicines?
    CL Item
    Yes, I can do it fully independently without any difficulty (1)
    CL Item
    Yes, I can do it fully independently but with some difficulty (2)
    CL Item
    Yes, I can do it fully independently but with great difficulty (3)
    CL Item
    No, I cannot do it fully independently, I can only do it with someone's help (4)
    Item
    Can you, fully independently, use your own or public transportation?
    integer
    C0871194 (UMLS CUI [1,1])
    C1299583 (UMLS CUI [1,2])
    C4274917 (UMLS CUI [2,1])
    C1299583 (UMLS CUI [2,2])
    Dress yourself
    Code List
    Can you, fully independently, use your own or public transportation?
    CL Item
    Yes, I can do it fully independently without any difficulty (1)
    CL Item
    Yes, I can do it fully independently but with some difficulty (2)
    CL Item
    Yes, I can do it fully independently but with great difficulty (3)
    CL Item
    No, I cannot do it fully independently, I can only do it with someone's help (4)
    Item Group
    Do you experience complaints with your mouth, jaws or temples?
    C1161186 (UMLS CUI-1)
    C0848667 (UMLS CUI-2)
    C2108445 (UMLS CUI-3)
    C0935456 (UMLS CUI-4)
    C1457887 (UMLS CUI-5)
    Item
    I experience pain
    integer
    C0221776 (UMLS CUI [1])
    C0236000 (UMLS CUI [2])
    C0935456 (UMLS CUI [3,1])
    C0030193 (UMLS CUI [3,2])
    Children
    Code List
    I experience pain
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    I have chewing complaints
    integer
    C0424869 (UMLS CUI [1])
    Children
    Code List
    I have chewing complaints
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    I have dry mouth complaints
    integer
    C0043352 (UMLS CUI [1])
    Children
    Code List
    I have dry mouth complaints
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    I have swallowing complaints
    integer
    C0392678 (UMLS CUI [1])
    Children
    Code List
    I have swallowing complaints
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item Group
    How you are feeling
    C1527305 (UMLS CUI-1)
    Item
    The following questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks have you been a very nervous person?
    integer
    C0849963 (UMLS CUI [1,1])
    C3828653 (UMLS CUI [1,2])
    Nervous
    Code List
    The following questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks have you been a very nervous person?
    CL Item
    All of the time (1)
    CL Item
    Most of the time (2)
    CL Item
    A good bit of the time (3)
    CL Item
    Some of the time  (4)
    CL Item
    A little of the time  (5)
    CL Item
    None of the time (6)
    Item
    How much of the time during the past 4 weeks have you felt calm and peaceful?
    integer
    C3829745 (UMLS CUI [1,1])
    C3828653 (UMLS CUI [1,2])
    Nervous
    Code List
    How much of the time during the past 4 weeks have you felt calm and peaceful?
    CL Item
    All of the time (1)
    CL Item
    Most of the time (2)
    CL Item
    A good bit of the time (3)
    CL Item
    Some of the time  (4)
    CL Item
    A little of the time  (5)
    CL Item
    None of the time (6)
    Item
    How much of the time during the past 4 weeks have you felt downhearted and blue?
    integer
    C3828653 (UMLS CUI [1,1])
    C3829743 (UMLS CUI [1,2])
    Nervous
    Code List
    How much of the time during the past 4 weeks have you felt downhearted and blue?
    CL Item
    All of the time (1)
    CL Item
    Most of the time (2)
    CL Item
    A good bit of the time (3)
    CL Item
    Some of the time  (4)
    CL Item
    A little of the time  (5)
    CL Item
    None of the time (6)
    Item
    How much of the time during the past 4 weeks have you been a happy person?
    integer
    C3828653 (UMLS CUI [1,1])
    C3829752 (UMLS CUI [1,2])
    Nervous
    Code List
    How much of the time during the past 4 weeks have you been a happy person?
    CL Item
    All of the time (1)
    CL Item
    Most of the time (2)
    CL Item
    A good bit of the time (3)
    CL Item
    Some of the time  (4)
    CL Item
    A little of the time  (5)
    CL Item
    None of the time (6)
    Item
    How much of the time during the past 4 weeks have you felt so down in the dumps that nothing could cheer you up?
    integer
    C3828653 (UMLS CUI [1,1])
    C3829738 (UMLS CUI [1,2])
    Nervous
    Code List
    How much of the time during the past 4 weeks have you felt so down in the dumps that nothing could cheer you up?
    CL Item
    All of the time (1)
    CL Item
    Most of the time (2)
    CL Item
    A good bit of the time (3)
    CL Item
    Some of the time  (4)
    CL Item
    A little of the time  (5)
    CL Item
    None of the time (6)
    Item Group
    Social activities
    C0814554 (UMLS CUI-1)
    Item
    During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?
    integer
    C3484327 (UMLS CUI [1])
    Social activities
    Code List
    During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?
    CL Item
    All of the time (1)
    CL Item
    Most of the time (2)
    CL Item
    Some of the time  (3)
    CL Item
    A little of the time  (4)
    CL Item
    None of the time (5)
    Item Group
    Quality of life
    C0034380 (UMLS CUI-1)
    Quality of life at this moment
    Item
    The following question is about your ‘quality of life’. This refers to what you think about your life. For example, whether you are satisfied with your life, whether you have enjoyment in your life and whether your life gives you satisfaction. On a scale of 0 to 10: how do you rate your life at this moment? 0 indicates ‘completely unsatisfied’ and 10 ‘completely satisfied’.
    integer
    C3476431 (UMLS CUI [1,1])
    C0521116 (UMLS CUI [1,2])
    Item Group
    Your care use
    C0814514 (UMLS CUI-1)
    Item
    Have you been admitted to the hospital in the past 12 months? You had to stay overnight, for example because you had surgery and could not go home the same day.
    integer
    C0184666 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Admission to hospital past year
    Code List
    Have you been admitted to the hospital in the past 12 months? You had to stay overnight, for example because you had surgery and could not go home the same day.
    CL Item
    No (0)
    CL Item
    Yes (1)
    Admission quantity to hospital past year
    Item
    Did you tick “Yes”? Please answer the following two questions. If not, go to the question "Have you visited the emergency department of a hospital for yourself in the past 12 months?” How many times in total in the past 12 months did you stay in hospital?
    integer
    C0184666 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    C1265611 (UMLS CUI [1,3])
    Days in hospital past year
    Item
    How many days did you stay in hospital in total? If you stayed in hospital more than once in the past 12 months, then please sum up the number of days you stayed during each of the admissions.
    integer
    C3694481 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Item
    Have you visited the emergency department of a hospital for yourself in the past 12 months? Other names for emergency department are: emergency room (ER), emergency ward, accident & emergency department (A&E) or casualty department.
    integer
    C0586082 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Emergency department past year
    Code List
    Have you visited the emergency department of a hospital for yourself in the past 12 months? Other names for emergency department are: emergency room (ER), emergency ward, accident & emergency department (A&E) or casualty department.
    CL Item
    No (0)
    CL Item
    Yes (1)
    Visit quantity of emergency department past year
    Item
    If yes, how many times have you visited the emergency department of a hospital for yourself in the past 12 months?
    integer
    C0586082 (UMLS CUI [1,1])
    C1265611 (UMLS CUI [1,2])
    C3887293 (UMLS CUI [1,3])
    Item
    Have you visited an out-of-office hours GP service or had a visit from a general practitioner in the evening, night or on the weekend for yourself in the past 12 months?
    integer
    C0017319 (UMLS CUI [1,1])
    C0498340 (UMLS CUI [1,2])
    C3887293 (UMLS CUI [1,3])
    C0017319 (UMLS CUI [2,1])
    C1947978 (UMLS CUI [2,2])
    C0587117 (UMLS CUI [2,3])
    C3887293 (UMLS CUI [2,4])
    C0017319 (UMLS CUI [3,1])
    C1947978 (UMLS CUI [3,2])
    C0240526 (UMLS CUI [3,3])
    C3887293 (UMLS CUI [3,4])
    C0017319 (UMLS CUI [4,1])
    C0581045 (UMLS CUI [4,2])
    C3887293 (UMLS CUI [4,3])
    Out-of-office hours GP service past year
    Code List
    Have you visited an out-of-office hours GP service or had a visit from a general practitioner in the evening, night or on the weekend for yourself in the past 12 months?
    CL Item
    No (0)
    CL Item
    Yes (1)
    Visit quantity of out-of-office hours GP service
    Item
    If yes, how many times in total have you visited an out-of-office hours GP service or had a visit from a general practitioner in the evening, night or on the weekend for yourself in the past 12 months?
    integer
    C0017319 (UMLS CUI [1,1])
    C0498340 (UMLS CUI [1,2])
    C1265611 (UMLS CUI [1,3])
    C3887293 (UMLS CUI [1,4])
    C0017319 (UMLS CUI [2,1])
    C1947978 (UMLS CUI [2,2])
    C1265611 (UMLS CUI [2,3])
    C0587117 (UMLS CUI [2,4])
    C3887293 (UMLS CUI [2,5])
    C0017319 (UMLS CUI [3,1])
    C1947978 (UMLS CUI [3,2])
    C1265611 (UMLS CUI [3,3])
    C0240526 (UMLS CUI [3,4])
    C3887293 (UMLS CUI [3,5])
    C0017319 (UMLS CUI [4,1])
    C0581045 (UMLS CUI [4,2])
    C1265611 (UMLS CUI [4,3])
    C3887293 (UMLS CUI [4,4])
    Item
    How many appointments (office hours and house calls) have you had with a general practitioner for yourself in the past 12 months?
    text
    C0017319 (UMLS CUI [1,1])
    C1512346 (UMLS CUI [1,2])
    C1265611 (UMLS CUI [1,3])
    C3887293 (UMLS CUI [1,4])
    GP
    Code List
    How many appointments (office hours and house calls) have you had with a general practitioner for yourself in the past 12 months?
    CL Item
    Not a single appointment (1)
    CL Item
    One or more appointments (2)
    GP visit past year
    Item
    If one or more appointments, how many appointments (office hours and house calls) have you had with a general practitioner for yourself in the past 12 months in total?
    integer
    C0017319 (UMLS CUI [1,1])
    C1512346 (UMLS CUI [1,2])
    C1265611 (UMLS CUI [1,3])
    C3887293 (UMLS CUI [1,4])
    Item
    Did you receive home care in the past 12 months?
    integer
    C0204977 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Receive home care
    Code List
    Did you receive home care in the past 12 months?
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Have you had help with household chores (for example: vacuuming, making the bed, grocery shopping) in the past 12 months? Answer this question only, if you have ticked "Yes" in the question about receiving home care.
    integer
    C1514756 (UMLS CUI [1,1])
    C3273800 (UMLS CUI [1,2])
    C0557036 (UMLS CUI [1,3])
    C3887293 (UMLS CUI [1,4])
    Help with household chores past year
    Code List
    Have you had help with household chores (for example: vacuuming, making the bed, grocery shopping) in the past 12 months? Answer this question only, if you have ticked "Yes" in the question about receiving home care.
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Have you received home care in the form of help with personal care (for example: help with bathing/showering or dressing) in the past 12 months? Answer this question only, if you have ticked "Yes" in the question about receiving home care.
    integer
    C1514756 (UMLS CUI [1,1])
    C0686948 (UMLS CUI [1,2])
    C3887293 (UMLS CUI [1,3])
    Help with personal care past year
    Code List
    Have you received home care in the form of help with personal care (for example: help with bathing/showering or dressing) in the past 12 months? Answer this question only, if you have ticked "Yes" in the question about receiving home care.
    CL Item
    No (0)
    CL Item
    Yes (1)
    Item
    Have you received home care in the form of nursing care (for example: changing dressings, administering medications, measuring blood pressure) in the past 12 months? Answer this question only, if you have ticked "Yes" in the question about receiving home care.
    integer
    C0028682 (UMLS CUI [1,1])
    C1553498 (UMLS CUI [1,2])
    C3887293 (UMLS CUI [1,3])
    Nursing care past year
    Code List
    Have you received home care in the form of nursing care (for example: changing dressings, administering medications, measuring blood pressure) in the past 12 months? Answer this question only, if you have ticked "Yes" in the question about receiving home care.
    CL Item
    No (0)
    CL Item
    Yes (1)
    Quantity of weeks of help with household past year
    Item
    How many weeks did you receive help with household chores? Please, sum up all weeks in the past 12 months. Answer this question only, if you have ticked "Yes" in the question about receiving help with household chores. Please note: a period of 12 months concerns 52 weeks.
    integer
    C3273800 (UMLS CUI [1,1])
    C1514756 (UMLS CUI [1,2])
    C0557036 (UMLS CUI [1,3])
    C3887293 (UMLS CUI [1,4])
    C0557840 (UMLS CUI [1,5])
    Quantity of weeks of help with personal care
    Item
    How many weeks did you receive help with personal care? Please, sum up all weeks in the past 12 months. Answer this question only, if you have ticked "Yes" in the question about receiving personal care. Please note: a period of 12 months concerns 52 weeks.
    integer
    C1514756 (UMLS CUI [1,1])
    C0686948 (UMLS CUI [1,2])
    C3887293 (UMLS CUI [1,3])
    C0557840 (UMLS CUI [1,4])
    Quantity of weeks of nursing care past year
    Item
    How many weeks did you receive home care in the form of nursing care? Please, sum up all weeks in the past 12 months. Answer this question only, if you have ticked "Yes" in the question about receiving nursing care. Please note: a period of 12 months concerns 52 weeks.
    integer
    C0028682 (UMLS CUI [1,1])
    C1553498 (UMLS CUI [1,2])
    C1948053 (UMLS CUI [1,3])
    C0557840 (UMLS CUI [1,4])
    C3887293 (UMLS CUI [1,5])
    Quantity of hours of help with household past year
    Item
    How many hours of help with household chores did you receive during these weeks on average? Answer this question only, if you have ticked "Yes" in the question about receiving help with household chores.
    integer
    C3273800 (UMLS CUI [1,1])
    C1514756 (UMLS CUI [1,2])
    C0557036 (UMLS CUI [1,3])
    C3887293 (UMLS CUI [1,4])
    C4289948 (UMLS CUI [1,5])
    Quantity of hours of help with personal care
    Item
    How many hours of help with personal care did you receive during these weeks on average? Answer this question only, if you have ticked "Yes" in the question about receiving personal care. Please note: a period of 12 months concerns 52 weeks.
    integer
    C1514756 (UMLS CUI [1,1])
    C0686948 (UMLS CUI [1,2])
    C4289948 (UMLS CUI [1,3])
    C3887293 (UMLS CUI [1,4])
    Quantity of hours of nursing care past year
    Item
    How many hours of home care in the form of nursing care did you receive during these weeks on average? Answer this question only, if you have ticked "Yes" in the question about receiving nursing care.
    integer
    C0028682 (UMLS CUI [1,1])
    C1553498 (UMLS CUI [1,2])
    C4289948 (UMLS CUI [1,3])
    Item
    In the past 12 months, did you have to stay overnight somewhere else than your own home because of your health? For example, in a nursing home, residential care center, psychiatric hospital or rehabilitation center?
    integer
    C0018704 (UMLS CUI [1,1])
    C0439583 (UMLS CUI [1,2])
    C3177049 (UMLS CUI [1,3])
    C3887293 (UMLS CUI [1,4])
    C0439583 (UMLS CUI [2,1])
    C0028688 (UMLS CUI [2,2])
    C0439583 (UMLS CUI [3,1])
    C0035186 (UMLS CUI [3,2])
    C0439583 (UMLS CUI [4,1])
    C0259948 (UMLS CUI [4,2])
    C0439583 (UMLS CUI [5,1])
    C1550688 (UMLS CUI [5,2])
    Stay overnight past year in nursing home, residential care center, psychiatric hospital or rehabilitation center
    Code List
    In the past 12 months, did you have to stay overnight somewhere else than your own home because of your health? For example, in a nursing home, residential care center, psychiatric hospital or rehabilitation center?
    CL Item
    No (0)
    CL Item
    Yes (1)
    Quantity of overnight stays past year
    Item
    If you have stayed somewhere else overnight in the past 12 months, how many times in total?
    integer
    C0018704 (UMLS CUI [1,1])
    C0439583 (UMLS CUI [1,2])
    C3177049 (UMLS CUI [1,3])
    C0439603 (UMLS CUI [1,4])
    C3887293 (UMLS CUI [1,5])
    Length of overnight stays past year
    Item
    If you have stayed somewhere else overnight in the past 12 months, how long did you stay in this care facility? If you stayed more than once in a care facility in the past 12 months, please sum up the number of days of all stays together.
    integer
    C0018704 (UMLS CUI [1,1])
    C0439583 (UMLS CUI [1,2])
    C3177049 (UMLS CUI [1,3])
    C0023303 (UMLS CUI [1,4])
    C3887293 (UMLS CUI [1,5])
    Item
    In the past 12 months, did you stay somewhere else than your own home during the day for treatment? So, you did not stay overnight. For example, you went to day care or day treatment.
    integer
    C0002423 (UMLS CUI [1,1])
    C3887293 (UMLS CUI [1,2])
    Outpatient day care past year
    Code List
    In the past 12 months, did you stay somewhere else than your own home during the day for treatment? So, you did not stay overnight. For example, you went to day care or day treatment.
    CL Item
    No (0)
    CL Item
    Yes (1)
    Quantity of outpatient day care past year
    Item
    If yes, how many times per week did you stay somewhere else than your own home during the day for treatment in the past 12 months? So, you did not stay overnight. For example, you went to day care or day treatment.
    integer
    C0002423 (UMLS CUI [1,1])
    C0456698 (UMLS CUI [1,2])
    C3887293 (UMLS CUI [1,3])
    Item
    Because of your health problems, did you receive help from your family or friends in the past week with household chores such as preparing food, cleaning your house, doing the laundry, ironing or mending your cloths, grocery shopping or do odd jobs in and around the house?
    integer
    C0001288 (UMLS CUI [1,1])
    C0581904 (UMLS CUI [1,2])
    C2987125 (UMLS CUI [1,3])
    C0001288 (UMLS CUI [2,1])
    C4708444 (UMLS CUI [2,2])
    C2987125 (UMLS CUI [2,3])
    Support with household chores in the past week
    Code List
    Because of your health problems, did you receive help from your family or friends in the past week with household chores such as preparing food, cleaning your house, doing the laundry, ironing or mending your cloths, grocery shopping or do odd jobs in and around the house?
    CL Item
    No (0)
    CL Item
    Yes (1)
    Quantity of hours of support with household chores past week
    Item
    If yes, how many hours did you receive help from your family or friends in the past week?
    integer
    C0001288 (UMLS CUI [1,1])
    C0581904 (UMLS CUI [1,2])
    C0556976 (UMLS CUI [1,3])
    C0001288 (UMLS CUI [2,1])
    C4708444 (UMLS CUI [2,2])
    C0556976 (UMLS CUI [2,3])
    Item
    Because of your health problems, did you receive help from your family or friends in the past week with personal care (dressing, washing your body, combing your hair, shaving), toileting, transferring in the house, eating, drinken or taking medications?
    integer
    C0563471 (UMLS CUI [1,1])
    C0581904 (UMLS CUI [1,2])
    C2987125 (UMLS CUI [1,3])
    C0563471 (UMLS CUI [2,1])
    C4708444 (UMLS CUI [2,2])
    C2987125 (UMLS CUI [2,3])
    C0150810 (UMLS CUI [3,1])
    C0581904 (UMLS CUI [3,2])
    C2987125 (UMLS CUI [3,3])
    C0150810 (UMLS CUI [4,1])
    C4708444 (UMLS CUI [4,2])
    C2987125 (UMLS CUI [4,3])
    C2371389 (UMLS CUI [5,1])
    C0581904 (UMLS CUI [5,2])
    C2987125 (UMLS CUI [5,3])
    C2371389 (UMLS CUI [6,1])
    C4708444 (UMLS CUI [6,2])
    C2987125 (UMLS CUI [6,3])
    C1279813 (UMLS CUI [7,1])
    C4708444 (UMLS CUI [7,2])
    C2987125 (UMLS CUI [7,3])
    C1279813 (UMLS CUI [8,1])
    C0581904 (UMLS CUI [8,2])
    C2987125 (UMLS CUI [8,3])
    C1290952 (UMLS CUI [9,1])
    C0581904 (UMLS CUI [9,2])
    C2987125 (UMLS CUI [9,3])
    C1290952 (UMLS CUI [10,1])
    C4708444 (UMLS CUI [10,2])
    C2987125 (UMLS CUI [10,3])
    Support with personal care in the past week
    Code List
    Because of your health problems, did you receive help from your family or friends in the past week with personal care (dressing, washing your body, combing your hair, shaving), toileting, transferring in the house, eating, drinken or taking medications?
    CL Item
    No (0)
    CL Item
    Yes (1)
    Quantity of hours per week of support with personal care
    Item
    If yes, how many hours per week did you receive help from your family or friends in the past week with personal care?
    integer
    C0563471 (UMLS CUI [1,1])
    C0581904 (UMLS CUI [1,2])
    C0556976 (UMLS CUI [1,3])
    C0563471 (UMLS CUI [2,1])
    C4708444 (UMLS CUI [2,2])
    C0556976 (UMLS CUI [2,3])
    Item
    Because of your health problems, did you receive help from your family or friends in the past week with getting around outside the house, making trips, visiting family or friends, dealings with health care (attending your visits to the GP, hospital or treatment), arranging for help, aids or home adjustments, or arranging your finances or paper work?
    integer
    C3842571 (UMLS CUI [1,1])
    C0581904 (UMLS CUI [1,2])
    C2987125 (UMLS CUI [1,3])
    C4708444 (UMLS CUI [2,1])
    C2987125 (UMLS CUI [2,2])
    C0086388 (UMLS CUI [3,1])
    C0581904 (UMLS CUI [3,2])
    C2987125 (UMLS CUI [3,3])
    C0086388 (UMLS CUI [4,1])
    C4708444 (UMLS CUI [4,2])
    C2987125 (UMLS CUI [4,3])
    C1300196 (UMLS CUI [5,1])
    C0557036 (UMLS CUI [5,2])
    C0581904 (UMLS CUI [5,3])
    C2987125 (UMLS CUI [5,4])
    C1300196 (UMLS CUI [6,1])
    C0557036 (UMLS CUI [6,2])
    C4708444 (UMLS CUI [6,3])
    C2987125 (UMLS CUI [6,4])
    C1300196 (UMLS CUI [7,1])
    C0449435 (UMLS CUI [7,2])
    C0581904 (UMLS CUI [7,3])
    C2987125 (UMLS CUI [7,4])
    C1300196 (UMLS CUI [8,1])
    C0449435 (UMLS CUI [8,2])
    C4708444 (UMLS CUI [8,3])
    C2987125 (UMLS CUI [8,4])
    C1300196 (UMLS CUI [9,1])
    C0850398 (UMLS CUI [9,2])
    C0581904 (UMLS CUI [9,3])
    C2987125 (UMLS CUI [9,4])
    C1300196 (UMLS CUI [10,1])
    C0850398 (UMLS CUI [10,2])
    C4708444 (UMLS CUI [10,3])
    C2987125 (UMLS CUI [10,4])
    C0149692 (UMLS CUI [11,1])
    C4708444 (UMLS CUI [11,2])
    C2987125 (UMLS CUI [11,3])
    C0149692 (UMLS CUI [12,1])
    C0581904 (UMLS CUI [12,2])
    C2987125 (UMLS CUI [12,3])
    C2986711 (UMLS CUI [13,1])
    C4708444 (UMLS CUI [13,2])
    C2987125 (UMLS CUI [13,3])
    C2986711 (UMLS CUI [14,1])
    C0581904 (UMLS CUI [14,2])
    C2987125 (UMLS CUI [14,3])
    C2371431 (UMLS CUI [15,1])
    C0581904 (UMLS CUI [15,2])
    C2987125 (UMLS CUI [15,3])
    C2371431 (UMLS CUI [16,1])
    C4708444 (UMLS CUI [16,2])
    C2987125 (UMLS CUI [16,3])
    C0577328 (UMLS CUI [17,1])
    C0581904 (UMLS CUI [17,2])
    C2987125 (UMLS CUI [17,3])
    C0577328 (UMLS CUI [18,1])
    C4708444 (UMLS CUI [18,2])
    C2987125 (UMLS CUI [18,3])
    Help from family or friends in past week with getting around outside the house, making trips, visiting family or friends, dealings with health care (attending your visits to the GP, hospital or treatment), arranging for help, aids or home adjustments, or arranging your finances or paper work
    Code List
    Because of your health problems, did you receive help from your family or friends in the past week with getting around outside the house, making trips, visiting family or friends, dealings with health care (attending your visits to the GP, hospital or treatment), arranging for help, aids or home adjustments, or arranging your finances or paper work?
    CL Item
    No (0)
    CL Item
    Yes (1)
    Quantity of hours of Help from family or friends in past week with getting around outside the house, making trips, visiting family or friends, dealings with health care (attending your visits to the GP, hospital or treatment), arranging for help, aids or home adjustments, or arranging your finances or paper work
    Item
    If yes, how many hours per week did you receive help from your family or friends in the past week with getting around outside the house, making trips, visiting family or friends, dealings with health care (attending your visits to the GP, hospital or treatment), arranging for help, aids or home adjustments, or arranging your finances or paper work?
    integer
    C3842571 (UMLS CUI [1,1])
    C0581904 (UMLS CUI [1,2])
    C2987125 (UMLS CUI [1,3])
    C0556976 (UMLS CUI [1,4])
    C4708444 (UMLS CUI [2,1])
    C2987125 (UMLS CUI [2,2])
    C0556976 (UMLS CUI [2,3])
    C0086388 (UMLS CUI [3,1])
    C0581904 (UMLS CUI [3,2])
    C2987125 (UMLS CUI [3,3])
    C0556976 (UMLS CUI [3,4])
    C0086388 (UMLS CUI [4,1])
    C4708444 (UMLS CUI [4,2])
    C2987125 (UMLS CUI [4,3])
    C0556976 (UMLS CUI [4,4])
    C1300196 (UMLS CUI [5,1])
    C0557036 (UMLS CUI [5,2])
    C0581904 (UMLS CUI [5,3])
    C2987125 (UMLS CUI [5,4])
    C0556976 (UMLS CUI [5,5])
    C1300196 (UMLS CUI [6,1])
    C0557036 (UMLS CUI [6,2])
    C4708444 (UMLS CUI [6,3])
    C2987125 (UMLS CUI [6,4])
    C0556976 (UMLS CUI [6,5])
    C1300196 (UMLS CUI [7,1])
    C0449435 (UMLS CUI [7,2])
    C0581904 (UMLS CUI [7,3])
    C2987125 (UMLS CUI [7,4])
    C0556976 (UMLS CUI [7,5])
    C1300196 (UMLS CUI [8,1])
    C0449435 (UMLS CUI [8,2])
    C4708444 (UMLS CUI [8,3])
    C2987125 (UMLS CUI [8,4])
    C0556976 (UMLS CUI [8,5])
    C1300196 (UMLS CUI [9,1])
    C0850398 (UMLS CUI [9,2])
    C0581904 (UMLS CUI [9,3])
    C2987125 (UMLS CUI [9,4])
    C0556976 (UMLS CUI [9,5])
    C1300196 (UMLS CUI [10,1])
    C0850398 (UMLS CUI [10,2])
    C4708444 (UMLS CUI [10,3])
    C2987125 (UMLS CUI [10,4])
    C0556976 (UMLS CUI [10,5])
    C0149692 (UMLS CUI [11,1])
    C4708444 (UMLS CUI [11,2])
    C2987125 (UMLS CUI [11,3])
    C0556976 (UMLS CUI [11,4])
    C0149692 (UMLS CUI [12,1])
    C0581904 (UMLS CUI [12,2])
    C2987125 (UMLS CUI [12,3])
    C0556976 (UMLS CUI [12,4])
    C2986711 (UMLS CUI [13,1])
    C4708444 (UMLS CUI [13,2])
    C2987125 (UMLS CUI [13,3])
    C0556976 (UMLS CUI [13,4])
    C2986711 (UMLS CUI [14,1])
    C0581904 (UMLS CUI [14,2])
    C2987125 (UMLS CUI [14,3])
    C0556976 (UMLS CUI [14,4])
    C2371431 (UMLS CUI [15,1])
    C0581904 (UMLS CUI [15,2])
    C2987125 (UMLS CUI [15,3])
    C0556976 (UMLS CUI [15,4])
    C2371431 (UMLS CUI [16,1])
    C4708444 (UMLS CUI [16,2])
    C2987125 (UMLS CUI [16,3])
    C0556976 (UMLS CUI [16,4])
    C0577328 (UMLS CUI [17,1])
    C0581904 (UMLS CUI [17,2])
    C2987125 (UMLS CUI [17,3])
    C0556976 (UMLS CUI [17,4])
    C0577328 (UMLS CUI [18,1])
    C4708444 (UMLS CUI [18,2])
    C2987125 (UMLS CUI [18,3])
    C0556976 (UMLS CUI [18,4])
    Item Group
    Closure
    C1521802 (UMLS CUI-1)
    Item
    Has somebody helped you to complete this questionnaire?
    integer
    C3828841 (UMLS CUI [1,1])
    C0034394 (UMLS CUI [1,2])
    Help to complete the questionnaire
    Code List
    Has somebody helped you to complete this questionnaire?
    CL Item
    No, I completed the list alone (0)
    CL Item
    Yes, somebody helped me to complete the list (1)
    Item
    If yes, what did the help consist of?
    integer
    C0332307 (UMLS CUI [1,1])
    C3828841 (UMLS CUI [1,2])
    C0034394 (UMLS CUI [1,3])
    Help to complete the questionnaire
    Code List
    If yes, what did the help consist of?
    CL Item
    Someone else has written down the answers, I have chosen the answers myself  (1)
    CL Item
    Someone else helped me to choose and write down the answers (2)
    CL Item
    Someone else has chosen and written down the answers for me (3)
    Comment
    Item
    If you have any comments, please write them down in the space below. This is the end of the questionnaire. Thank you very much for completing the questionnaire.
    text
    C0947611 (UMLS CUI [1])
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